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<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subject to "deed restrictionsU which
<br />may be more restrictive than city regulations. The unde~signed assumes responsit)ility for
<br />compliance with any applicable deed re~trictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES .
<br />If the owner has hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in accordance with state. and local regulations. If the contr3ctor 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 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 portions of the "Contractor SectionsU of this application for which they
<br />will be responsible. If you, as the owner signs as the contractor, you are indicating that
<br />you, ~ather than the contractor, are responsible for the work. If the contractor 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 Guideu prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that.the "pwnerUj 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 "owneru prior to conunencement.
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the information in this application is
<br />be aone in compli.ance with all applicable laws regulating
<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 installation has conunenced 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 />certify that I understand that the regulations 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 ~f
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetlapd 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 abatement
<br />I also certify that, if fill material is to be used in Flood Zone "Au or "A,etc.u, it is
<br />understood that a drainage plan addressing a "compensating volumeu will be submitted which
<br />is prepared by a professional engineer registered in the State of Florida prior to permit
<br />issuance.
<br />A permit issued shall be construed to be a license to proceed with the work and not as
<br />authority to violate, cancel, alter, or set aside any provisions of the technical codes,
<br />nor Shfll issuance of a permit prev~nt the Building Official from thereafter requiring a
<br />correc ion 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
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned for la
<br />period of six months 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 Official. An approved inspection must be logged during each six
<br />month period, or the project will be consid~red 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. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER.. OR AN ATTOR Y B~;~~E~6RDING YOUR NOTICE OF COMMENCEMENT. JOB~DER
<br />$2, 5~7ALUE1 DO .~OT NE\OIl> ~rcV. ;DST A "N/1IC~ ;~ CO~MEN~C~MENT:'. '
<br />
<br />
<br />. 1
<br />CTOR
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<br />accurate and that-'all work will
<br />construction, zoning, and land
<br />
<br />STATE OF FLORIDA STATE OF
<br />COUNTY OF COUNTY Of
<br />The foregoing ins~.. u nt~~ledged_____The foregoing inst
<br />
<br />~;f~h~~~~~~ ' 2~ ~;for me t is
<br />
<br />~ of person acknowledged) (n~me of person ac nowledged)
<br />~o is personally known to me, or ~personaily known to me, or
<br />
<br />
<br />SIGNAT
<br />
<br />acknowledged
<br />, 2 ()C>r-
<br />
<br />
<br />---
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Dwho 'has produced
<br />(type of identification)
<br />~ not take an oath
<br />
<br />------.
<br />
<br />Name typed, printed or
<br />
<br />
<br />Name typed,
<br />
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