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<br />A.NOTICE OF DEED RESTRICTIONS
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<br />The. undersigned understands that this permit may be subject to "deed restrictions" which
<br />may be more restiictive, than' City regulations, The undersigned assumes responsibility 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<;\ptors to undertake work, 'they may be required
<br />to be licensed in accordance with state and local regulations, If the contractor is not
<br />lieensed as required by law, both the owner and contractormay"be cited for a misdemea~or
<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 />ccintrac'tor (,s) sign po.rtions' of the "Gontractor Sections" 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, 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 STATUTES,. AS AMENDED)
<br />I certify that I; the applicant, hays 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 "owner" 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 />Appliqation is hereby made to obtain a' permit to do work and instaliation as indicated. I i
<br />certify that no work or installation has commenced 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 de~elopmerit regulations in the jurisdiction. I also
<br />certify that I ,understand that the regulations of other governmental agencies may apply to I
<br />the intended work, and that it is my responsibility to identify what actions I must take tdl
<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 ab~temen~
<br />I also certify that, if fill material is. to be used in Flo,?d Zone "A" or "A, etc." I .:Lt is
<br />understood that a drainage plan addressing a;~'compensa.ting volume" 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 ~nd not as
<br />authority to violate, .cancel, alter, or set aside any provisions of the teohnical 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 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
<br />period of six months after the time.thewotk is commenced. One 90 day extension of time
<br />may be allowed for the permit with feedharge 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 ~bandoned. ,
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEM
<br />PAYING TWICE FOR OVEMENTS ~OYOUR PROPERTY, IF YOU INTEN
<br />WITH YOUR EN R AN ATTORNEY BEFORE RECORDING YOUR NOT
<br />$2,500 0 NO E RECORD 'AND POST A "NOTICE
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<br />
<br />TE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />Before ms, this ~day of ',I 20_
<br />by
<br />(name of persor acknowledged)
<br />[1ho is personally known to me, or
<br />
<br />Owho has produced
<br />(type of identification)
<br />and who Ddid O:iid 'not take an oath
<br />
<br />S TE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this _ day of '
<br />,by
<br />
<br />acknowledged
<br />, 2~
<br />
<br />(name' of person acknowledged)
<br />Owho_is person~lly known to me, 'or
<br />
<br />o who has produced
<br />(type of identification)
<br />and wlioO 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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