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<br />A.. NOTICE OF DEED RESTRICTIONS
<br />Th~ unde~signed 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' 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 not
<br />licensed as required by law, both the owner and contractormay"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; 813-7BO-0020~
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
<br />contrac'tor (.s) sign pO:Ftions' of the ~Goi1tractor, Sections" Of this application 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.. TRANSPORTATIbN IMPACT FEES AND UTILITY CONNECTI.ON FEES .
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STA~tiTES,' 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 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 d~scribed 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 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 J
<br />certify that no work or installation has commenced prior to issuahce of a permit and that
<br />all work will 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 to I
<br />the intended work, and that it is my responsibility to identify what actions I must take t~
<br />be in compliance. Such agencies include but a~e not limited to: *Department of I
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive 1
<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 Treat~ent, Septic ~anks' .
<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. "; lt is
<br />understood that a drainage plan addressing a::'compensa.ting 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~o be a license to proceed with the work ~nd 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
<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 si*
<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 ~OYOUR PROPERTY. Ir YOU INTEND TO OBTAIN FINANCING; CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOnCE OF COMMENCEMENT.. JOM UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD 'AND POST A '\NOTICE OF COMMENCEMENT".
<br />
<br />
<br />. ~"A~"~~
<br />SIGN TU : OWNER OR AGENT . {; " '"
<br />
<br />STATE OF FLORIDA i.0.5 ~IJ
<br />COUNTY OF .~, -
<br />The foregoing i~t*ument wa~~acknowledge~~
<br />Bef~e ~e this t:IL d~ Of&IJ;:L , 2~
<br />by ...f-J 1::;;.L?J06fJ.;.:} 1-1 6,!.#-71 -' .-
<br />, (name' of person acknowledged)
<br />Owho,is person~lly known to me, 'or
<br />
<br />~ has produced i5L/ t( ! /. ~ .
<br />(type of identification)
<br />:n~~~O~id Odid not take an oath.
<br />
<br />'9/~ /~ A/ftf~
<br />Signature erson takin acknowledgement
<br />
<br />",u...,
<br />l~l.)r.Y ~'- SHIRDEN K. DEL COTT.O
<br />:.r: '*<. M
<br />Name typ ..... htea<PlBliS:.inl~
<br />~P.f.:t\l.... Bonded Thru Notary Public Underwr1tels
<br />
<br />~.sitii-
<br />
<br />~
<br />
<br />SIGNATURE:
<br />
<br />CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument wa~nOWledged
<br />Before m$ ~is ~ay of 'l 20~
<br />by '. <.S. tL C J-L C-rr;JJ .
<br />(name of persor acknowledged)
<br />t'jtho is personally known to m':] or
<br />
<br />o who has produced
<br />(type of
<br />O:iid'not
<br />
<br />PadeJ
<br />
<br />and
<br />
<br />
<br />ackpowledgment
<br />
<br />Si
<br />
<br />Name typed, printed or stamped
<br />
<br />
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