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<br />A. NOT.IC,E OF DEED RESTRICTIONS
<br />Tha undersi~ned understands that this p~rmit may be subject to "deed restrictions~ which
<br />may be more restrictive,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 contractors to undertake work, they may be quired
<br />to be licensed in accordance with state and local regulations, If the contractor is not
<br />licensed as required by law, both the owner and contractor may be cited for a mi demeanor
<br />violation under state 'law. If the owner or int:ended 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 c6ntractor or coritractors, he~s advised to have the
<br />corttractor(s~ sign po~tions of the "Contractor Sections" of this ~pplication 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 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 CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA $TATUTES, AS AMENDED)
<br />I certify that Ii the applicant, haye been provided with a copy of "Florida's Construction
<br />lien Law _ Homeowner's.pr6tection Guide" prepaied 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 />Appli~ation is hereby made to obtain a.p~Fmit to do work and installation as indicated, I
<br />certify that no work or installation has commenced prior to issuance of a permit and that
<br />all work wiil be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I'understand that the regulations of other governmental agencies may apply to
<br />the intended work, and that it is IUY responsibility to identify what actions I must take to
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />Environmental Regulatiorl-cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment '
<br />*Southwest Florida Water Management District-WellS, Cypress Bayhea9S, 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 Protection Agency-Asbestos abatement
<br />I also certify 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 "compensating 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 and 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 />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 fee charge 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 OBTAIN FINANCING, CONSUl
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this _____day of
<br />by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />;he foregoing 'instrument was acknowledged
<br />Before me this _ day of , 2~
<br />by
<br />(name' of.J;l_E'!.~son ackn'owledged)
<br />Owho is personally known to me, or
<br />
<br />Owho has produced
<br />(type
<br />and wrioO did 0 did not
<br />
<br />acknowledged
<br />r 20
<br />
<br />(name of person acknowledged)
<br />[1ho is personally known to me, or
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o who has produced
<br />(type of identificatic
<br />and who Odid []did not take an oath
<br />
<br />Signature of perso~ taki~g acknowledgmen
<br />
<br />Signature' of person taking acknowledgement
<br />
<br />Name typedr printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
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