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<br />A.' NOTIGE OF DEED RESTRICTIONS
<br />Th~ undersigned understands that this permit may be subject to. "de~d restrictiens" which
<br />may be mere restrictive than City regulatiens. The undersigned assumes respansibility far
<br />cempliance with any applicable deed restrictiens.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSiBILITIES
<br />If the ewner has hired a centracter er cantr~Fters to undertake werk, 'they may be required
<br />to. be licensed in accerdance with state and lecal regulatiens. If the centracter is not
<br />licensed as required by law, bath the awner and centracter maybe cited fer a misdemeanar
<br />vielatien under state law. If the awner ar intended cantractar are uncertain as to. what
<br />licensing requirements may apply fer the intended werk, they are advised to. centact the
<br />City ef ZephyrhillS Building Department, 813-780-0020.
<br />Furthermere, if the ewner has hired a contracter er centracters, he is advised to. have the
<br />centracter(s) sign po~tiens ef the "Gentracter Sectiens" ef this ~pplicatien fer which they
<br />will be respansible. II you,. as the ewner signs as the centracter, you are indicating that
<br />yeu, rather than the centracter, are respensible fer the werk.If the centracter wishes
<br />yeu to. sign as centracter that may be an indication that he is net preperlylicensed and is
<br />nat entitled to. permitting privileges in the city af 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, hay!;! been provided with a cepy'ef "Flerida's Censtructien
<br />lien Law _ Hemeewner's,protectien Guide" prepared by the Flerida Department af Agriculture
<br />and Censumer Affairs. If the applicant is semeene ether that the "ewner", I cerify that I
<br />have ebtained a cepy ef the abeve described decument and premise in geed faith to. deliver
<br />it to. the "ewner" prier to. cemmencement.
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infarmatian in this applicatianis accurate and that all wark will
<br />be dene in cempliance with all applicable laws regulating canstructien, zaning, and land
<br />develepment. '
<br />Appliqatian is hereby made to. ebtain a permit to. de wark and instaliatien as indicated. I
<br />certify that no. werk er installatian has cemmenced prier to. issuance ef a permit and that
<br />all werk wiil be perfermed to. meet standards af all laws regulating canstructian, City
<br />eades, zaning regulatiens, and land develapment regulatiens in the jurisdictien. I also
<br />certify that I ,understand that the regulatiens af ather gavernmental agencies may apply to.
<br />the intended werk, and that it is my respansibility to. identify what actions I must take to.
<br />be in campliance. Such agencies inolude but are nat limited to.: *Department ef
<br />Enviranmental Regulatian-Cypress Bayheads, Wetiand Areas and Enviranmentally Sensitive
<br />Lands, water/Wastewater Treatment
<br />*Sauthwest Flarida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercaurses
<br />*Army Cerps of Engineers-Seawalls, Decks, Navigable Waterways
<br />*Department ef Health & Rehabilitative Services, Enviranmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Envirenmental pretectien Agency-Asbestes abatement
<br />I also. certi~y that, if fill material is to. be used in Fleed Zene "A" er "A, etc.", it is
<br />understeed that a drainage plan addressing a;~'campensa.ting velume" will be submitted which
<br />is prepared by a prefessienal engineer registered in the state af Flarida prier to. permit
<br />issuance. ~
<br />A permit issued shall ,be ,canstrued to. be a license to. praceed with the werk and net as
<br />autherity to. vialate,cancel, alter, er set aside any previsians of the technical eades,
<br />ner shall issuance ef a permit prevent the Building Official frem thereafter requiring a
<br />cerrectian ef errors in plans, construction, er vielatians af any cede. Every permit
<br />issued shall became invalid unless the wark autherized by such permit is cemmenced within
<br />six months ef issuance, ar if wark autharized by the permit is suspended ar abandened fer \a
<br />periad ef six months after the time. the work is commenced. One 90 day extensien ef time
<br />may be allewed fer the permit with fee charge ef $15.00. The extensien shall be requested
<br />in writing te'the Building Official. An appreved inspectien must be legged during each six
<br />menth peried, er the project will be considered abandened.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD 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 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'INOTICE OF COMMENCEMENT".
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The feregaing instrument was
<br />Befere me this _____day ef
<br />by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The feregaing instrument was acknowledged
<br />Before me this _____ day ef ' 2CL-
<br />by
<br />(name' ef persan acknewledged)
<br />Owhe is persenally knewn to. me, 'er
<br />
<br />acknawledged
<br />'-,20_
<br />
<br />(name af perser acknewledged)
<br />[1he is persenally knewn to. me, ar
<br />
<br />o who. has preduced
<br />(type
<br />and wlieO did 0 did net
<br />
<br />af identificatien)
<br />take an eath.
<br />
<br />o who. has praduced
<br />(type af identificatian)
<br />and who. Odid D:iid net take an eath
<br />
<br />Signature ef persen taking acknawledgment
<br />
<br />Signature ef persen taking acknewledgement
<br />
<br />Name typed, printed er stamped
<br />
<br />Name typed, printed er stamped
<br />
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