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<br />A.' NOTI~E OF DEED RESTRICTIONS
<br />Th~ undersigned understands that this permit may be subject to "deed restrictions" whf'ch
<br />may be more restiictive, than City reguiation.. The undersigned assumes responsibility for
<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 />lioensed as required by iaw, both the owner and contractor maybe cited for a mi.demea~or
<br />violation under s~ate 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 POrtions of the "Contractor sections" oI this application Ior ~ich they
<br />will be iesponsible. If ~u,'as the owner sign. as the contractor, 'ydu are indicating tha~
<br />you, rather than the contractor, are responsible for the work. ,If the contractor wishes
<br />you to sign aa 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.' TRANSPORTATIbN IMPACT FEES AND UTILITY CONNECTI.oN FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STA~tiTES, AS AMENDED)
<br />I certify that I, the applicant, haye been provided with" copy 'of "Florida's Construction
<br />lien Baw _ Homeowner's ,Protection Guide" prepated 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 "owneril 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 />I development. .
<br />Appliqation is hereby made to obtain a permit to do wdrk and instaliation as indicated, I
<br />certify that no work or installation has commenced prior to issuance of a permit and that
<br />all work will be performed to meet sta~dards of all laws regulating construction, City
<br />codes, zoning regulations, and land developmerit 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
<br />be in compliance. Such agencies inolude but a~e not limited to: *Department of
<br />Environmental Regulation-Cypress aayheads, Wetland Areas and Enviroomentally sensitive
<br />Lands, Water/Wastewater Treatment '
<br />'southWest Florida watet 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-Wellst
<br />Wastewater Treatment, Septic Tanks' '
<br />*U.S. Environmental Protection Agency-Asbestos abatemen~
<br />I also certify that, if fill material is to be used in Floqd Zone "A" or "A,etc,", it is ,
<br />understood that a drainage plan addreSsing ","compensating volume" will be submitted which I
<br />is prepared by a professional engineer registered in the State of Florida prior to permit i
<br />. ... :
<br />,ssuance. I
<br />A permit issued shall,be,construed'~o be a license to proceed with the work eod not .s
<br />anthnrity 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 inv.lid unless the work authorized ,by such permit is commenced within ,
<br />six months of issuance, or if work authorized by the petmit is suspended or abandoned for ,~
<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 witb he dharge 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 MRY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOO INTEND TO ,OBTAIN FINANCING, CONSULT
<br />WITH YOUR LEND~R OR AN ATTORNEY BEFORE RECORDING yOUR NOTICE OF COMMENCEMENT. JOas UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT",
<br />
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<br />~~' 'K~~j ~;
<br />81 ATURE: CONT. CTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing inst~prnent wa~,~noWledged ~
<br />Before me, this 1'17- day of ~ " 20 L
<br />by ,
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />Before me this _ day of ' 20-:-
<br />by .
<br />(name' o:C,pliWB"On acknowi-~~} ,
<br />o ~~personallY known ~~' or
<br />
<br />o who has produce"d
<br />(type
<br />o did not
<br />
<br />Qho
<br />
<br />
<br />ni:l
<br />
<br />and
<br />
<br />
<br />s~gna ure of
<br />
<br />Signature of person taking a,cknowledgement
<br />_,<;,,-:;'~'r~/f:.', Bobbie Swetland .
<br />."'" .;O~ ...
<br />~*:' :*~ MY COMMISSION # 00268763 EX
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