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<br />A. NO'l'IC.E or DUD Ri:STRIC'rIONS
<br />The undersigned unde~stands th~t this permit may be subject to "deed restrictionsU which
<br />.r.aybe =ore restriotive than City regulations, Tho undersigned assumes respoosfbility for
<br />CONpliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />It the owner has hired a contractor or contractors to undertake work, . they mAY be required
<br />to be licensed in accordance with state and local regulations. If the contractor i. not
<br />lioensed as required by law, both the owner and contractor may be cited for a misdemeanor
<br />vlol~tion under stat. law. If the'owner or intended contractor are uncertain 8S 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 hil:ed a cOntractor or contractoJ:8, he is advised to have the
<br />contl:ectol:(s) sign po~tions of the "ContractoJ: SactionsN of this applic~tion ~o~ which they
<br />will be responsible. It YOU,8S the owner signs as the contr~ctor, ydu are indicating that
<br />you, rather than the contractor, are responsible for the work. .If the contractor wishee
<br />you to sign.a contractor that may be'an ind1ce~ion that' he is not propel:ly licensed and i.
<br />not entitled to permittinq pl:ivileges in the City or Zephyrhills.
<br />C. TRANSPORTATION IMPACT fEiS AND UTILITY CONN~CTION FEES
<br />D. CONSTROCTUION LIEN LAW (CHAPTtR 713, FLORIDA STATUTES, AS !'.MENDED)
<br />I certity that I, the ~pplicant, haye been provided with a copy'of -Florida'. Construction
<br />lien Law - Homeowner'll.Protectlon Guide" prepared by the I'loricta Department ot AQrioulture
<br />and Consumer Affair... If the applicant is someone other that the "owner", I. ce:a::1fy that I
<br />have obtained a oopy or the above deecribed document and promise in qood t~ith to deliver
<br />it to the "oimel:" prior to commenc_ent.
<br />E. OONTRACTOR'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 regulatinq construction, zoninq, and l~nd
<br />developnlent.
<br />Appli~ation is hereby made to obtain a permit to do work and instaliation as indioated. I
<br />cel:t1ty that no work or installation has commenced prior to i$suahce of a permit and that
<br />all work will be pGrformed to me.t standards of all laws regulating construction, City
<br />codes, zoning requlations, and land development regulations in the jurisdiotion. I also
<br />certify that I understand that the reoulations 0' oth~r governmental agencies may apply to
<br />the intended work, and that it is my responsibility to identity what aotions I must take to
<br />be in compliance. Such agencies include but are not limited to: *Oepartment of
<br />Environmental Requ~ation-Cypress Bayhaads, Wetland Areas and i:nvironmental1y Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Welle, Cypress Bayheadsl Wetland Areas,
<br />Alterinq Watercourses
<br />wArIly Corps Of Engineers-Seawalle, Docks, Navigable Waterways
<br />*Department ot Health, Rehabilitative Service.., Environmental Health Cnit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />.U.S. ~nvironaental Protection Agency-Asbe..tos abatemen~
<br />I also certify that, if fill material is to be used in Flood Zone -AN or ~A,etc.N, it i.
<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 pel:mit
<br />iesuance.
<br />A permit issued shall.be construed to be a licens~ to proceed with the work and not as
<br />authority to violate, cancel, a.lter, or set aside. any provisions ot the technical codes,
<br />nor shall issuance of a permit prevent the Building Otticial trcm thereafter requiring a
<br />correction or errors in plans, construction, or. violations ot any code. Every permit
<br />issued shall becama invalid unle8s the work authorlzed by such permit is commenced within
<br />six months or issuance, OJ: 1t WOJ;k ~uthorized by the perrAit is suspended or abandoned fOI:.'a
<br />period of six .onths after the t~e the work is commenced. One 90 day extension of time
<br />may be allowed fOI: the permit with fee charge of $15.00. The extension shall De requested
<br />in wl:it1ng to 'the Building Official. An approved inspection must be logqed dUl:lng each six
<br />month period, or the project will be cOnsidered abandoned.
<br />WARNING TEl OWNER: YOUR !"AlLURE TO ltECORD A NOTICE OF COMMENCEMENT HAY RESULT ni YOUR
<br />PAY I CIi: i'OR INPROVEME:NTS TO' YOUR PROPERTY. IF YOU INTEND TO OB'l'AIN FINANCING, CONSULT
<br />WIT CO LENDER' OR AN ATTORNEY BEi'ORE RECORDING YOUR NOTICE 05' COMMENCEMENT. JOB'S UNDER
<br />$2, 00 VALUE DO q;n: ORDAND POST A "NOTICE OF COHMENCEKENT".
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<br />OWNU OR Ii: SIGNATURE I CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTy OF
<br />The foregoing instrument was acknowledged
<br />Before me thls ~y of , 20_
<br />by
<br />(name of pel:son acknowledqed)
<br />~ho is personally known to me, or
<br />
<br />o who has produced
<br />(type ot identification)
<br />and who Odid Diid not take an oath
<br />
<br />Signaturo of person taking aoknQwled~nt
<br />
<br />Printed~~;YATSON
<br />NOTARY PUlluc. STATE ~ l'LOIIlaA
<br />COMMiSSION'DD4e1917
<br />EXPIRE~ 9/1712009
<br />IIClNDEo THRu '--...:rrAltYt
<br />
<br />Name typed, printed or etamped
<br />
<br />Name typed,
<br />
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