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<br />
<br />A. NOT:CE OF DEED R~~TKL~~lWN~:
<br />Tha ~nder3igned understands that this permit may be subject to "deed restrictionsU which
<br />may be more restrictive than City regulatiohs, The undersigned assumes re~ponsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRl\CTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contr~ctors to undertake work, they may be required
<br />to be licensed in accordance with state and f~cal regulations, If the contractor is not
<br />licensed as required by law, both the owner and contractor may be cited f~r 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 />contractor(s) sign po~tions of the "Contractor SectionsU 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 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 th?.t the "i'wneru, 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 />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 inolude 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.u, 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 ea,ch 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 LENDE R AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN II''' NEED TO RECORD AND POST A "NOTICE 0 NCEMENT",
<br />
<br />OWNER OR AGENT
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF . Hlt..t.S I3tDtZ 0 CI (; r/
<br />The foregoing instrument was acknowledged
<br />Before me this IZ.rH day of "'11'4..1'- , 200.1::.
<br />by cu$SI/ /<1. HOLf...IF/lIfl.""-.J
<br />(name of person acknowledged)
<br />~who is personally known to me, or
<br />
<br />SI
<br />/
<br />//
<br />~ATE OF FLORIDA
<br />COUNTY OF #1 LL Stl 0 p..()u6-/f
<br />The foregoing instrument was acknowledged
<br />Before me this ;Z:1"tf day of /!jdt2.lL. , 20 ot
<br />by . EL/S.s,p I"f.lloLLG-c/9,J
<br />(name of person acknowledged)
<br />C1ho is personally known to me, or
<br />
<br />o who has produced
<br />(type
<br />
<br />
<br />
<br />Name
<br />
<br />
<br />Name typed, printed or stamped
<br />
<br />\,,, II 'I
<br />:~X~ Elizabeth Mullins
<br />~J..~)~ Corry mission # 00527014
<br />-',"i~i1'I~" Expires March 9 2010
<br />'ri,,'~ 80 rJ ftT '
<br />n f1 rcy FAin ~ lfl""r""~e, Ifl( 8OQ':S.5-1019
<br />
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