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<br />A. NOT.IC.E OF DEED R~1:i'l'KJ.''';'J:J.(,.J[\!:;
<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 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 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 may be cited for a misdemeanor
<br />violation under state law. If the owner or intended contractor ar~ 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 "Coritractor 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 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, haye 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 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, zoning, and land
<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 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 to
<br />the intended work, and that it is my responsibility to identify what actions I must take to
<br />be in compliance. Such agencies inolude 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, 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 Protectiori 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 '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 />$2,500 IN VA~E DO J:lOT NEED TO RECORD AND POST A "NOTICE O~E~CE~ENT'"
<br />
<br />~~/. . ..~~
<br />
<br />RE: OWNER OR AGENT SIGNrlURE: NTRACTOR ..........
<br />
<br />
<br />SIG
<br />
<br />/ .
<br />STATE OF FLORIDA
<br />COUNTY OF HIJ...L.S"rO!Z{)"r;tf
<br />The foregoing instrument was acknowledged
<br />Before me this /2f# day of "i1l;:!..1 L ,2~'
<br />by Eu $51/ M. Ho L t..CC,fI4^-..J
<br />(name of person acknowledged)
<br />~who is personally known to me, or
<br />
<br />
<br />acknowledgement
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF lIiLL!;:a(J ,eou6-1f
<br />
<br />The Ioregoing instrument was acknowledged
<br />Before me this /2:rrl day of /lJd/2.IL. ,20 Dt
<br />by .. EI..IS.s-? 1'-1. I/o J..t.G-cI'/,J
<br />~ (name of person acknowledged)
<br />~'10 is personally known to me, or
<br />
<br />Owho has produced
<br />(type of identification)
<br />
<br />~d~t7Lke an oath
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Owho
<br />
<br />of identification)
<br />ake an oath.
<br />
<br />Name
<br />
<br />type~tLlJ'Dri&oted ...okhsJ:..aooed
<br />~'&>~AJ:Y.r~ CllZautn MUmnS
<br />i:r i~ Commission # 00527014
<br />-. ~-
<br />~~"""'" Expires March 9. 2010
<br />'Sf., lonllt<l TlOy Fein .Iniulloco. Ino 800-385-7018
<br />
<br />Name
<br />
<br />tyP'&~ printed or stamped
<br />l~~~It~ Elizabeth Mullins
<br />i:i ~ i~ Commission # 00527014
<br />~#.......~ Expires March 9, 2010
<br />,ft~ Bonded Troy Fain .'"iUl1InCO, Inc: e00-385-7019
<br />
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