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<br />A. NOTICE OF DEED RESTRICTION~
<br />The undersigned understands that this permit may be subject to "deed restrictions" which
<br />may be more restrictive than city regulations. The unde~signed assumes responsibility for
<br />compliance with, any applicab~e deed restrictions.
<br />B. - UNLICENSED CONTRACTORS AND CONTRACTOR R~SPONSIBILITIES
<br />If the owner has hired a contractor or co~tractors to undertake wo~k, they may bd required
<br />to be licensed in accordance with ~tat~' and local regulations. If the contractor is not
<br />licensed as required by law, both the owner and contractor may be cited for a misdemeanor
<br />violation under state law. If the owner or intended contractor are, uncertain as to what-
<br />licensing requirements may apply for the intended work, they are ~dvised 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 "Contractor Sections" of this application for which they
<br />will be responsible. If you, as the owner signs ~s the contracto+, you are indicating that
<br />you, +ather than the cQntractor, are responsible for the work. If the contracto+ wishes
<br />you 'to sign as contractor that may be an indica~ion 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 CONNECTION FEES ,
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have 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 applicaqt is ~orneone other that ,the "pwner"; I cerify that I
<br />have obtained a copy of the above qescribed 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 1s accurate and that-'all work will
<br />be aone in compli,ance with all applicable laws regulating construction, zoning, and land
<br />- 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 install~tion has commenced prior to issuance of a permit and that
<br />all work will be performed to meet standards of all laws regulating construction, city
<br />codes, zoning regulations, and land'development regulations in the jurisdiction. I also
<br />_cer~ify that I understand th~t th~ regulatians of other governmental agencies may apply ,to
<br />the intended work, and that it is my responsioility to. identify what actions I must take'to
<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, Cyp~ess Bayhea~s, Wetlapd Areas,
<br />Altering Watercourses
<br />*Army Corps af Engineers-Sea~a~lsl Dock~, Navigable ~aterways
<br />*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Environmenta~ Protection Agency-Asbestos abatement
<br />I also certif~ that, if fill material is to be used in Flood Zone "A" or "A,etc."~ it is
<br />understood that a drainage plan addressing a "compensating volume" will be submitted which
<br />is prepared by a professional engine,er r\3gisteJ;'ed in the State of Florida prior to permit
<br />issuance.
<br />A permit issued shall be canstrued to be a license to praceed with the wark and not as
<br />authority to violate, cancel, alter, or set aside any provisions of the technical codes,
<br />nar Shfll issuance of a permit prevent the Building Officia~ from thereafter requiring a
<br />correc ion of errors in plans, constru9tlon, 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 la
<br />_ pe:dod of six manths after the t~me the work is commenced. On~ 90 day extension of time
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be requested
<br />in writing to the Building ~fficial. An approved inspection must be logged dqring each six
<br />manth period, or.the project will pe consid8red abandoned. '
<br />WARNING TO OWNER: YOUR FAILURE TO RE~ORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR ~N ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />:?2,500'IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />of identification}
<br />ke an oath.
<br />
<br />~--
<br />-:---- .'
<br />8IGNATURE:)r~~NTRACTOR
<br />
<br />STATE OF FlORIDA 7)~ !~\r'\
<br />COUNTY Of -y~
<br />The foregoing .instrument,wak':cknowledg,fid
<br />Before ~i this . ;;:;-:2; d~ of +c.JJ I 261~
<br />by G~ (} C~ .6:.:J {;HCP .~
<br />\r,. '(name of person knowl'edged)
<br />~o is p~rsonally known to me, or
<br />
<br />Dw~o 'has produced
<br />_ (type at identification)
<br />r id not
<br />
<br />s~?~ OR AGENT
<br />
<br />
<br />STATE OF FLORID1i)O./'l'f~
<br />COUNTY OF YLrv~(~
<br />
<br />The foregoi~g i rument wa~9~nowledgeR,
<br />Befo e this day of ~ , 2~
<br />by ,
<br />\~ (name of perso acknowledged)
<br />~who is personally known to me, or
<br />
<br />o who has produced ,
<br />(type
<br />and ~id not
<br />
<br />Name typed,
<br />
<br />erson takinq acknowledgement
<br />
<br />'1;,---
<br />. . My CommiSSion 00185587
<br />pri n t ~ r ~tfrdtre~ 03, 2007
<br />
<br />
<br />8i
<br />
<br />Name typed,
<br />
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