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<br />A. NOTIGE OF DEED RESTRICTIONS
<br />Th~ undersigned understands that this p~rmit may be subject to. ftde~d restrictians" which
<br />may be mare restrictive than city regulatians. The undersigned assumes respansibility far
<br />campliance with any applicable deed restrictians.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSiBILITIES
<br />If the awner has hired a cantractar ar contr~ftars to. undertake wark, 'they may be required
<br />to. be licensed in accardance with state and lacal regulations. If the cantractar is no.t
<br />licensed as required by law, bath the awner and contractar may be cited far a misdemeanar
<br />vialatian under state law. If the awner ar intended cantractar are uncertain as to. what
<br />licensing requirements may apply far the intended wark, they are advised to. cantact the
<br />City af Zephyrhills Building Department, 813-780-0020.
<br />Furthermare, if the awner has hired a contractar ar cantractars, he is advised to. have the
<br />cantractar(s) sign pa~tians af the ftCahtractar Sectians" af this ~pplicatian far which they
<br />will be respansible. It you, as the awner signs as the cantractar,yOu are indicating that
<br />you, rather than the cantractar, are respansible far the wark.If the cantractar wishes
<br />you to. sign as cantractar that may be an indica~ion that he is nat praperly licensed and is
<br />nat entitled to. permitting privileges in the City af Zephyrhills.
<br />C.' TRANSPORTATION IMPACT FEES AND UTILITY CONNECTI.ON FEES .
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, hay~ been provided with a capy'af ftFlarida's Canstructian
<br />lien Law _ Hameawner's,protectian Guide" prepared by the Flarida Department at Agriculture
<br />and Cansumer Affairs. If the applicant is sameane ather that the "awner", I cerify that I
<br />have abtained a capy af the abave described dacument and pramise in gaad faith to. deliver
<br />it to. the ftawner" priar to. cammencement.
<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 dane in campliance with all applicable laws regulating canstructian, zaning, and land
<br />develapment.
<br />Appliqatian is hereby made to. abtain a permit to. do. wark and installatian as indicated. I
<br />certify that no. wark ar installatian has cammenced priar to. issuance af a permit and that
<br />all wark wiil be perfarmed to. meet standards af all laws regulating canstructian, City
<br />eades, zaning regulatians, and land develapment regulatians in the jurisdictian. I also.
<br />certify that I ,understand that the regulatians af ather gavernmental agencies may apply to.
<br />the intended wark, 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 af
<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 Carps of Engineers-Seawalls, Dacks, Navigable Waterways
<br />*Department af Health & Rehabilitative Services, Enviranmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks .
<br />*U.S. Enviranmental Pratectian Agency-Asbestas abatement
<br />I also. certity that, if fill material is to. be used in Flaad Zane ftA" ar ftA,etc.", it is
<br />understaad that a drainage plan addressing a;:'campensating valume" will be submitted which
<br />is prepared by a prafessianal engineer registered in the State af Flarida priar to. permit
<br />issuance. ~
<br />A permit issued shall.be .canstrued to. be a license to. praceed with the wark and nat as
<br />autharity to. vialate, ,cancel, alter, ar set aside any pravisians of the technical eades,
<br />nar shall issuance af a permit prevent the Building Official fram thereafter requiring a
<br />carrectian af errors in plans, canstructian, ar vialatians af any cade. Every permit
<br />issued shall became invalid unless the wark autharized by such permit is cammenced within
<br />six manths af issuance, ar if wark autharized by the permit is suspended ar abandaned far \a
<br />peri ad af six manths after the time,the wark is commenced. One 90 day extensian af time
<br />may be allawed far the permit with fee charge af $15.00. The extensian shall be requested
<br />in writing ta'the Building Official. An appraved inspectian must be lagged during each six
<br />manth periad, ar the project will be considered abandaned.
<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 faregaing instrument was
<br />Befare me this _____day af
<br />by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The faregaing instrument was acknawledged
<br />Befare me this _____ day af , 2Cl..-
<br />by
<br />(name' af per san acknawledged)
<br />D who. is persanally knawn to. me, . ar
<br />
<br />Dwha has praduced
<br />(type
<br />and whaD did D did nat
<br />
<br />acknawledged
<br />'.1 20_
<br />
<br />(name af persar acknawledged)
<br />[1ha is persanally knawn to. me, ar
<br />
<br />af identificatian)
<br />take an aath.
<br />
<br />Dwha has praduced
<br />(type af identification)
<br />and who. Odid [):lid not take an oath
<br />
<br />Signature af person taking acknawledgment
<br />
<br />Signature af persan ta.king acknawledgement
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed ar stamped
<br />
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