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<br />A. NOTICE OF DEED RESTRICTIONS
<br />The. unde~signed understands that this permit may be subject to "deed restrictions" which
<br />may bemorerestiictive than'City regulations, The undersigned assumes responsibility for
<br />compliance with any" appiicable 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 not
<br />liciensed as required by law, both the owner and contractormay"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 />} . . ,.
<br />contractor (,s) sign po+,tions of the "Goiltractor, 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'indica~ion 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 STA~tiTES,'AS AMENDED)
<br />I certify that I, the applicant, hay~ been provided with a copy 'of "Florida's Construction
<br />lien Baw _ 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 />Application 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
<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 Ii
<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-C}'pressBayheads, wetiand Areas and Environmehtally Sensitive I
<br />Lands, Water/Wastewater Treatment I
<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 ~anks' '
<br />*U,S, Environmental Protection Agency-Asbestos abatemen~
<br />I also certify that, if fill material is.to be used in Flo,?d Zone "A" or "A,etc."; i't is
<br />understood that a drainage plan addressing a;~compens~ting volume" will be submitted which
<br />is prepared by a proiessional engineer registered in the State of Florida prior to permit
<br />issuance, ~
<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 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 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, the work is commenced, One 90 day extension of time
<br />may be allowed for the permit with teedharge 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 proj~ct will be considered ?bandoned. ,
<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. JOM UNDER
<br />$2. '5~UE DO .NOT NEED TO RECORD 'AND POST A '\NO!)jlOF COMMENCEMENT". ;
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<br />.. ~ {d .. O[jf'r .~t ('~ flfj/J'.
<br />
<br />SIGNATURE: OWNER OR AGENT ' I' SIGNATURE: CONTRACTOR
<br />
<br />acknowledged
<br />2~
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />Before me, this ~day of '.r 20_
<br />by
<br />(name of persor acknowledged)
<br />[1ho is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />and. who Ddid D:iid 'not take an oath
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />.The foregoing instrument was
<br />Befor.e me this _ day of
<br />,by
<br />
<br />(name' of person acknowledged)
<br />o who is personally known to me, - or
<br />
<br />o who has produceo.
<br />(type of identification)
<br />and wlioO did Ddid not take an oath.
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Signature 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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