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<br />A. NOT1CE or DEED RESTRICTIONS
<br />Thll under'lIigned understancLe that this permit may be 8ubject to "(i$ed rutrictionll" which
<br />may be more r..triotive than City regulations, Tho undersigned ae8umea reapone~bility for
<br />conplianca with any applicable deed ralltrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />It the owner ha. hired a contractor or contraotore to undertake work, 'thay ~y be required
<br />to be licen8ed In accordancll with state and loc.l regulations, If the contractor i. no~
<br />liollnlled ae required by law, both the owner and oontractor may be cited for a misdemeanor
<br />violation ~der .eat. law. If the'owner or intended contractor are uncertain a. to what
<br />licen.ing requirement. may apply tor tho intended work, they are advised to contact the
<br />City ot Zephyrhlllll Building Deportment, 813-780-0020.
<br />furtherMore. if the owner hae hired a cOntraotor or contractora, he i. advilled to have thll
<br />contractor I.) sign portions of the "Contractor SeotioneN of thi. application tOr which they
<br />will be re.ponsible. It you, as the owner signa a. the contractor, you are indicating that
<br />you, rather than the con~ractor, are reeponsible tor the work. .It the contractor wishea
<br />you to 51gn .11 contractor that may bean ind10a~ion thet' he io not properly liceneed and i.
<br />not entitled to permitting privileges in the City or Zephyrhills.
<br />C, TRANSPORTATION IHPACT ftES AND UTILITY CONNECTION rElS
<br />D. CONSTROCTUION LIi:1'l I.AJo/ (CliAP'l't1\ 713, FLOalDA STATUTES, AS AHENDED)
<br />I certiry that I, the .pplioant, hay. be.n provided with e copy'of -Florida's Construction
<br />lien Law - Homeowner"'~rotection Guide" prepared by the Florid4 Department of Agrioulture
<br />and Consuner Affair.. I f the Applicant ia .__one other that tlle "owner", I csdty that I
<br />have obtained a copy or the abov~ deeoribed document and promi.e in good taith to deliver
<br />it to the -owner" prior to oOll1lllenc_ent.
<br />E. COWTRACTOR'S/OWHER'S AFFIDAVIT
<br />I certify that all the information in thi. application is accurate and that all work will
<br />be done in compliance with all applicable laws regulating conetruotion, zoning, and land
<br />developnent.
<br />Appli~ation is hareby made to obtain a pernit to do work and inetaliation a. indioatgd. I
<br />certify that no worK or installation haa oomm.nced prior to i..uahoe ot a permit and that
<br />all worx will be p~rtormlld to me.t standard. of all laws requlatlnq construction, City
<br />codes, zoninq regulations, and land develo~nt regulations in the jUrisdiotion. I aleo
<br />certify that I understand that the reOulation. ot other governmental agencie. ~y apply to
<br />the intended work, and that it i. my re.pon.ibility to idantity w~t aotions I muet take to
<br />be in compliance. Such agencies include but are not limited to: .Department ot
<br />Environmental RegulaCion-CyprQ$s Bayheads, Wetland Areas and Environmentally Sen.itive
<br />L~nds, Water/Wastewater Treatment
<br />'Southwellt rlorida Water ~anagement District-Wella, Cypress Bayheede, Wetland ~e.s,
<br />Altering Watercourses
<br />'~y Corps of Engineer.-Seawalle, Docks, Navigable Waterwaye
<br />'Department or Kea1th ~ Rehabilitative Service., Environmental Health Onit-Wells,
<br />Wa.Cewater Tre~tment, Septic Tanka
<br />'O.S. Environmental ~rotection Agency-Asbestos abatemen~
<br />I also certify that, if fill m4terial ie to b. used in Flood Zone -AN or ~A,etc.N, it i.
<br />under.tood that a drainage plan addressing a -oompensating volumen will be aubmitted which
<br />18 prepared by a profesaional engineer registered in the State ot Florida prior to permit
<br />lSSuance.
<br />A permit issued shall.be construed to be a license to proceed with the work and not as
<br />authority to violate, cancel, a.lter, or .et a tide, any provisions ot the techniClll codea,
<br />nor shall issuanCe ot a permit prevent the Buildlng Otr10iel tro~ thereatter requiring a
<br />correctlon oC errors in plans, conetruotion, or violations ot any code. Every pernit
<br />iSllued $hall bec~ invalid unless the work author~zed by such permit is commenced within
<br />six ~nth. ot issuance, or it work authorized by the permit i. suspended or abandOned for 'a
<br />period ot six Ronth. after the t~e.the worx 1s Co~enced. One 90.ctay extension of time
<br />may be allowed tor the permit with fee charge of '15.00, The extaneion shall be requested
<br />1n writinq to'the Building Offioial. An approved inspection'mu.t be logged during .ach six
<br />Month period, or the project will be oon.idered abandoned,
<br />~ING TO O~ER: YOUR ~ILURE TO RECOaO A NOTICE or COMMENCEMENT HAY RESULT IN YOUR
<br />PAYING TWICE FOR INPROVEHENTS TO YOOR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING. CONSULT
<br />WIT/! YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE or COMMENCEMENT. JOS'S UNDER
<br />$2.500 IN VALUE DO NOT HEED TO RECORDAHD POST A "NOTICE OF COMMENCEMENT".
<br />
<br />SIGNATURE I CONTRACTOR
<br />
<br />SIGNATURE: OWNtR OR AGENT
<br />
<br />STATE or rLORIDA
<br />COONn Of
<br />The tore going instrunent wall acknowledged
<br />Sefore me this _ day ot r '2L
<br />by
<br />lnAme or pereon aoknowledglldl
<br />Owho is personally known to Re, or
<br />
<br />o who has produced
<br />(type of identification)
<br />and whoO did Odid not take an oath.
<br />
<br />StATE OF FLORIDA
<br />COUNTY or
<br />The toreqoing instrument wee
<br />Before me thie ---Siay ot
<br />by
<br />
<br />aclcnowledged
<br />,20_
<br />
<br />(n... of person aoknowledged)
<br />~ho i8 person.lly known to Dei or
<br />
<br />o who has Produoed
<br />(type of identification)
<br />and who Odid QUd not take en oath
<br />
<br />Si9nature of person taking acknowledgeMent
<br />
<br />Signatura of person taking aCknowledgMent
<br />
<br />N~ typed, printed or .tamped
<br />
<br />Nama typed, printed or 8tamped
<br />
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