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<br />A. NOTICE Of DEED RESTRICTIONS
<br />
<br />The undersigned understands that this permit may be subject to "deed restrictio{1S" WhiCh
<br />may be more restrictive than City regulations. The undersigned assumes respon3ibility 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 require,
<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 misdemeanor
<br />violation under state law, If the owner or intended contractor are uncertain as to what
<br />licensing requirements may apply for the intende~ work, t~~y are advised to contact the
<br />City of Zephyrhills Building Department, 813-766-6611.
<br />Furthermore, if the owner has hired a contractor or contractors, h, is advised to have thl
<br />contractor(s) sign portions of the "Contractor SectionsH of this application for which thl
<br />will be responsible. If you, as the owner signs as the contractor, you are indicating thi
<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
<br />not entitled to permitting privileges in the City ot 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, have been provided with a copy ot "Florida's ConstructiQ,
<br />lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agricultur
<br />and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that
<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, zoning, and land
<br />development,
<br />Application is hereby made to obtain a permit to do work and installation as indicated.
<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 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 t
<br />the intended work, and that it is my responsibility to identify what actions I must ~ake
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitlve
<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 till material is to be used in Flood Zone "AH or "A,etc.", it is
<br />understood that a drainage plan addressing a "compensating volume" will be submitted whic
<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 ~equiring a
<br />correction of errors in plans, construction, or violations of any code. Every permit
<br />issued shall become invalid unle.. the work authorized by such permit is commenced withir
<br />six months of issuance, or it work authorized by the permit is suspended or abandoned for
<br />period of six months atter the time the work 1s commenced. One 90 day extension of time
<br />may be allowed for the permit with tee charge of $15,00, The extension shall be requestE
<br />in writing to the Building otticial. An approved inspection must be logged during each
<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, CONSl
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT, JOBS UNDE!
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />= ~-1N} ILP
<br />SIGNAT : OWNER O'R AGENT
<br />
<br />STATE OF FLORI~\-~
<br />COUNTY OF
<br />The foregoing instrument w~n~ledged
<br />Bef re me t s day of \, 2~
<br />by ( .
<br />_ ~e f person acknowledged)
<br />~o is personally known to me, or
<br />
<br />SI~~: ~~~OR
<br />
<br />
<br />STATE OF FLORIO;;: \-J o",",,,~
<br />COUNTY OF ~..J:::::,1 -
<br />The foregoing instrument ~~k~owle~ed
<br />Befo mer h. \ Y o~\ , \DU.(
<br />by'
<br />. ~a of person acknowledged)
<br />~is personally known to me, or
<br />
<br />
<br />
<br />Signature of person
<br />
<br />Name t
<br />
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