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<br />A. NOTICE OF DEED RESTRICTIONS
<br />Th~ uncie~signed understands that this permit may ~e subject to "deed restrictions" which
<br />may be more restrictive 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 undertake work, 'they may be, required
<br />to be licensed in accordance with state and local regulations. If the contractor is n~t
<br />lieensed 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 portions' of the "C;:ohtractor, 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.. TRANSPORTATlbN IMPACT FEES AND UTILITY CONNECT~ON FEES '
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTESr' AS AMENDED)
<br />I certify that Ii the applicant, hay~ b~en provided with a copy 'of "Florida's Construction
<br />lien ~aw _ Homeowner's ,Protection Guide" prepared by the Florida Department or Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "owner"r 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.rif 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; zoningt and land
<br />development. "
<br />Appliqation 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
<br />certify that I ,understand that the regulations of other governmental agencies may appiy 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 Treat~ent, Septic ~anks '
<br />*U.S. Environmental Protectiori Agency-Asbestos abatemen~
<br />I also certity that, if fill material is to be used in Flood Zone "A" or "A, etc. 'i, i't is i
<br />understood that a drainage plan addressing a;~'compens~ting 'volume" will be submitted which j
<br />is prepared by a pro,fessional engineer registered in the state of Florida prior to permit ;
<br />issuance. ,~ i
<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 provisiona of the tebhnical 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 forl~
<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 feedharge of $1.5.00. The extension shall be requested'
<br />in writing to 'the Building Official. An approved inspection must be logged during each sii
<br />month period, or the project will be considered ?bandoned.
<br />WARNING TO OWNER: YOUR F' URE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />PAYING TWICE FOR IMP , NT YOUR P~OPERTY. IF YOU INTEND TO
<br />WITH YOUR LENDER 0 BEFORE RECORDING YOUR." E
<br />$2, 500 IN VALU D TO RECORD 'AND POST }~,/ ,
<br />
<br />
<br />.1;
<br />
<br />
<br />IN YOUR
<br />CING, CONSULT
<br />JOB'S UNDER
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />.1 The foregoing instrument was acknowledged
<br />Before me, this ~day of '" 20_
<br />by
<br />(name of persop acknowledged)
<br />[1ho is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />and who Odid O:iidnot take an oath
<br />
<br />STAT OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />Before me this_____ day of 2~
<br />by
<br />, (name' of person acknowledged)
<br />Owho_is personally known to me, 'or
<br />
<br />o who has produceo.
<br />(type of identification)
<br />and whoO did Odid 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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