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<br />A. NOTICE OF DEED R~~~~~~~~U~b
<br />Th~ undersigned understands that this permit may be subject to "deed restrictions" which
<br />may be more restrictive than city regulations. The undersigned assumes responsibility for
<br />compliance with any appL,cabl'2 deed restrictions.
<br />B. UNLICENSED CONTRACTORS l\ND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contr~ptors to undertake work, they may be required
<br />to be licensed in accordance '~ith 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 2ephyrhills 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 "Cohtractor Sections" of this ~pplication for which they
<br />will be responsible. If you, as the owner signs as the contractor, you 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 CONNECTION 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 som~one 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 corrunencement.
<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 />Appli~ation is hereby made to obtain a permit to do work and installation as indicated. I
<br />certify that no work or installation has corrunenced 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 to
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland 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 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, construction, or violations of any code. Every permit
<br />issued shall become inva.lid unless the work authorized by such permit is corrunenced within
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned for !a
<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 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 YOUR
<br />PAYING TWICE FOR IMPROVEMENTS 'TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LEND~R OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE 0 COMMENCEMENT. JOBS UNDER
<br />$2,500 IN ut DO NOT NEED TO RECORD AND POST A 'INOTICE C ENCEMENT" .
<br />
<br />?a1lt-- .. ~
<br />
<br />ATURE: OWNER OR AGENT ot'" IGNATURE: CONTRACTOR
<br />
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF ' HII...L..St3,otZoC1r;tf
<br />The foregoing instrument was acknowledged
<br />Before me this IlfH day of ~f1.z..1 '- , 2~'
<br />by €"u $5" "'1. He L LfFltl4"'-.J
<br />(name of person acknowledged)
<br />~who is personally known to me, or
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF JlILL.5Llo ,?.()u6-/f
<br />The foregoing instrument was acknowledged
<br />Before me this /Z7r1day of /1)'141'- , 20~
<br />by Et. / SS"I 1--/. 1-/0 L t.. € <l'IrJ
<br />(name of person acknowledged)
<br />C1ho is personally known to me, or
<br />
<br />o who has
<br />
<br />
<br />
<br />Name typed,
<br />
<br />lj~W..~~~tii,ag, i, th, ,Tfl8mns."
<br />~.. ' i-j comlllJ&," #,00517014
<br />~'fI.':':' Expl,... 9 2010
<br />'''-fl' ,_TIll.,....". ','
<br />,', ,..... ",. 8II!lo!llIo7e19
<br />
<br />Name
<br />
<br />m QX~nted or stamped
<br />l ..~ t:llzabeth MUllins
<br />~.~'fh1 Co":,mlssion # 00527014
<br />.~~ ExpIres March 9 2010
<br />I I BOnded Troy Fa.. .in$Urance Ino '8""".
<br />, .......,..7019
<br />
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