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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 t~e owner, has hired a contractor or contr~Ftors to undertake work, 'they may be required
<br />t~be licensed i~ accordance with state and local regulations. If the contractor is nO,t
<br />11censed as requ1red by law, both the owner and contractor ma~be cited for a misdemeanor
<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 responsible. If ydu,' 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 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 STArUTES, AS AMENDED)
<br />I certify that I, the applicant, haye been provided with a copy 'of "Florida's Construction
<br />lien Daw _ Homeowner's.Protection ~uide" 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 />Appli~ation is hereby made to obtain a' permit to do work and installation 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 performed to meet sta~dards 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 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 include but are not limited to: *Department of
<br />Environmental Regulation-Cypress 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 FloC?d Zone "A" or "A, etc." t :Lt is :
<br />understood that a drainage plan addressing a:."compensa,ting volume" will be submitted which i
<br />is prepared by a proiessional engineer registered in the State of Florida prior to permit i
<br />. ~
<br />1ssuance.
<br />A permit issued shall ,be ,construed to be a license to proceed with the work ~nd 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, construction, or violations of any code. Every permit
<br />issued shall become invalid 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 1*
<br />period of six months after the titne, the work is commenced. One 90 day extension of time
<br />may be allowed for the permit with fee charger of $15.00. . The extension shall berequeste~.
<br />in writing to'the Building Official. An approved inspect10n must be logged during each S1X
<br />month period, or the project will be considered abandoned. , '
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RE~ULT IN YOUR ,
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO,OBTAIN FINANCING; CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y~UR NOTICE OF COMMENCEMENT. JOBS UNDER
<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 />. !~
<br />
<br />acknowledged
<br />2 u.:-
<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 person acknowledged)
<br />Owho is personally known to me, 'or
<br />
<br />(name of persop acknowledged)
<br />[100 is personally known to me, or
<br />
<br />o who 'has produced
<br />(type
<br />and wlioO did 0 did not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Owho has produced
<br />(type of identification)
<br />and who Ddid DHdnot take an oath
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Signature of person taking a,cknowledgement
<br />
<br />"
<br />
<br />Name typed, printed or stamped
<br />
<br />~rinted or stamped
<br />
<br />Name
<br />
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