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<br />A.. NOTICE OF DEED RESTRICTION~
<br />The. undersigned understands that this permit may be sub.ject 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 re'strictions.
<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 be 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 int~nded 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 (5) sign pOftions of the "Contractor Sections" of this application for which they
<br />will be responsible. If you, as the owner signs qS the contractor, ~ou are indicating that
<br />you, rather than the contractor, are responsible for the work. If the contractor wishes
<br />you 't:o sign as contractor that may be an ~ndica~ion that he is not properly licensed and is
<br />not entitled to permitting privileges ~n the City of Zephyrhills.
<br />C. ~~RANSPORTATION IMPACT ~EES AND UTILITY CONNECTION FEES .
<br />D.' CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, ~ave been provided with a copy of "Florid~'s Construction
<br />lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applica~t is ~o~eone other that.the "pwner"j 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 conunencement.
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the information in this application is accurate and tha~'all work will
<br />be lione in compl~ance with all applicable laws r,gulating 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 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 th~t th~ regulations of other governmental agencies may apply .to
<br />the intended work, and that it is my rasponsioility 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 />*Sout:hwest Florida Water Management District-Wells, CYP!ess Bayhea~s, Wetlapd Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Sea~a~ls, Dock~, Navigable ~aterways
<br />*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treat~ent, Septic Tanks
<br />*U.8.. 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\3gistered in the state of Florida prior to permit
<br />issuance. "
<br />A permit issued shall be construed t~ be a license to proceed with the work and not as
<br />authority to violate, cancel, alter, or set aside any proyisions of'the technical codes,
<br />nor Shrll issuance of a permit prev~nt the Building Officia~ from thereafter requiring a
<br />correc ion of errors in plans, constru9tion, 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 o,f 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 d4ring each six
<br />month period, or.the project will be consid~red 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 YQU INTEND TO OBTAIN FINANCING; CONSULT
<br />WITH YOUR LENDER OR ~N ATTORNEY.BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2, 5 Of 0 . IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". _/-- .
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<br />STATE OF FLORIDA STATE OF FLORIDA
<br />COUNTY OF COUNTY OF
<br />The foregoin~ in.~nt~cknowledged The foregoing in...t~wa acknowledged
<br />~;f~p~:;..~~~ ' 2~ ~;for me t is ~~y of 200r-
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<br />_ ~ of pe~son pcknowledged) (name of person ac nowl~dged)
<br />~IO is personally known to me, or ~~rsonally known to me, or
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<br />of identification)
<br />ta e an oath.
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<br />o wl10 'has produced
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<br />~ not ake an oath
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<br />O"Who has produced
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<br />and ~d not
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<br />o person f king acknowledgement
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<br />· .' My CommIulon DD188M7
<br />Name typed, print ~03.2007
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