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<br />A. NOTICE OF DEED R~~TK1~T~U~~
<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 responsibiltty for
<br />compliance with any applicable, deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ~wner ha~ hired a contractor or contr~ptors to undertake work, they may be required
<br />to be llcensed 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 portions 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 Zephyr hills.
<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 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 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 />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 corrunenced 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 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, 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 />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 />$2,500 IN V ~OT NEED TO RECbRD AND POST A "N~47MENT'"
<br />
<br />
<br />
<br />OWNER OR AGENT S~URE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF II/USda p...()()61f
<br />The foregoing instrument was acknowledged
<br />Before me this /2..7# day of /!PIZIL. , 20 CJ6
<br />by . ELIS.5-1 /'-1, lIol-'-G~"',J
<br />~. (name of person acknowledged)
<br />~ho is personally known to me, or
<br />
<br />Owho has produced
<br />(type of identification)
<br />id n~o ake an oath
<br />~ ('
<br />
<br />~
<br />
<br />
<br />TATE OF FLORIDA
<br />COUNTY OF . 1-!//...J.St5tCJtZOC.f&rl
<br />The foregoing instrument was acknowledged
<br />Before me this It1"H day of ~f1;Z..' '- ,2~'
<br />by cu$S~ "'1, HoLLtF/Z14r-......J
<br />(name of person acknowledged)
<br />~who is personally known to me, or
<br />
<br />Owho
<br />
<br />
<br />of identification)
<br />t ke an oath.
<br />
<br />acknowledgement
<br />
<br />
<br />Name
<br />
<br />tYii\~rl" Hot'~nt~d o...s.t.aIQ.Ped
<br />.:-~t';('f.*~,-t:IIZaDettlIVIUlllms
<br />~:i .-ib.....:~ Commission # 00527014
<br />-;'~"~':9'J Expires March 9, 2010
<br />:r,fflr..-~ BondldTroy Fain .In..,.nc.,lnc 800.315.7019
<br />
<br />Name k~'~~if-A ~!i~~hd~U~It!@tftped
<br />~;;.~/-;~ c.;ommtssion i1 OD5270'1,:.1
<br />'~.?!f.'o;'i\o~~'': Expires March 9, 2010
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