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<br />A. NOTIGE OF DEED RESTRICTIONS
<br />Th~ undersigned understands that this permit may be
<br />may be more restrictive than City regulations. The
<br />compliance with any appiicab1e 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 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 pOftions of the "Cohtractor 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 Uaw _ 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 "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 />Application is hereby made to obtain a' permit to do work and instaliation 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 development 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 a~e 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 protectiori Agency-Asbestos abatement
<br />I also certify 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 addressing a;:'compensa,ting volume" will be submitted which \
<br />is prepored by a professional engineer re<iis~ered in the state of Florida prior to permit
<br />I ~
<br />lssuance.
<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 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 montbs of issuance, or if work au~horized by the permi~ is suspended or abandoned for'4
<br />period of six months after the ~ime.~hework is commenced. One 90 dsy extension of ~ime
<br />msy be allowed for the permit with he .chsrge of $~5.00. The ex~ension sball be requeste,:,:
<br />in writing to'the Building Official. An approved lnspection must be logged during each SlX
<br />month period, or the project will be considered ?bandoned. " ,
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICS FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOu INTEND TO.OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECOROING yOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD 'AND POST A "NOTICE OF COMMENCEMENT'~.
<br />
<br />subject to "deed restrictions" which
<br />undersigned assumes responsibility for
<br />
<br />~"
<br />
<br />-SIGNATURE: OWNER OR AGENT
<br />
<br />~
<br />
<br />~IGNATURE: CONTRACTOR
<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 />[] 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 0 did not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Owho has produced
<br />(type of identification)
<br />and who Odid Q:iidnot -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 />Name typed, printed or stamped
<br />
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