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<br />A.. NOTI~E OF DEED RESTRICTIONS
<br />Th~ undersigned understands that this p~rmit may be subject to Ude~d 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 CONTRACTOns 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 uGohtractor Sections" of this ~pplication for which they
<br />will be tesponsible. If ydu,as ~he owner signs as the contractor,ydu are indicating that
<br />you, rather than the contractor, are responsible for the work. .If the contractor wishes
<br />you to sign as contract?r that may be an indication that he is not properly'li~ensed and is
<br />not entitled to permitting privileges in the city of Zephyrhills.
<br />C.. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTI.ON FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES,. AS AMENDED)
<br />I certify that I, the applicant, hay~ been prbvided with a copy 'of uFlorida'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 uowner", 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 uownee' 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 />I 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 wiil be performed to meet sta~dards 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
<br />be in compliance. Such agencies inalude but a~e 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 bf 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 abatemen~
<br />I also certity that, if fill material is to be used in Flood Zone UA" or uA,etc.", it 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 />. ~
<br />l.ssuance.
<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, cons~ruction, or violations of any code. Every permit ,
<br />issued shall become invalid unless the work authorized by such permit is commenced within I
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned for \~
<br />period of six months after the tilne .the. work is commenced. One 90 day extension of time
<br />may be allowed for the permit with feedharge 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 prbject will be considered ?bandoned. .
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A ~OTICE 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 DO NOT NEED TO RECORD AND POST A '\NOTICE OF COMMENCEMENT".
<br />
<br />~~~.O~
<br />
<br />SI~NA~URE: OWNER OR ~;;T
<br />
<br />STATE OF FLORIDA ..~
<br />COUNTY OF . ./7/2 f/'()
<br />The~oing in. strume. nt wa
<br />Before tmY' this ~ day of
<br />by
<br />\ _/ (n me' of person
<br />~o_is personally
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The ~...
<br />Before
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<br />a nowledged)
<br />known to me, or
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<br />~*~ :~ MY COMMISSION # DD268763 EXPIRES .
<br />'~;'."".....;,'~/ February 22. 2008 ' .
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<br />Name typed, printed or stamped
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