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<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subject to ~deed restrictions" which
<br />may be more restrictive than 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 contractors 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 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, 813-788-6611.
<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" 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, 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 ~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 ~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 done in compliance with all applicable laws regulating construction, zoning, and land
<br />development.
<br />App~ication 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, 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 ~compensating 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 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 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 />$2,5 ALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT".
<br />
<br />
<br />
<br />ST E OF FLORIDA '
<br />COUNTY OF t/I.^<,}o..j".(.ov'-\-.2. e...
<br />
<br />The foregoing instrument wa~ ack?owledged
<br />Before me this/.2....-day of .~.. , ~,:;lOJ)
<br />by !<..en/HZ eo Lv'" '" e... 0 'J
<br />(name of person acknowledged)
<br />[1ho is personally known to me, or
<br />
<br />STATE OF FLORIDA i
<br />COUNTY OF t/IAC.~~cQ e....--
<br />The foregoing instrument was acknzowledged
<br />Before me this.L.l....- day of /Jp,-. , lo9dOD')
<br />by \2..'ef')€e- C \::91"1 '"' e... 0 \,)
<br />(name of person acknowledged)
<br />Dwho is personally known to me, or
<br />
<br />~who has produced 0 l' ( ve.t- L.l C e 115 e
<br />(type of identification)
<br />and whoD did ...eP:iid not take an oath.
<br />
<br />
<br />;~~rson taking acknowledgement
<br />
<br />~-4H-d L~ ~~e--_
<br />
<br />N t d . t d d ,'\~YP~III SANF
<br />ame ype, prln e or stampe !~m"'\ Notary Public. 0 F~
<br />~ . .. . ~ My Commillion expir.. Nov 6. 2010
<br />\~~ ~~!i Commission" 00 612001
<br />I, 1.9[,~,~,'" Bonded Through National Notary AllIIl.
<br />
<br />.-=8 who has produced D\ I .j~,r (Ie pn .,e_
<br />(type of identification)
<br />and who Ddid ~id not take an oath
<br />
<br />~~
<br />
<br />signatur~f person taking acknowledgment
<br />
<br />:5OA--I~r ~ ? - ?fll:.
<br />
<br />
<br />, printed or stamped
<br />
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