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<br />A.' NOTIGE OF DEED RESTRICTIONS
<br />Th~ 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" appiicable deed restrictions;
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSiBILITIES
<br />If the owner has hired a contractor or contr~Ftors to undertake work, . they may be required
<br />to be licensed in accordance with state and local regulations. If the contractor is not
<br />licensed as required by law, both the owner and contractor maybe cited for a misdemea~or
<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 "Gohtractor. Sections" of this ~pplication for which they
<br />will be tesponsible. If you,' as the owner signs as the contractor,ydu are indicating that
<br />you, rather than the contractor, are responsible for the work. .If the contractor wishes
<br />you to sign as contract?r 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 CONNECTI.ON FEES .
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES,. .AS AMENDED)
<br />I certify that I, the applicant, hay~ been provided with ~ copy'of "Florida's Construction
<br />lien Daw _ 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 tl~scribed 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 />I development. . .
<br />Appl.1.qation is hereby made to obtain a permit to do work and installation as indicated. I I
<br />certify that no work or installation has commenced prior to issuance of a permit and that i
<br />all work wiil be performed to meet standards of all laws regulating construction, City I
<br />codes, zoning regulations, and land developmerit regulations in the jurisdiction. I also I
<br />certify that I understand that the regulations of other governmental agencies may apply to I
<br />the intended work, and that it is my responsibility to identify what actions I must take td
<br />be in compliance. Such agencies inolude but a~e not limited to: *Department of I
<br />Environmental Regulation-Cypress Bayheads, Wetiand Areas and Environmentally Sensitive I
<br />I
<br />Lands, Water/Wastewater Tr~atment' I
<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 ~anks .
<br />*U.S. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is' to be used in Flo~d Zone "A" or "A, etc. "; it is I
<br />understood that a drainage plan addressing a;:'compensa,ting volume" will be submitted which i
<br />is prepared by a proiessional engineer re~istered in the State of Florida prior to permit I
<br />, ~
<br />J.ssuance.
<br />A permit issued shall.be ,construed.to be a license to proceed with the work and 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, qonstruction, or violations of any code. Every permit
<br />issued shall become invalid unless the work authorized ,by such permit is commenced within i
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned for l~
<br />period of six months after the time,the work is commenced. One 90 day extension of time t
<br />may be allowed for the permit with teedharge of $~5.00. ,The extension shall be requeste~,
<br />in writing to'the Building Official. An approved ~nspectJ.on must be logged during each SJ.X
<br />month period, or the ptbject will be considered abandoned.. .
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR ,
<br />PAYING TWICE FOR IMPROVEMENTS 'TO YOUR PROPERTY. IF YOU INTEND TO.OBTAIN FINANCING; CONSULT
<br />WITH YOUR LEN DE OR AN ATTORNEY BEFORE R~CORDING Y~UR NOTICE OF COMMENCE~ENT. JOBS UNDER
<br />$ZN V D7;~CbRDAND PDST A "NDTICE DF COMMENCEMENT. :.
<br />
<br />
<br />t:/:- , '
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE:
<br />
<br />CONTRACTOR
<br />
<br />acknowledged
<br />2~
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me. this ~day of
<br />by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />.The foregoing instrument was
<br />Before me this_____ day of
<br />by
<br />
<br />acknowledged
<br />'",20_
<br />
<br />(name' of person acknowledged)
<br />Dwho is personally known to me, 'or
<br />
<br />(name of persor acknowledged)
<br />[1ho is personally known to me, or
<br />
<br />D who has produced
<br />(type
<br />and wrioD did D did not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />D who has produced
<br />(type of identification)
<br />and. who Odid Q:iidnot take an oath
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Signature of person taking acknowledgement
<br />
<br />.,
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
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