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<br />A. NOTI~E OF DEED RESTRICTIONS
<br />Th~ undersigned understands that this permit may be subject to "deed restrictions" which
<br />maybe 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 t~e 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 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 ~Gontractor Sections" of this ~pplication for which they
<br />will be ~esponsible. It ydu,'as ~he owner signs as the contractor, you 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 CONNECT,I,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 Law _ 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;I 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 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 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 are not limited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetiand 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 protecti6ri Agency-Asbestos abatemen~
<br />I also certify that, if fill material is to be used in Flo~d Zone ~A" or "A, etc. Ii; it is
<br />understood that a drainage plan addressing a;~'compensa,ting volume" will be submitted which
<br />is prepared by a professional engineer registered 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, cons~ruction, or violations of any code. Every permit
<br />issued shall become inv.lid 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 be allowed for the pe~it with fse aharge of $15.00. The extension shall he re~ested'
<br />in writing to. the Building Official. An approved inspectiou 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 'f0 YOUR PROPERTY. IF YOO INTENU TO OB1AIN FINANCING, CONSULT
<br />WITH YOUR LENDeR OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNUER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD 'AND POST A "NOTICE OF COMMENCE~ENT".
<br />
<br />It'd wiv'ilh'v'- h~/W-
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />STATE OF F4QRJ.DA.
<br />COUNTY OF J:j2/L ' ,
<br />The foregoing instrument was ackndwledged
<br />Bef~r~ me tli,.ifj.../S!!:::- day off7~ I 2~
<br />by ~lleU'1 ' Wfll-l!uru:,-r:- ' '
<br />(name' of person acknowledged)
<br />[] who is personally known to me, '.or
<br />
<br />~o has produced mf bL ~ qif 3a'D~
<br />(type of identification)
<br />Odid not tak an oath.
<br />
<br />STATE OF FLORIDA ,I,
<br />COUNTY OF /~Jl~
<br />The fO,regoing instrument was ~Wledged
<br />Before me this -1:1!!:day ofl1~ '-, 20 ~
<br />by LA'adl z-usl<r '
<br />(name of persop acknowledged)
<br />~ is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />[llidnot ke an oath
<br />
<br />
<br />
<br />..
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