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<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subject to ~deed restrictionsU which
<br />may be more restrictive than City regulations. The unde~signed 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 contractors to undertake work, they may be required
<br />_ to-be licensed in accordance with stat& and local regulations. If the cbntractor is not
<br />licensed as required by law, both the owner and contractor may be cited for a misdemeanor
<br />violation under state law. tf 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 1S adv1sed to have the
<br />contractor(s) sign po~tions of the ~Contractor SectionsU of this application for wh~ch they
<br />will be responsible, If you, as the owner signs as the contractor, you are indicat1ng that
<br />you, +ather 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 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, have 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 sOmeone other that.the ~owneru, 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 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 oone 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 commenced prior to issuance of a permit and that
<br />all work will 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, Wetlapd 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,U, it is
<br />understood that a drainage plan addressing a "compensating volumeu 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 Sh~ll issuance of a permit prevent the Building Official from thereafter requiring a
<br />correc ion 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 la
<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 />_ mo~th 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 ~N ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500.IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEM NTu.
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<br />S
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing inst~ent was acknowledged
<br />Bef~be. thisc:5tO ~ay at ~a-. ' 20lPb
<br />by b7e ~ f.- 1/\ l ~ <:::t"""
<br />_ ~e of person ack~owledged)
<br />~ is personally known to me, or
<br />
<br />STATE OF FLORIDA
<br />COUNTY Or
<br />The foregoing ins~ent was~ledged
<br />BeforR. mb ..this .;t~V^day 'i,.f, ' 20~
<br />by C> bt"ie..-~,,-,~ ~.
<br />~(name of person acknowledged)
<br />~ho is personally known to me, or
<br />
<br />
<br />-
<br />
<br />o whO has produced
<br />(type of identification)
<br />and wh~~~ _ ~no} t~~oath
<br />/~ ~ L- . /c~
<br />
<br />Signat.~f~~9 acknowledgment
<br />. · My CommIssion DD3OIM3,
<br />~ ....... ~ 04, 2e8lI
<br />Name typed, printed or stamped
<br />
<br />of identification)
<br />an oath.
<br />
<br />Name typed, printed or stamped
<br />
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