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<br />A. NOTI~E OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subject to "deed restrictions" ~~hich
<br />may be more restrictive than City regulations. The undersigned assumes responsibility fo~
<br />compliance with any applicable 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 misdemeanor
<br />violation under state 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 ydu,as ~he owner signs as the contractor,ydu 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.' 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 been provided with a copy 'of "Florida's Construction
<br />lien Law _ Homeowner's ,Protection Guide" prepared by the Florida Department of 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, zoning, and land
<br />development. '
<br />Appliqation is hereby made to obtain a permit to do work and installation 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 agencies may apply to
<br />the intended work, and that it is my responsibility to identify what actions I must take td
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />Environmental Regulation-Cypress 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 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;~'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 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 issuance 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 authorized by the permit is suspended or abandoned for la
<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 reques~ed
<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 YOUR
<br />PAYING TWICE FOR IMPROVEMENTS 'TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING; CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOB'S UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A '\NOTICE OF COMMENCEMENT".
<br />
<br />~ a_~ ~~-
<br />
<br />,
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />STATE OF FLORIDA .~ .
<br />COUNTY OF ' ....-L. Q..5a?
<br />The ~oregoing instrument wa~ ~x~ndwledged
<br />~~f~eli ;~~A~~~/J~:r:<P/V' 2QQ..0
<br />
<br />(name' of person acknowledged)
<br />o who is personally known to me, 'or
<br />
<br />\ JiWhO has produced iF' /.- .]),. L- '
<br />, . , (type of identification)
<br />
<br />andw';?$o<ll::r~ a}:;;J
<br />
<br />'" /' 7--
<br />Sl<;jnaturli\..,.Qf person taking acknowledgement
<br />~&J'l\Y':st- Bobbie Swetk:jnd '
<br />{*: ':~ MY COMMISSION # 00268763 EJ6lIRES ,
<br />~'_ :"l F9bf"QrI' 12. 1008 '
<br />Name typ~,""prillff@~l!fRU~~Fl>lftima~l2!l!i
<br />
<br />"~~~r.
<br />. ,
<br />SIGNATURE: CONTRACTOR
<br />
<br />
<br />STATE OF FLORIDA
<br />
<br />knowledgedh
<br />' 20
<br />,.f.5 ,
<br />
<br />(name of persor acknowledged)
<br />C1ho is personally known to me, or
<br />
<br />\iWho has produced F /- :]), L
<br />~(type of identification)
<br />and who Odid ~id not take an oath
<br />
<br />
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