<br />A. NOTICE OF DEED RESTRICTIONS
<br />Th~ unde~signed understands that this permit may be subject to "deed restrictions" ~hich
<br />may be more restrictive than'City regulations, The undersigned assumes responsibility for
<br />compliance with anYappiicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSiBILITIES
<br />If the owner, has hired a contractor or contr~ptors to undert.ake work, 'they may be required
<br />to be licensed in accordance with state and local regulations, If the contractor is no~
<br />licensed as required by law, both the owner and contractor maY'be cited for a misdemeanor
<br />violation under s~ate 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 po+tions' of the "Gohtractor, Sections" Of this application for which they
<br />.will be responsible, If you,' .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 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.. TRANSPORTATION IMPACT FEES AND UTILITY CONNECT~ON FEES '
<br />D, CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STArUTES,' AS AMENDED)
<br />I certify that I; the applicant, hay~ been provided with a' copy 'of "Florida's Construction
<br />lien Law _ Homeowner's ,Protection Guide" prepared by the Florida Department of 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 "owne.rir 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 compli~nce 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 has commenced prior to issuance of a permit and that i
<br />all work will be performed to meet sta~dards of all laws regulating,construction, city !
<br />codes, zoning regulations, and land dev~lopmerit regulations in the jurisdiction. I also I!
<br />. certify that I ,understand that the regulations of other governmental agencies may appiy to I
<br />the intended work, and that it is my responsibility to identify what actions I must take td
<br />be in compliance, Such agencies include but a~e not limited to: *Department of I
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmehtally Sensitive I
<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 certify that, if fill material is' to be used in Flood Zone "A" or "A, etc." I i"t is
<br />understood that a drainage plan addressing a;~'compens~ting'volume" will be sub~itted which
<br />is prepared by a professional engineer registered in the state of Florida prior to permit
<br />issuance. 1
<br />A permit issued shall ,be ,construed'~o be a licenSe to proceed with the work ~nd not as
<br />authority to violate, ,cancel, alter, or set aside any provisions. of the tetJhnical codes;
<br />nor shall issuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, qonstruction, or violations of any code. Every permit
<br />is~ued 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
<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 fBedharge of $15.00, The extension shall be requested
<br />in writing to'the Building Official. An approved inspection must be logged during each si*
<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, IF YOU INTEND TO OB~AIN FINANCING; CONSULT
<br />WITH YOUR LENDE:R OR AN ATTORNEY BEFORE RECORDING YOURNOT~CE OF COMMENCEMENT. JOB'S UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD 'AND POST A "NOTICE OF COMMENCEMENT",
<br />
<br />.
<br />'.
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />Before me. this ~day of ',I 20_
<br />by
<br />(name of persor acknowledged)
<br />[1ho is personally known to met or
<br />
<br />o who has produced
<br />(type of identification)
<br />and who Ddid O:lid 'not take an oath
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />.The foregoing instrument was acknowledged
<br />Before me this _ day of , 2CL-
<br />.by
<br />. (name' of person a~knowledged)
<br />o who. is personally known to me, 'or
<br />
<br />o who has produced
<br />(type of identification)
<br />and wtioO did Odid not take an oath.
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Signature of person taking acknowledgement
<br />
<br />"
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
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