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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 appiicable 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 lawr both the owner and contractor may'be cited for a misdemea~or
<br />violation under s~ate law. If the owner or intended contractor are uncertain as to what
<br />licemsing requirements may apply for the intended workr 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 "Contractor sections" of this ~pplication for which they
<br />will be tesponsible. If ydu,'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 STArUTES,: AS AMENDED)
<br />I certify that I, the applicant, haYE;! been provided with a copy 'of "Florida's Construction
<br />lien Law _ Homeowner's ,Protection Guide" prepared by the Florida Department ot 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 />Appli~ation is hereby made to obtain a permit to do wdrk 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 will be performed to meet sta~dards of all laws regulating construction, City
<br />codes, zoning regulations, and land developmerit 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 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, 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 Protection Agency-Asbestos abatemen~
<br />I also certify that, if fill material is to be used in FloC?d Zone "A" or "A, etc. ", 1t is ,
<br />understood that a drainage plan addressing a:;'compensa,ting volume" will be submitted which i
<br />is prepared by a pro,fessional engineer registered in the state of Florida prior to permit '
<br />. ~
<br />J.ssuance.
<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, ~onstruction, 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 issuancer 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 permit with fee .charge of $15.00. The. extension shall be requested:
<br />in writing to 'the Building Official. An approved inspection 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 TO YOUR PROPERTY. I~ YO? 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 "NOTICE OF COMMENCEMENT",
<br />
<br />subject to ~de~d restrictions" which
<br />undersigned assumes responsibility for
<br />
<br />~ jae~
<br />
<br />f/~
<br />
<br />~ . /C?(~Z//d#
<br />
<br />81 NAT~ 'CONTRACTOR
<br />
<br />SIGNATURE:
<br />
<br />OWNER OR AGENT
<br />
<br />STATE OF FLORIDA;?aJ~)
<br />COUNTY OF ," . ,
<br />The foregoing instrument was ~cknowledged/_
<br />Before me tij.is ~tJH-- day of p_brl/tJ. ty , 2C12If
<br />by \.5,Y-~ e Ie {' i(1JJ ' '
<br />(name' of person acknowledged)
<br />Owho is personally known to me, 'or
<br />
<br />STATE OF FLORIDA Pa.rJ!~
<br />COUNTY OF
<br />The foregoing instrument wa~j~krowl.edged ~
<br />Before me, this/, (J)d f~9.Y 9f..JIL J J 20 f2-
<br />by , r-/CtJ 'Jl w!t-Ife
<br />(name of perso~ acknowledged)
<br />[1ho is personally known to me, or
<br />
<br />o who has produced
<br />(type
<br />Odid not
<br />
<br />of identification)
<br />ake an oath.
<br />
<br />Owho has produced
<br />(type of identification)
<br />and Odidnot take an oath
<br />
<br />
<br />
<br />t.?
<br />t a 1CkI'\:'iJ" R-.cknow 1 edgmen t
<br />, .. . I ~ '7,
<br />
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or starnpeci '
<br />
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