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<br />A.' NOTI~E OF DEED RESTRICTIONS
<br />The. undersigned understands that this permit may be subject to "deed restrictions" which
<br />may bernore restrictive. than' City regulations. The undersigned assumes responsi~ilit~ for
<br />compliance with any applicable 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 law, both the owner and contractormay"be cited for a misdemea~or
<br />violation under s1:i.ate law. If the owner or intended contractor are uncertain as to what
<br />lice!nsing requirements may apply for the intended w'ork, 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 "Gohtractor. Sections" of this ~pplicatiori for which they
<br />will be tesponsible. It ydu,.as ~he 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 contractor 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.. TRANSPORTATIbN IMPACT FEES AND UTILITY CONNECTI.ON FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STA~tiTES,. AS AMENDED)
<br />I certify that I, the applicant, hay~ b.een 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 de.scribed document and promise in good faith to deliver
<br />it to the "ownerif prior to conunencement.
<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 />{ development. . '.
<br />Appli~ation is hereby made to obtain a permit to do work and instaliation as indicated. I
<br />certify that no work or installation hasconunenced prior to issuance of a permit and that
<br />all work wiil 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 responsibility to identify what actions I must take
<br />be in compliance. Such agencies include but a~e not limited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, wetiand 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 protectiori Agency-Asbestos abatemen~
<br />I also certity that, if fill material is to be used in Floqd Zone "A" or "A, etc.", it is I
<br />understood that a drainage plan addre.siug a"'compensa.ting volume" will be subtnlHed which i
<br />is prepared by a proiessional e~ineer registerOd in the state of Florl~ prior to pe~t .
<br />. ~
<br />J.ssuance.
<br />A permit issued shall.be.construedto be a licen.e to proceed with the work and not as
<br />authority to violate, ,cancel, alter, or set aside any provisions df the technical codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, construction, or violations of any code. Every pe~t
<br />issued shall become invalid unless the work authorized by such pe~t is commenced within
<br />si~ months of issuance, or if work authorized by the permit is suspended or abandonod for'~
<br />period uf six months after thO time. the work is cummenced, One 90 day extension of time
<br />may be allowed for the permit with fee charge of $~5.00. The oxtonsion shall be requeste~:
<br />in writing to.the Building Official. An approved 1nspection must be .logged during each S1X
<br />month period, or the project will be considered abandoned. . .
<br />WARNING TO OWNER' YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR .
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. Ir yOU INTEND TO.UBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNUER
<br />$2, 500 IN VALUE DO NOT NEED TO RECORD .AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />ackndwledged
<br />, 2 0..:.-
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />Before ms. this ~day of ", 20_
<br />by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this _ day of
<br />by
<br />
<br />(name' of person acknowledged)
<br />o who is personally known to me, . or
<br />
<br />(name of persor acknowledged)
<br />[1ho is personally known to me, or
<br />
<br />o who has produced
<br />(type
<br />and wlioO did 0 did not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o who has produced
<br />(type of identification)
<br />and who Odid O:I.idnot take an oath
<br />
<br />signature of person taking acknowledgment
<br />
<br />s~gnature of person taking a~knowledgement
<br />
<br />"
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
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