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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 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 maybe cited for a misdemea~or
<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, 813-780-0020.
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
<br />cdntractor(s) sign po~tions of the nCohtractor Sections" of this ~pplication for which they
<br />,will be responsible. 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 contractor that may be an indica~ion 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~UTES,' AS AMENDED)
<br />I certify that I, the applicant, hay~ been provided with a' copy 'of nFloridat s Construction
<br />lien Law _ Homeowner's ,Protection Guide" prepared by the Florida Department or 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 />I development. ' ,
<br />Appl!qation is hereby made to obtain a permit to do work and instalia-l::ion as indicated. I
<br />certify that no work or installation has commenced prior to issuance of a permit and that
<br />all work wiil be psrformed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land developmerit regulations in the jurisdiction. I also
<br />certify that I understand that the regniations of other governmental agencies may apply to ;
<br />the intended work, and that it is my responsibility to identify what actions I must take t~
<br />be in compliance. Such agencies inalude but a~e not limited to: *Department of r
<br />Environmental Regulation-cypress BsyhesdS, wetland Aress snd Environmentslly 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-Wellst
<br />Wastewater Treatment, Septic Tanks' '
<br />*U.S. Environmental protecti6ri Agency-Asbestos abatemen~
<br />I also certity that, if fill material is to be used in Floqd Zone "A" or "A, etc.", it is
<br />nnderstood thst a drsinsge plsn sddre.slng a"'compensating volume" will be submitted which i
<br />is prepared by a prOfessional engineer ragistered in the State of Florida prior to permit
<br />. ~ .
<br />J.ssuance.
<br />A permit issued shall ,be ,construed'~o be a license to proceed with the work and not as
<br />authority to violate, ,cancel, alter, or set aside any provisions of the te~hnical 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 unlsss the work authorized by snch permit is commenced within
<br />six months nf issusnce, nr if work anthorized 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 fOe charge of $15.00. The oxtension 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. Ir you INTEND TO OBTAIN FINANCING, CONSOLT
<br />WITB YOUR LENUER OR AN ATTORNEY BEFORE RECORUING yOUR NUTICE OF COMMENCEMENT. JOBS ONDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD 'AND POST A 'INOTICE OF COMMENCEMENT".
<br />
<br />"
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />acknowledged
<br />, 2U:-
<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 person acknowledged)
<br />[] who, is personally known to me, 'or
<br />
<br />(name of persor acknowledged)
<br />[1ho is personally known to me, or
<br />
<br />[] who has produced
<br />(type
<br />and whoO did [] did not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Owho has produced
<br />(type of identification)
<br />and who Odid Qj.idnot 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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