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<br />A.' NOTI~E OF DEED RESTRICTIONS
<br />ThE1 undersigned understands that this permit may be subject to "deed restrictions" which
<br />may be more restiictive,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 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 may"'be cited for a misdemean:or
<br />violation under state law. If the owner or intended contractor are uncertain as to what
<br />licensing requirements may apply for the intended w'ork, 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 "Gontractor Sections" of this ~pplication for which they
<br />will be tesponsible. It ydu,'as ~he 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 contract?r that ma~ 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 STA~tiTES, AS AMENDED)
<br />I certify that I, the applicant, haYE:! been provided with a copy'of "Florida's Construction
<br />lien Law _ Homeowner's.Protection Guide" prepared by the Florida Depattment of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "ownet", 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 "owneri! 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 />Applic::ation is hereby made to obtain a permit to do work and installation as indicated. I i
<br />I
<br />certify that no work or installation has commenced prior to issuance of a permit and that i
<br />all work wlll be p.rformOd to meet standards of all laws regulating construction, city I
<br />codes, zonlng regulations, and land development regulations in the jurisdictlon. 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 are not iimited to' .Department of I
<br />Environmental Regulation-CyprOss Bayheads, weti.ud 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 abatemen~
<br />I also certi~y 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 addre.sing a"'compensating volume" will be submitted which.
<br />is prepared by a professional engineer registered in the State of Florida prior to permit
<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, cons~ruction, or violations of any code. Every permit
<br />issued shall become inv.lid unlees the work authorized .by euch permit is commenced within I
<br />six months of issuance, or if work authorized by the permit is suspended or abandoued for '$
<br />period of six months after thO tlms.thework i. commenced, One 90 day extension of time
<br />may be allowed for the permit with fee charg. of $15,00, The o.tension shall be requested
<br />in writing to .the Building DfficiaL An approved inspoction 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 PRUPERTY, IF yOU INTEND TO.OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENUER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT, JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD 'AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />acknowledged
<br />, 2 U:..-
<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 />'.r 20_
<br />
<br />(name of persor acknowledged)
<br />C1ho is personally known to me, or
<br />
<br />(name' of person acknowledged)
<br />Owho is personally known to me, 'or
<br />
<br />o who has produced
<br />(type
<br />and whoO did 0 did not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o who has produced
<br />(type of identification)
<br />and who Ddid [}:iidnot t.ake 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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