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<br />A.' NOTI~E OF DEED RESTRICTIONS
<br />Tha 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 ccntr~ftors to undertake work, 'they may be required
<br />to be licensed in accordance with state and local regulations. If the contractor is nO,t
<br />libensed as required by law, both the owner and contr~ctor maibe cited for a misdemeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to what
<br />licensing require~ents may apply for the intended work, they are advised to contact the
<br />City of Zephyrhills Building Department; 813-760-0020.
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractor Is) sign po.tionsof the "Goritracto~sections" of this '~lication for which they
<br />.ill be tesponsible, It ydU,'S ~he o~er signs as the coutractor, ydu are iudicating that
<br />you, rather than the contractor, are responsible for the work. ~f 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 CONNECTI.oN FEES '
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STA~tiTES, AS AMENDED)
<br />I certify that I, the applicant, hay. been provided with a copy 'of "Florida's Construction
<br />lien Daw _ Hcmecwner's,protection Guide" prepared by the F1crida Dep.ttment cf AgriCUlture
<br />and Ccusumer Affairs, If the applicant is someone other that the "o~er", I cerify that I
<br />have obtained a copy of the above dascribed document and promise in good faith to deliver
<br />it to the "ownerif prior to commencement.
<br />E. ,CONTRACTOR'S/OWNER'S AFFIDAVIt
<br />I certify that .11 the information in this app1ication'is accurate and that .11 work will
<br />be done in compliance with ,all applicable laws regulating construction, zoning, and land
<br />I development. ' '.
<br />Appli~ation 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 will be performed to meet sta~dards of all laws regulating construction, city
<br />codes, zoning regulatiohS, and land developmerit 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
<br />be in compliance. Such agencies inolude but are not limited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, wetland Areas and Environmehtally Sensitive
<br />Lands, Water/Wastewater Treatment '
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps bf Engineers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells;
<br />Wastewater Treatment, Septic Tanks'
<br />*U.S. Environmental protectiori Agency-Asbestos abatemen~
<br />I also certi~y that, if fill material is to be used in Floqd Zone "An or "A, etc.", it is
<br />understood that a drainage plan addre.sing a"'compensa,ting volume" will be suhmitted which
<br />is prepared by a proiessiona1 engineer registered in the state of F10tida prior to permit
<br />issuance. ~
<br />A permit issued shall ,be ,construed to be a license to proceed with the work and not ..
<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 inv.1id unless the work authorized by such permit is commenced within
<br />six months of i.suance, or if work authorized by the permit is suspended or abandoned for ,*
<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 $lS,OO, The exten.ion shall be requested
<br />in writing to 'the Building Official, An approved inspection must be logged duririg each .ix
<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 />. . ' I
<br />PAYING TWICE FOR IMPROVEMENTS ~OYDUR PROPERTY, IF YOO INTEND TO,OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY ilEFORE RECORUING yOUR NOTICE OF COMMENCEMENT. JOBS ONDER
<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 0..:-
<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 />[1ho is personally known to me, or
<br />
<br />(name' of person aoknowledged)
<br />o who, is personally known to me, 'or
<br />
<br />Owho has produced
<br />(type
<br />and whoO did 0 did not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Owho has produced
<br />(type of identification)
<br />and who Odid Qiidnot 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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