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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 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 not
<br />licensed as required by law, both the owner and contractormay"be cited for a misdemea~or
<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 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 />cdntractor(s) sign po~tions' of the "Gohtractor 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 contract?r 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 STATUTES,' AS AMENDED)
<br />I certify that I, the applicant, hay~ been provided with a copy 'of "Florida's Construction
<br />lien Daw _ Homeowner's ,Protection Guide" prepared by the Florida Department of 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 compli~nce with ,all applicable laws regulating construction, zoning, and land
<br />I development. ' "
<br />Appll~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 I
<br />code~, zoning regulations, and land develo~merit regulations in the jurisdiction. I also
<br />cert~fy that I ,understand that the regulat~ons of other governmental agencies may apply to 1
<br />the intended work, and that it is my responsihility to identify what actions I must take td
<br />be in compliance. Such agencies include but are not limited to' *Department of I
<br />Environmental Regulation-Cypress Bayheads, Wetiand Areas and Environmentally Sensitive I
<br />Lands, Water/Wastewater Treatment " 1
<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 ranks '
<br />*U.S. Environmental Protection Agency-Asbestos abatemen~
<br />I also certify that, if fill material is' to be used in FloC!d Zone "A" or "A, etc. "; tt is ,
<br />understood that a drainage plan addressing a::'compensa,ting volume" will be submitted which I
<br />is prepared by a pro.fessional engineer registered in the State of Florida prior to permit :
<br />. ~
<br />~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 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 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'~
<br />period of six months after the time. the work is commenced. One 90 day extension of time ·
<br />may he allowed for the permit with fOe charge of $15.00. The oxtension shall bereqnestedi
<br />in wri Hng to. the BuildIng OfficIal. Au approved Inspection must beloggOd during each siX
<br />month period, or the project will be considered ~bandoned., '
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A ~OTICE OF COMMENCEMENT MAY RESULT IN YOUR i
<br />PAYING TWICE FOR IMPROVEMENTS TOYOOR PROPERTY. IF YOo INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING yOUR NOTICE OF COMMENCEMENT. JoBS UNDER
<br />$2,500 IN V UE DO NOT NEED TO RECORD 'AND POST A 'INOTICE E COMMENCEMENT".
<br />
<br />SIGN
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<br />
<br />. !;
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<br />
<br />,
<br />'.
<br />
<br />acknowledged
<br />, 2~
<br />
<br />FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me, this ~day of
<br />by
<br />
<br />STATE OF FLORI
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this _ day of
<br />by
<br />
<br />acknowledged
<br />'-, 20_
<br />
<br />(name' of person acknowledged)
<br />o who is personally known to me, 'or
<br />
<br />(name of persop acknowledged)
<br />[1ho is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />and wlioO did Odid not take an oath.
<br />
<br />[]who has produced
<br />(type of identification)
<br />and who Odid [):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
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