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<br />A. NOTIGE OF DEED RESTRICTIONS
<br />The. undersigned understands that this permit may be subject to "deed restrictions" which
<br />may be more restrictive than City regulations. The undersigned assumes respon~ibility 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 iocal regulations. If the contractor is not
<br />licensed as required by law, both the owner and contractor maybe cited for a misdemeanor
<br />violation under state 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 po~tions of the "contractor Sections" of this ~pplication for which they
<br />will be responsible. It you, as ~he 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,' TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, .AS AMENDED)
<br />I certify that I, the applicant, hay~ b,een 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 compliance with all applicable laws regulating construction, zoningt and land
<br />development. ' "
<br />Appli~ation is hereby made to obtain a permit to do work and installation as indic~ted. 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 my responsibility to identify what actions I must take td
<br />be in compliance, Such agencies inolude but are 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 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 />. ~
<br />l.ssuance,
<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 planst cons~ruction, 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 \a
<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 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 six
<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, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />
<br />
<br />$2O:;:~~O ;:R(iO ;ST LOF/CO(t::E:~ ~
<br />
<br />SIGNATURE' OWNER OR A<fENT 1fJ & SIGNATURE' CONTRACTOR 'd "
<br />
<br />STATE OF FLQRIPAt . ll' (r-, , '~' ' STATE OF FLORIDA41 t , IS; b 0 r19 L,u~
<br />COUNTY OF ~l, _, 0UDV\9-. .' COUNTY OF __.t U -
<br />The foregoing instrument was a knowledge~, The foregoing i~~ent w~a~~w ~d9~(p
<br />Be fore I"e t~s.;l n 4>' day of If)Cl~ J\ ,2 rl:'!! Be fore meA t,l'i s --(0 ,aa Y 0 f " " 2
<br />by . ~(\ ,l,J) V-rl rn7'?().-' . by ~Y\ ( I1.vJ;p Cl7.7o.-
<br />. (name' of person acknowledged)' ~, (name of persor acknowledged)
<br />~hO is personally known to me, 'or V"-ho ia personallY known to me, or
<br />
<br />o tlho has produced 0 who has
<br />(type of identification)
<br />~id ke an oath.
<br />
<br />
<br />
<br />identification)
<br />ke an oath
<br />
<br />
<br />taking acknowledgment
<br />
<br />~y, RosEANNE C. JOHNSON
<br />0460&45
<br />Name typed, printed or s EXPIRES: August 11,2009
<br />Fl. Ncwy [)dcoun1- eo.
<br />
<br />Name typed,
<br />
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