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<br />A. NOTI~E OF DEED RESTRICTIONS
<br />The. undersigned understands that this permit may be eubject to "deed restrictions" which
<br />may be more restrictive than City regulations, The undereigned assumes responsihility for
<br />compliance with any' appiicable deed restrictions;
<br />B. UNLICENSED CONTRACTons AND CONTRACTOR RESPONSiBILITIES
<br />If the owner has hired a contractor or ccntr~ftors to undertake work, . they may be requi,red
<br />to be licensed in accordance with atate and local regulations, If the contractor is not
<br />licenaed aa required by law, both the owner and contractor maYbe cited for a misdemea~or
<br />violation under state law, If the owner or intended contractor are uncertain aO to what
<br />licensing requirements may apply for the intended work, they are adviaed to contact the
<br />City of Zephyrhills Building Department, 813-780-0020.
<br />Fnrthermore, if the owner has hired a cOntractor or contractors, he is Odvised to hsve the
<br />contractor!s) sign portions. of the "Cobtractor.sections" o~ this ~pplicstion for ~ich they
<br />.will be responsible. If yon,SS the owner signs as the contrsctor, .yoo are indicating that'
<br />yoU, rsther thsn the contractor, sre responsibie ~or the work. .If the contractor wishes
<br />you to sign as contractor thst msy be sn.indication thst 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 STA~tiTES,: AS ~ENDED)
<br />I certify that I, the applicant, haye been provided with a copy of "Florida's Construction
<br />lien Uaw _ Homeowner's.pretection Guide" prepared bY the Florida Deportment of Agriculture
<br />and Consumer Affairs, If the aPplicant ia aomoone other that the "owner", I cerify that I
<br />have ohtained a copy. of the above described document and promiae in good faith to deliver
<br />it to the "ownerif prior to commencement.
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that 011 the information in thia application.is accurate and that all work will
<br />be done in compliance with all applicable laws regulating constrnction, zoning, and land
<br />( development. '
<br />Application ia hereby made to obtain a permit to do wcrk and instaliation as indicated, I
<br />certify that no work or installation haa commenced prior to issuabce of a permit and that
<br />all work will be performed to meet sta~dards 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 wnrk, and that it is my responsibility to identify what actions I must take
<br />be in compliance. Such agencies inalude but are not limited to: *Department bf
<br />Environmental Regulation-Cypresa 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 pro~essional engineer registered in the State of Florida prior to permit
<br />issuance. ~
<br />A permit issued shall.be.construedto be a licen.e to proceed with the work and not as
<br />authority to viol.te, .cancel, alter, or. set aside any provisions of the teohnical codes,
<br />nor shail issuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors in pians, construction, or violations of any code, Every permit
<br />issued shall become inv.lid 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
<br />period uf six months after the time. the work is cemmenced, One 9D 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 109god dUring each six
<br />month period, or the project will be considered abandoned. ,
<br />WARNING TU OWNER' YOUR FAILURE TO RECORD A NOTICE OF coMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS 'fOYOUR PROPERTY, IE' YOu INTENU TO OBTAIN FINlINCING, CONSULt
<br />WITH YUUR LENDER OR AN ATTORNEY ilEroRE RECORUING YOUR NonCE OF COMMENCEMENT, JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO ""CORUAN;' POST A "NOTICE of COMMENCEMENT",
<br />
<br />'.
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />acknowledged
<br />, 2 0..:.-
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />Before me, this ~day of \" 20_
<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 />(name of persor acknowledged)
<br />[1ho is personallY known to me, or
<br />
<br />(name' of person acknowledged)
<br />o who_ is personally known to me, 'or
<br />
<br />Owho has produced
<br />(type
<br />and wtioO did 0 did not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Owho has produced
<br />(type of identification)
<br />and who [] did [):lid' not 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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