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<br />A.. NOTIGE OF DEED RESTRICTIONS
<br />Th~ undersigned understands that this permit may be subject to "deed restrictions" which
<br />may be more restiictivethan.City regulations. 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 />licensed as required by law, both the owner and contractor may..be cited for a misdemea~or
<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 "Gontractorsections" of this application 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 b.een 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 d~scribed document and promise in good faith to deliver
<br />it to the "owne.r" 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 instaliation 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 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 t9
<br />be in compliance. Such agencies inolude 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 Protectiori Agency-ASbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc. ", i.t 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 />is suance. .>
<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 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'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 ~O YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING; CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECbRDAND POST A "NOTICE OF COMMENCEMENT".
<br />
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<br />
<br />SIGNATURE: OWNE O~
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />. 1;.
<br />
<br />STATE OF FLORIDA PIt.
<br />COUNTY OF o.
<br />The foregoing ij1frument was ac~owledged
<br />Before me this day of ~fKl I , 2~
<br />by PYn )11m"" Auhln
<br />~(name. of person acknowledged)
<br />~who is personally known to me, .or
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before m$ this ~ay of
<br />by . .
<br />
<br />acknowledged
<br />.. 20_
<br />
<br />
<br />o who has produced
<br />(type
<br />'d not
<br />..-
<br />
<br />of identification)
<br />take an oath.
<br />
<br />(name of persor acknowledged)
<br />[1ho is personally known to me, or
<br />
<br />Owho has produced
<br />(type of identification)
<br />and who Ddid Diidnot take an oath
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Si of person acknowledgement
<br />
<br />C*,/'lfhdJ Alibi;'
<br />
<br />N e typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
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