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<br />A. NOTI~E OF DEED RESTRICTIONS
<br />Th. und.rsign.d understands that this permit may b. subj.ch to "d.ed r.stdctions" which
<br />may b. mar. r.strictiv.tbanCity r.gulations. Th. und.rsign.d assum.s r.sponsibliity Lor
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSiBILITIES
<br />If the own.rhas hir.d a contractor or contr~ptors to und.rtak. work; .th.y may b. r.quir.d
<br />to be licensed in accordance with state and iocal regulations. If the contractor is not
<br />lic.ns.d as r.quir.d by law, both tho own.r and contractor may. b. cit.d for a misd.m.anor
<br />violation und.r stat. law. If tho own.r or int.nd.d contractor are unc.rtain as to wbat
<br />lic.nsing r.quir.m.nts may applY for the int.nd.d work, th.y ar. advis.d to contact the
<br />City of Zephyrhills Building Department, 813-780-0020.
<br />Furtb.rmor., if tho own.r has hir.d a contractor or contractors, h. is advis.d to hav. tho
<br />contractor(s) sign pOJtions of tho "Coritractor s.ctions" of this .pplication for ~icb th.y
<br />will b. responsibl.. If you,.,s ~h. o~.r signs as tho contractor, yoU ar. indicating that
<br />you, rather than the contractor, are responsible for the work. Jf the contractor wish.s
<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. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTI.ON FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, tbe applicant, hav. been provided with a copy of "Florida's construction
<br />lien "aw _ Hom.owner's.protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone otber that the "owner", I cerify tbat 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 c.rtify that all tho information in this application is accurat. and that all work will
<br />b. done in complianc. with all applicable laws r.gulating construction, zoning, and land
<br />development. .
<br />Appli~ation is h.reby made to obtain a p.rmit to do work and instaliation as indic.t.d. I
<br />certify that no work or installation has commenced prior to issuahc. of a p.rmit and that
<br />all work wiil b. performed to m..t standards of all laws r.gulating construction, city
<br />cod.s, zoning r.gulations, and land d.velopm.rit r.gul.tioris in the jurisdiction. I also
<br />c.rtify that Iund.rstand tbat tho r.gulations of oth.r gov.rnm.ntal ag.nci.s may apply to
<br />tho int.nd.d work, and that it is my r.sponsibility to idehtify what actions I must tak. to
<br />b. in complianc.. Such ag.nci.s includ. but ar. not limit.d to: *Department of
<br />Environmental Regulation-Cypress Bayheads, weti.nd 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 abatement
<br />I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is
<br />understood that a drainage plan addreSSing a "compensating volume" will be submitted wbich
<br />is prepared by a professional engineer registered in the State of Florida prior to permit
<br />issuance.
<br />A permit issued shall.beconstrued 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 errors in plans, cons~ruction, 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 autborized by tbe permit is suspended or abandoned for 'a
<br />period of six months after the tiroe.the work is commenced. One 90 day extension of time
<br />may be allowed for the permit witb fee cbarge of $15.00. The extension shall be requested
<br />in writing to.the Building Official. An approved inspection must be logged during each six
<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 YDOR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. It YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JDM UNDER
<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 />a'cknowledged
<br />, 2~
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me. this ~day of
<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 />acknowledged
<br />,20_
<br />
<br />(name of person acknowledged)
<br />C1ho is personally known to me, or
<br />
<br />(name' of person acknowledged)
<br />Dwho is personally known to me, 'or
<br />
<br />Dwho has produced
<br />(type
<br />and wrioD did D did not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />D who has produced
<br />(type of identification)
<br />and. who 0 did [}:I.id not take an oath
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
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