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<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tha undersigned understands that this permit may be subject to ftde~d restrictions" which
<br />may be more restrictive than city regulations. The undersigned assumes responsibi+lty fur
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in accordance with state and i6cal 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 Zephyrhills Building Department, 813-780-0020.
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractor1s) sign po~tions of the ftGohtractor 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 indica~ion that he is not pl:operlylicensed 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, hays been provided with a copy of "Florida's Construction
<br />lien Law _ Homeowner's.Prbtection 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 ftowner" 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 />Appliqation is hereby made to obtain a permit to do work and instaliation 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 inolude but are not limited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetiand Areas and Environrrlentally 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 ftcompensating 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 invalid 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 la
<br />period of six months after the tirne.the work is corrunenced. 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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE UO NOT EED TO RECORD AND POST ~~
<br />
<br />
<br />
<br />IGNATURE: ONT CTOR
<br />
<br />STATE OF FLORIDA f ~ .
<br />COUNTY OF
<br />The foregoing in~t~~ent wa~~nowledged
<br />Befor~mE} tQis ~./day Rf . :.- . , 2@'O~
<br />by .::t;?.ru!2.P t c- J ~r
<br />~me of person acknowledged)
<br />~ is personally known to me, or
<br />
<br />
<br />STATE OF FLORIDA ~~
<br />COUNTY OF -- .
<br />The foregoing ins~~ent was acknowledged
<br />Befo~ me, thi~9M' Of~ ' 2QQP
<br />by ~~ o.hre_- ~~ -'---
<br />. ,
<br />_ ~e of person acknowledged)
<br />~o is personally known to me, .or
<br />
<br />o who has produced .,..---
<br />(type of identification)
<br />d not take an oath.
<br />
<br />o who has produced
<br />(type of identification)
<br />and~o~id~~notta~ an o.ath
<br />
<br />~U ./~
<br />
<br />Signature of person taking ac no01edgment
<br />
<br />----
<br />
<br />
<br />,(,."r,
<br />Signature of per~~ taking ac owledgement
<br />~"nnat.Wl8\.ynen; ~1
<br />,..... .MY~~
<br />N ~~ ed or stamped
<br />
<br />Nam~"'~\ffl"~r stamped
<br />. . My eommlsSiOn 00306431
<br />or.. c; J expires APril 04. 2008
<br />....0.'"
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