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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 />may be more restrictive tbanCity regulatiohs. The undersigned assumes responsibility for
<br />compliance with any appiicab1e deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSiBILITIES
<br />If the owner. has hired a contractor or contr~tors to underteke work,.they may be required
<br />to be licensed in accordance with state and local regulations. If the contractor is not
<br />lioensed ae required by law, both the owner and contractor maybe cited for a misdemea';or
<br />violation under s~at~ law. If the owner or intended contractor ar~ 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 />contractor(s) sign po+t~ons of the "Gohtractor Sections" of this application, for which they
<br />wili be responsible. If you, .as the owner signs as the contractor, you are iudica ting 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 or Zephyrhills.
<br />C.. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTI,ON FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STA~tiTES,' AS AMENDED)
<br />I certify that I, the applicant, hays been provided with a copY.Of "Fiorida's Construction
<br />lien Uaw _ Homeowher's.protection Guide" prepared by the Florida Depattment ot Agriculture
<br />and Conswner Affairs. If the applicant is someone other that the "owner", I cerity that I
<br />have obtained a copy of the above described docwnent and promise in good faith to deliver
<br />it to the "ownerit 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 />Appliqation 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 issuahce of a permit and that
<br />all work will be performed to meet stsudards of all laws regulating construction, City
<br />codes, zoning regulations, and land developmerit regulatioris iu the jurisdiction, I also
<br />certify that I .understand that the regulations of other governmental agencies may apply to
<br />tbe 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, Hetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment ' '
<br />.Southwest Florida Hater Management District-HellS, cypress Bayheads, Hetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />.Department of Health & Rehabilitative Services, Environmental Health Unit-Hells,
<br />Wastewater Treatment, Septic ranks '
<br />*U.S. Environmental Protection Agency-Asbestos abatement
<br />I al s 0 certi fy that, if fill material is. to be used in Flood Zone "A" or "A, e tc . ", it is .
<br />understood that a drainage plan addre..ing ","compensa.ting volwne" will be submitted which I
<br />is prepared by a pro,essional engineer tegistered in the State of Flotida prior to permit '
<br />. ~ i
<br />1Ssuance. '
<br />A permit issusd shall.be.construed.to be a license to proceed with the wcrk and not as '
<br />authority tc viclate, cancel, alter, or set aside any provisions of the technical codes,
<br />nor shall issuance of a permit prevent the Huilding 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 I
<br />six months of i.suance, or if work authorized by the permit is suspended or abandoned for'~
<br />petiOd of six months aftet the ti1ue .the wotk is commenced. One 90 day extension of time
<br />may bs allowed for the permit with he charge of $15. 00. The oxton. ion shall be requeste~ l
<br />in writing to.the Building Official. An approved inspection must be logged during each S1X
<br />month period, or the project will be considered abandoned. , '
<br />HARNING TO OWNER' YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR ,
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOD INTEND TO.OBTAIN FINANCING, CONSULT
<br />HITH YODR LENDER OR AN ATTORNEY BEFORE RECORDING YODR NOTICE OF COMMENCEMENT. JOB.S ONDER
<br />$2,500 IN VALDE DO NOT NEED TO REcbRDAND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />.
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />, "
<br />, ,
<br />
<br />acknowledged
<br />, 2CL-
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before m~ 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 />'-, 20_
<br />
<br />(name' of person acknowledged)
<br />Owho 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
<br />and whoO did 0 did not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o who has produced
<br />(type of identification)
<br />and who [] did Q:iid 'not take an oath
<br />
<br />Signature of person taking acknowledgment
<br />
<br />signature of person taking a~knowledgement
<br />
<br />"
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
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