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<br />A. NOTICE OF DEED RESTRICTIONS
<br />The. unde~signed understands that this permit may be
<br />may bernorerestrictive than'City regulations. The
<br />compliance with any appiicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSiBILITIES
<br />If the owner, has hired a contractor or contr<;\ftors to undert.ake work, 'they may be required
<br />to be licensed in accordance with state and local regulations. If the contractor is no~
<br />licensed as required by law, both the owner and contractor may"'be cited for a misdemeanor
<br />violation under s~ate 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 />contrac'tor (,s) sign po+tions' of the "Gohtractor, Sections" of this application for which they
<br />.will be responsible.. If you,' .as the owner signs as the contractor, 'ydu 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.' TRANSPORTATIbN IMPACT FEES AND UTILITY CONNECT~ON FEES .
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STArUTES,.AS AMENDED)
<br />I certify that I, the applicant, hay~ been provided with a' copy 'of "Florida's Construction
<br />lien Law _ Homeowner's ,Protection Guide" prepared by the Florida Department or 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 de.scribed document and promise in good faith to deliver
<br />it to the "ownerlt 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 compli~nce with all applicable laws regulating construction, zoningt and land
<br />development.
<br />Appliqation is hereby made to obtain a' permit to do work and instaliation as indicated. I
<br />certify that no work or installation has commenced prior to issuahce of a permit and that
<br />all work wiil be performed to meet sta~dards of all laws regulating construction, City
<br />codes, zoning regulations, and land development regulations in the jurisdiction. I also i
<br />certify that I ,understand that the regulations of other governmental agencies may appiy todl
<br />the intended work, and that it is my responsibility to identify what actions I must take t
<br />be in compliance. Such agencies inolude but a~e not limited to: *Department of I
<br />Environmental Regulation-Cypress Bayheads, wetiand Areas and Environmentally Sensitive I
<br />Lands, Water/Wastewater Treatment, I
<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 abatemen~
<br />I also certify that, if fill material is. to be used in Flo,?d Zone "A" or "A, etc." I it is
<br />understood that a drainage plan addressing a;~\compens~ting volume" will be submitted which I
<br />is prepared by a pro,fessional engineer registered in the State of Florida prior to permit
<br />issuance. ~
<br />A permit issued shall.be.construed~o be a license to proceed with the work ~nd not as
<br />authority to violate, ,cancel, alter, or set aside any provisiona of the tebhnical 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 I
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned forl~
<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 feedharge of $15.00. The extension shall be requested'
<br />in writing to 'the Building Official. An approved inspection must be logged during each sit
<br />month period, or the project will be considered ~bandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS ~O'YOUR PROPERTY. I~ YOU INTEND TO OBTAIN FINANCING; CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOM UNDER
<br />$2, SOOIN VALUE DO NOT NEED TO RECORD 'AND POST A \INOTICE OF COMMENCEMENT'~.
<br />
<br />.~~~
<br />
<br />SIG TURE: OWNER OR AGENT
<br />
<br />subj ect to "deed restrictions" Nh'ich
<br />undersigned assumes responsibility fOL
<br />
<br />, ~:;J at ~~
<br />
<br />(~'
<br />
<br />SIGNATURE:
<br />
<br />CONTRACTOR
<br />
<br />STATE OF FLORIDA /)
<br />COUNTY OF ' ,f IN e/> ,
<br />The foregoing instrument was aqknowledged,
<br />Before Il),e this _ day of ~ 2QQ!
<br />by e-e/Jd;--IJLin I'>L/'JJ-Cfl, '
<br />, (nam; of person acknowledged)
<br />'R who_ is personally known to me, . or
<br />
<br />~who has producep -p, L.
<br />(type of identification)
<br />o did not ake oath.
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument wa~~OWledgeq~
<br />Before me. this /, ~ay of '" 20~
<br />by " J'f-flffl.-.I(J.P .
<br />(name of persor acknowledged)
<br />is personally known to me, or
<br />
<br />P dlffO
<br />
<br />.%lio
<br />
<br />Owho has produced
<br />(type of identification)
<br />~id'not take an oath
<br />
<br />
<br />person taking a~know1edgement
<br />
<br />
<br />
<br />s'
<br />
<br />person taking acknowledgment
<br />
<br />
<br />Name typed, printed' or stamped
<br />
<br />Name typed, printed or stamped
<br />
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