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<br />A. NOTIGE OF DEED RESTRICTIONS .~
<br />The undersigned understands that this permit may be subject to "deed restrictions" which
<br />may be more restrictive than City regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or cbntr~~tors to undertake work, 'they may be required
<br />to be licensed in accordance with state and iocal regulations. If the contractor is not
<br />licensed as required by law, both the owner and contractor may" be cited for a misdemeanor
<br />violation under s~ate law. If the owner or intended contractor are uncertain as to what
<br />licensing requirements may apply for the intended work, they are advised to contact the
<br />City of Zephyrhills Building Department, 813-780-0020.
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractor(s) sign po~tions of the "Contractor Sections" of this ~pplication for which they
<br />will be responsible. If you, as the owner signs as the contractor, you are indicating that
<br />you, rather than the contractor, are responsible for the work. .If the contractor wishes
<br />you to sign as contractor that may be an indication that he is not properly licensed and is
<br />not entitled to permitting privileges in the City of Zephyrhills.
<br />C.. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, hay~ b,een provided with a copy of "Florida's Construction
<br />lien Law _ Homeowner's.Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
<br />have obtained a copy of the above described document and promise in good faith to deliver
<br />it to the "owner" prior to commencement.
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the information in this application.is accurate and that all work will
<br />be done in compliance with all applicable laws regulating construction, zoning, and land
<br />development.
<br />Appliqation is hereby made to obtain a permit to do work and installation as indic~ted. I
<br />certify that no work or installation has commenced prior to issuance of a permit and that
<br />all work wiil be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land development regulations in the Jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies may apply to
<br />the intended work, and that it is my responsibility to identify what actions I must take to
<br />be in compliance. Such agencies include but a~e not limited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is
<br />understood that a drainage plan addressing a "compensating volume" will be submitted which
<br />is prepared by a proIessional engineer registered in the State of Florida prior to permit
<br />issuance.
<br />A permit issued shall.be .construed to be a license to proceed with the work ~nd not as
<br />authority to violate, cancel, alter, or set aside any provisions of the technical codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, construction, or violations of any code. Every permit
<br />issued shall become invalid unless the work authorized by such permit is commenced within
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned for 'a
<br />period of six months after the time,the work is commenced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be requested
<br />in writing to'the Building Official. An approved inspection must be logged during each six
<br />month period, or the project will be considered abandoned. ,
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$;1,500 IN VALUE UO NOT NEEU TU RECORU-AND POST A "NOTICl' COMME EMENT".
<br />
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<br />,-".')'\C_. cl,:-W ~ fp,i.'(...MGI!-
<br />SIGNATURE: OWNER OR AGENT . 1 .' . ,;
<br />
<br />STATE OF FLORIDA . .<2 A.I1. /\. .' STATE OF FLORIDA /.. s ~. 0
<br />COUNTY OF fJ!--v UV' COUNTY OF v c-A.- "-
<br />The foregoing i~ument waJ2~Ckno ledged..-- The foregoing ins~q.uaent was ...as;kBowledged... -
<br />~. {)'') , t' /. d f ~ 20[;1.0
<br />Befor">,,,e this _ d', of fa~~, 2<l:f:- Before me_ , , , a 0 "' v ' ""'-
<br />by UJa.r\~ _--"-~{'"~~_ ' by .'IJ~:::> t1 ~c r,c
<br />(name. of person acknowledged)' . name of person cknowledged)
<br />~ho is personally known t2;e, 'or D$~3-J(,{,- .0 is personally known to me, or
<br />f'dJ' ,CfJ. < 11 ). . .~ - '/-> !,.'f) 0
<br />UII"t who has produced (J(J1-ttfGt ..~ who
<br />(type of identification) . ~ .~
<br />an~ ~ake an oath. and ~_ ake an oath
<br />
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<br />Signature of person taking acknowledgement edgment
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<br />
<br />Name type~~;;~~60~~d
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<br />\;: Of ,,'" ExpIreS August 0.1 2006 ,
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<br />Name typed, pr1.nteg.f.Qr $.."\;,~d
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