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<br />A. NOTICE OF DEED RESTRICTIONS
<br />Th~ unde~signed understands that this permit may be subject to "deed restrictions" which
<br />may be more restrictive than'City regulations. The undersigned assumes responsibility for
<br />compliance with any appiicable deed restriations.
<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 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 />contrac'tor (,s) sign portions' of the "Gontractor, 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 CONNECTI,ON FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES,. AS AMENDED)
<br />I certify that Ii the applicant, hay~ been 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", 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, 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 development regulations in the jurisdiction. I also Ii
<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 tl
<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, I
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas; I
<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.", it is
<br />understood that a drainage plan addressing a::'compens~ting'volume" will be submitted which I
<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'~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 tebhnical codes;
<br />nor shall issuance of a permit prevent the Building Official from thereafter requiring a i
<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 I
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned for 1*
<br />peri~d 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 durinc;J each si*
<br />month period, or the proj~ct 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 OBTAIN FINANCING; CONSULT
<br />WITH YOUR LENDER 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 />
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<br />'.
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />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 ',1 20_
<br />by
<br />(name of persop acknowledged)
<br />[1ho is personally known to me, or
<br />
<br />Owho has produced
<br />(type of identification)
<br />and who Odid D:iid 'not take an oath
<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 a~knowledged)
<br />o who_ is personally known to me, 'or
<br />
<br />o who has produced
<br />(type of identification)
<br />and wlioO did 0 did not take an oath.
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Signature of person taking a~knowledgement
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
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