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<br />A. NOT.ICE OF DEED R~:::;'J.'KJ.C'J:J.VN~
<br />The undersigned understands that this permit may be subject to "deed restrictions" which
<br />may be more restrictive than city regulatiohs. The undersigned assumes responsib~lity for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />.
<br />If the owner has hired a contractor or contr~ptors to undertake work, they may be xequir.ed
<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 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. "Cohtractor 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, have 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 carify 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 corrunencement.
<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 />Appliqation is hereby made to obtain a permit to do work and installation as indicated. I
<br />certify that no work or insta~lation has commenced prior to issuance of a permit and that
<br />all work will be performed to.meet stan~ards of all laws re~ulating 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 Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone "A" or "Aretc.", 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 corrunenced 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 a~caRD AND paST A "NaTICE~:2'ENT'" ~
<br />
<br />
<br />
<br />OWNER OR AGENT GNATURE: CONTRACTOR
<br />
<br />
<br />o who
<br />
<br />of identification)
<br />ke an oath.
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF II/LL.5ilo tZ,ou6/f
<br />
<br />The foregoing instrument was acknowledged
<br />Before me this /z..,tI day of /lPIZIL. , 20 06
<br />by . EI../S.s4 J'-/. 1-/0 Lt. G <I'/,J
<br />~. (name of person acknowledged)
<br />~hO is personally known to me, or
<br />
<br />Owho has produced
<br />(type of identification)
<br />~id no} ake an oath
<br />
<br />,/
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF . HI'-J.S~tOIZO €1&t1
<br />The foregoing instrument was acknowledged
<br />Before me this Iz:rH day of "'1114.-/ '-- , 20o'/;'
<br />by cu.$5,f /01. HoLL/FtZl4"-.J
<br />(name of person acknowledged)
<br />~who is personally known to me, or
<br />
<br />
<br />acknowledgement
<br />
<br />
<br />acknowledgment
<br />
<br />Name ~~~~~ ERii~'~'Muntrifped
<br />::i A !-: CommiSSIon # 00527014
<br />~~:'~;i~.A~~: Expires Marc" 9. ?O 1?
<br />f.,t~. t ,\_,~ frv~ ,3lO. IOr..U4:a.:.. 'Ii.:. ,)":".I'Y:;~'I'..;19
<br />
<br />Name tY~~~M?~l1!nz8tietlf MtiMitJ&!d
<br />f!(Q\~ Commission # 00527014
<br />~;:~~; Ev.nires March 9..2010
<br />
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