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<br />A. NOTIC8 OF D8ED RESTRICTION~
<br />The. undersigned understands that this permit may be sub.ject to "deed restrictions" w'rrich-
<br />may be more restrictive than City regulations. The unde~signed assumes responsibility for
<br />compliance with, any applicab~e deed restrictions.
<br />B. - UNLICENSED CONTRACTORS AND CONTRACTOR R~SPONSIBILITIES
<br />If the owner has hired a contractor or co~tractors to undertake wo~k, they may be required
<br />to be licensed in accordance with ~tat~' and local regulations. If the contractor is not
<br />licensed as required by law, both the owner and contractor may be 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 int~nded work, they are ~dvised 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 pOftions of the "Contractor Sections" of this application for which they
<br />will be responsible. If you, as the owner signs as the contracto+, ~ou are indicating that
<br />you, +ather than the contractor, are responsible for the work. If the contracto+ 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 STATUTES, AS AMENDED)
<br />I certify that I, the applicant, pave been 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 applicaqt is ~Omeone other that.the "pwnerUj I cerify that I
<br />have obtained a copy of the above qescribed 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
<br />be tione in compli~nce with all applicable laws regulating
<br />- development.
<br />Appli~ation is hereby made to obtain a permit to do ,work and installation as indicated. I
<br />certify that no work or install~tion has commenced prior to issuance of a permit and that
<br />all work will 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 />_cer~ify that I understand th~t th~ regulations of other governmental agencies may apply ,to
<br />the intended work, and that it is my responsioility to identify what actions I must take'to
<br />be in compliance. Such agencies include but are not, limited to: *Department -of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells, Cyp!ess Bayhea~s, Wetlapd Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Sea~a~ls, Dock~, Navigable ~aterways
<br />*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Environmenta~ Protection Agency-Asgestos abatement
<br />I also certif~ that, if fill material is to be used in Flood Zone "A" or "A,etc.u, it is
<br />understood that a drainage plan addressing a "compensating volumeu will be submitted which
<br />is prepared by a professional engineer r~giste~ed 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 proyisions of'the technical codes,
<br />nor Shfll issuance of a permit prevent the Building Officiq+ from thereafter requiri~g Q
<br />correc ion of errors in plans, constru9tion, 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 la
<br />- pel'iod of six months after the t~me the work is commenced. On~ 90 day extension o,f 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 qfficial. An approved inspection must be logged d~ring each six
<br />month period, or .the project will pe consid~red abandoned. '
<br />WARNING TO OWNER: YOUR FAILURE TO RE~ORD 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 ~N 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 />/~~
<br />~~~#NT
<br />
<br />
<br />STATE OF FLORIDAI?~'~/~
<br />COUNTY OF ~d.
<br />
<br />The foregoi~g rument w~~S~9~ledge~,
<br />Befo me t ' day of~ zrf.X./
<br />by
<br />(name of p son acknowledged)
<br />~ho is person~lly known to me, or
<br />
<br />accurate and that-' all work will
<br />construction, zoning, and land
<br />
<br />~2{~;:--
<br />SIGN~TURE: C CTOR
<br />
<br />STATE OF FLQRIDA 12., /J/l /
<br />COUNTY Of ~~
<br />The foregoing instrument.w~Aacknowledge~~~
<br />Before e th s ay or/"IC'~jl , 2cf.J.5:t:::.
<br />by ,
<br />\u. (name of rson acknowledged)
<br />~ is p~rsonally known to me, or
<br />
<br />o wl10 'has produced
<br />~.~type ot identification)
<br />apd ~d t take an oath
<br />
<br />of identification)
<br />take an oath.
<br />//
<br />
<br />
<br />and
<br />
<br />Name typed,
<br />
<br />person taking acknowledgement
<br />
<br />~ --......
<br />. . My Commission 00165587
<br />pr i ~,~fJ'eU. 2007
<br />
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