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<br />A.' NOTI~E OF DEED RESTRICTIONS
<br />Tha undersigned understands that this permit may be subject to "deed restrictions" whJch
<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 undertake 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 contractor may" be cited for a misdemean:or
<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 />contractor(s) sign po~tions' of the "Contractor Sections" of this ~pplication for which they
<br />will be responsible. If you,..as the owner signs as the contractor, 'you are indicating thab
<br />you~ rather than the contractor, are responsible for the work. .If the contractor wishes
<br />you to sign as contract?r that may be an indication that he is not properiy'licensed and is
<br />not entitled to permitting privileges in the city of Zephyrhills.
<br />C.. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTI.ON FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES,: AS AMENDED)
<br />I certify that I, the applicant, haye b.een provided with a copy'of "Florida's Construction
<br />lien Daw _ Homeowner's.protection ~uide" 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 described 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 compliance with all applicable laws regulating construction, zoningt and land
<br />I development. . .
<br />Appli~ation 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 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 ageocles may apply to i
<br />the intended work, and that it is my responsibility to identify what actions I must take td
<br />be in compliance. Such agencies inolude but are not limited to, *Departmeut of I
<br />Environmental Regulation-Cyprese Bayheads, wetiand 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 abatemen~
<br />I also certity that, if fIll material le'to be used in Flood Zone "~ or "A,etc.", ~ is ,
<br />understood that a drainage plan adelreSsing a'~'compensating volume" will be submitted which i
<br />is prepared by a protessional engineer registered in the State of Florida prior to permit i
<br />. ~
<br />~ssuance.
<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 issuarice of a permit prevent the Building Official from thereafter requiring a
<br />correction of errore in plane, construction, or violations of any code. Every permit
<br />issued shall become invalid unless the work authorized by such permit ie commenced within !
<br />six months of issuance, or if work authorized by the permit ie 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 ehall berequeste~:
<br />in writing to 'the Building Officiel. An approved inepection must be logged during each su
<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 TO YOUR PROPERTY. IF YOU INTEND TO,UBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDgR OR AN ATTORNEY BEFORE RECORDING yOUR NOTICE OF COMMENCEMENT. JOBS UNUER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT",
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />acknowledged
<br />, 2<L-
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />Before me. this ~day of 'J 20_
<br />by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this_____ day of
<br />by
<br />
<br />(name' of person acknowledged)
<br />o who_ is personally known to me, . or
<br />
<br />(name of persor acknowledged)
<br />[1ho is personally known to me, or
<br />
<br />o who has produced
<br />(type
<br />and whoO did 0 did not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o who has produced
<br />(type of identification)
<br />and who Odid Giid not take an oath
<br />
<br />signature of person taking acknowledgment
<br />
<br />Signature of person taking acknowledgement
<br />
<br />"
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
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