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<br />A. HO'l'lCE or DEED RESTRICT IONS .
<br />The undersigned u.nderstand.u th_t this permit IIlaY be 8ubject to "deed restrictions" which
<br />may be mOre restriotive than City regulations. The undersigned aai~el re8pon8~bility for
<br />conpliance with any applicable deed restrictions~
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />It the owner has hired a contractor or contraotore to undertake work, 'they may be required
<br />to be licensed in accordance with state and local regulations. If the contractor isnct
<br />lioensed as required by law, both th. owner and oontractor may be cited for a aisdemeanor
<br />violation under sta~e law. If the 'owner or intended contractor are uncertain a8 to what
<br />licensing requirements may apply tor the intended work, they are advieed to contact the
<br />City ot Zephyrhilla Building Department, 813-780-0020.
<br />furtnemore, if the owner has hired a COntraotor or contractor8, he is advised to have the
<br />contractor Is) sign POrtions of the "Contractor SectioneM of this .pplication tOr which they
<br />will be responsible, It you, as the owner ,igna a8 the contractor, you are indicating that
<br />you/ rather ~han the contrac~or, are responsible tor the work. .It the contractor wishee
<br />you to .ign as contractor that may bean indio.~ion thet'he ie not properly licen.ed and i.
<br />not entitled to permitting privileges in the City ot Zephyrhille.
<br />C, TRANSPORT~TION I~PACT rtEs AND OTILITr CONNECTION FEES
<br />D, CONSTIlOCTUION LltN LAW (CMP'l'Ek 713, FLOll.IDA STATOns, AS P\HENDED)
<br />I certify that I, the applicant, haye been provided with a oopy'of ftflorida'. Con.truction
<br />lien Law - Homeowner's.Protection Quide" prepared by the Florida Department of Aqrioulture
<br />and Consuraer Affair5. I f the applicant i. SOIMone other that tt!a ftowner"', I cerity that I
<br />have obtained. oopy or ~h.. above described document and promise in good taith to deliver
<br />it to the "owner" pricr to cOll\lUencelllent.
<br />E. COWTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the information in this application i. accurate and that all work will
<br />be done in Compliance with all applicable laws regulating construction, zoning, and land
<br />developnent.
<br />Appliqation is hereby made to obtain a pe~it tc dO work and inetaliation as indicated. I
<br />Certify that no worx or installation h.. oommenced prior to I.suahce ot a permit and that
<br />all work will be performed to meet standard. of all laws regulating ccnstruction, City
<br />code., zoninq regulations, and land. develOPIMrit re9ulations in the jurildiotion. I also
<br />certify that I understand that the regUlation. or other governmental agenciea ~y apply to
<br />the intended work, and that it is my re8pon.ibility to identity wnat aotions I must take to
<br />b. in compliance. Such agencies include but are not limited to: -Ospartm4nt ot
<br />Environmental Regulation-Cyprgss Bayhe.dB, Wetland ~reaa and Environmentally Sen.itive
<br />Lands, Water/Wa.tewater Treatment
<br />'Southwest Florida Water M~04gement Oistrict-Welll, Cypress Bayheads, Wetland ~ea.,
<br />AlterinQ Wacercouraes
<br />'Army Corps of Engineers-Seawalle, Docks, Navigable Waterwaye
<br />"Department or ijealth , Rehabilitative Services, Environmental Health Onit-Welll,
<br />Wa.tewa~er Treatment, Septic Tanks
<br />'U.S. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be u.ed in Flood Zone "AN or ~A,etc.H, it 1s
<br />understood that a drainage plan addressing a ftoompens.tinq yolumeH will be aubmitted which
<br />18 preps red by a prorg~aional engineer regi.tered in the State of Florida prior to permit
<br />issuance.
<br />A permit issued shall.be construed to be a licen.e to proceed with the work and not a.
<br />au~bcrity to violate, cancel, a,lter, or .et a.ide. any provi.ion. ot the technical codes,
<br />nor shall issuance ot a permit prevent tha Building Otti01al troa thereatter requiring a
<br />correction of errors in plans, construction, or. violations ot any code. Every pe~it
<br />issued shall bec~ invalid unle.. the work author~zed by suoh pe~t i8 commenced within
<br />.ix ~nth. of iS8uance, or it work authorized by the pemit i. suspended or abandoned tor 'a
<br />period of six ~onths after tne t~e.the work is commenced. One 90'day extension of tiMe
<br />may be allowed tor the permit with fee charge ot $15.00. The extenaion shall be requested
<br />1n writinq to'the Building Ottioial. An approved inspection must be logged during e.ch .ix
<br />month period, or the project will b. con.idered abandoned.
<br />WAANING re OI;JolER: YOUR !7\ILOR!. TO lU:COIl.O A NOTICE OF CC>>CMENCEHENT HAY RESULT IN rOUR
<br />PAYING TWICE FOR INPROVEHENTS TO YOOR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY SEFORE RECORDING YOUR WOTICE O~ COMMENCEMENT. JOgS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORDIUID POST A ~NOTICE OF GOHMENCENENTH.
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE I CONTRACTOR
<br />
<br />STATe or rtoRIDA
<br />COON'l'Y or
<br />The toreQoinQ instrunent wa, acknowledged
<br />&..fore me th1s _ day of .2L
<br />by
<br />lname ot person acxnowledged)
<br />o who i8 per80nally known to ~e, or
<br />
<br />Owho has produced
<br />(type of identification)
<br />and wtioOdid Odid not taxe an oath.
<br />
<br />STATE or ~RIDA
<br />COUNTy 6r
<br />Th. toregoing instrument wae
<br />Before me this -----Pay of
<br />by
<br />
<br />acJcnowledged
<br />,20_
<br />
<br />(n~ ot person aoknowledged)
<br />~ho ia personally known to Dei or
<br />
<br />o who h.. produce a
<br />(type ot identification)
<br />and who Odid Q;1id not take 8n oath
<br />
<br />Signature of per30n takinq acknowledge~ent
<br />
<br />Signature of person taking aoknowled~ent
<br />
<br />N~ typgd, prin~ed or stamped
<br />
<br />N~ typed, printed or etamped
<br />
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