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<br />A. NOtlCE OF DEED RESTRICTIONS
<br />Thll under.dgned understanc18 that this penUt may ~ aubjeet to "deed &".st&"ictions" which
<br />may be mo&"e re,t&"iotive than City &"egulation" The undersigned a.iume. reepona~b11ity fo&"
<br />~~li.nce with any applicable deed &"estrictions~
<br />B. UNLICENSED CONtRACTORS AND CONtRACTOR RESPONSIBILITIES
<br />It tn. owner has hired a contractor or contraatore to undertake work,'they may ~ required
<br />to be liceneed in accordance with at ate and loc.l regulationa, If the contractor ia not
<br />lioen.ed aa required by law, both the owner and oontr.ctor may ~ cited for a aisdemeanor
<br />violation unde&" at.te law, If the'owner or intended contrecto&" ere unCertain ae to what
<br />licensing requirement. may apply for the intended work, they are adYiaed to contact the
<br />City ot Zephyrhill. Building Department, 813-780-0020.
<br />Furthenoo&"e,. if the owner ha. hi&"ed a contraotor o&" contractor., he i. advi..d to have the
<br />cont&"aeto&"(e) eign po~tions of the -Contractor Sectiona- of thia apPliolltion tOr which they
<br />will be responsible. It you. a. the owner aiqn. aa the oont&"aoto&", ydu a&"e indicating that
<br />you, rather than the cont&"acto&", a&"e re.ponsible to&" the wo&"k. ,It the oontractor wi.he.
<br />you to 'ign., contractor that may be.an indiO<<~ion that. he is not p&"operly lioonaed and i.
<br />not entitled to permitting privilegea in the City or Zephyrhills.
<br />C. TRANSPORTATION IMPACT FiES AND OTILITY CONNECTION ras
<br />O. CONSrP.OCTUION LItN LAN CCliAP'l'tk 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the .pplicant, haye been provided with. ooPy'of -rlorida'. Construction
<br />lien Law - Homeowner".~rot8ction Guideu propated by the Floriaa Department of Aqr1oultu&"e
<br />and Consuraer Il.ffairs. If the "pplicant 1. .000one other that the -owne&"", 1 eedfy that I
<br />heve obtained a COpy or tho above deao&"ibed dooument and promiae in good fllitn to deliver
<br />it to the -owne&"u prior to comneno~nt.
<br />E. CONTRACTOR' S/OWNER' S AFFI MVIT
<br />1 c.&"tify that all the information in thia application i8 accurate and that all wo&"k will
<br />be done 1n compliance with all applioable law. regulating conetrgotion, zoning, and 1l1nd
<br />developnent.
<br />Appliqation i. hereby mada to obtain a pornit to do work and instaliation al indicated. I
<br />Certify that no Work or installation has oomq'nced pr10r to i..uahoe of a pe&"mit and that
<br />all work will be performed to meet atandarda of all laws requlating conatrgction, City
<br />codea, zoning regulations, and land. de.,..loPIMnt re9ulation. in the jUr1.i:tiotion. I aho
<br />certify that I understand that the reOulstlon. ot other governaental .geneie. ~y appiy to
<br />the intended work, and that it i8 my relPonaibility to identity w~t aotiona I must take to
<br />be 1n compliance. Such agencie. include but are not limited to: .Oepartment of
<br />Env1ro~ental RegUlation-Cypress aayhe.ds, Wetland A&"ea. and EnVironmentally Sensitive
<br />Lands, Water/Wa.tewater Treatment
<br />.SOuthwest Flo&"ida Water ~ana9eaent Di.trict-Well., Cypre.. Bayheads, Wetland ~ea..
<br />Altering Watercour.e8
<br />"Army Corp. ot &ngineers-Seawall.. DOCks, NaY1gable Waterways
<br />"Department ot Health , Rehabilitlltive Servicea, Environmental Health Dnit-Well.,
<br />Wastewater Treatment, Septic Tank.
<br />'U.S. ~viro~nt.l ~rotection AgencY-Asbe.to. abate_ent
<br />I also certify that, if fill material i. to be u.ed 1n Flood Zone -A~ or -A,etc.~, it i.
<br />understood that a drainago plan addrel.lng a -oompen.ating volum.~ wl1l bt .~tted which
<br />i. prepared by a protessional gngine.r reqiatered in the Btllte ot Florida p&"io&" to permit
<br />iS8uance.
<br />Il. permit issued shall.be construedto~ a 11cen.e to p&"oceed w1th the work and not as
<br />authority to Violate, cancel, ~lt.r, or .et a.ida. any provisions ot the technical codel,
<br />nor shall issuance ot a permit p&"event the BUilding Ottioial trOD thereatter requiring e
<br />correction or errors 1n Plans, construotion, or. violations ot any code. Every pernit
<br />issued Shill bec~ invalid unle.. the work .uthor~zed by ,uoh permlt is conm.noea within
<br />six ~nth8 or 188uance, or it work authorized by the perait i. auspended or abandoned to&" 'a
<br />period of six lIonths after the tae .the work h conaenced. One 90 "aay extendon of til1l,
<br />m.y be allowQd to&" the permit with fee charge ot $15.00. Tha extension ehall be requested
<br />1n w&"itinq to 'the Building Ottioial. An app&"oved in.peot1onmuat be logged dU&"1nq each aix
<br />11I0nth periOd, or the project will be oon.id.red abandoned.
<br />lfMNING re OIol'NER: YOOR rAILORE TO JU:Coao A t101'ICR or CCleIMENCEHENT KAY R2SULT ni YOUII
<br />PAYING TWICE i'OR IHPROVEMENTS TO' YOOR PROPERTY. IF YOU INTEND TO OBTAIN FU/ANCIIlG, CONSULT
<br />WITH YOUR LENDER OR AN Il.TTOlUlEY iu:roRE RECORDING YOUR W01'ICE OF CONMENCEHtNT. JOB.' UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A -NOTICE or COHHENCENENTN.
<br />
<br />SIGNATURE; OWNER OR AGENT
<br />
<br />.
<br />SIGNATURE. CONTRACTOR
<br />
<br />STArE or rLoRIOA
<br />COONTY Of"
<br />The to&"egoing in.trUllent was acknowledqed
<br />&efon me thia _ day ot . .2L
<br />by
<br />(name. ot pereon aCknowledglld)
<br />Owho is pereonally known to lie, o&"
<br />
<br />o who has prodUced
<br />(type of identification)
<br />and wlioO cUd Odid not tah an oath.
<br />
<br />StATE or rx.olUDA
<br />COUNTy or
<br />The toregoing inst&"umont wa. aCknowledged
<br />Before lIle. th1e --Pay at , 20_
<br />by .
<br />In... ot per.on acknowledged)
<br />~ho 11 peraonally known to De, or
<br />
<br />o who Ias prOduoecl
<br />(type ot identification)
<br />and who Odid OUd not take an Oath
<br />
<br />Signature of person takin9 acknOwledgeMent
<br />
<br />Signature of peraon taking aoknowled~ent
<br />
<br />Name typed. pr1nted or ~tamped
<br />
<br />W... typed, p&"inted or atamped
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