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<br />~. NOTICE OF DEED RESTRICTIONS <br />The und~rsigned 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 REBfONBIBILITIES <br />If the owner has hired a contractor or contractors to undertake work, they may be required <br />to be licensed in accordance with st~te 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, 813-188-6611. <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" ot 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 contra~tor that may be an indication that he is not properly licensed and is <br />not entitleq to permitting privileges in the City of Zephyrhills. <br />C. TRANSfORTATION IMfACT FEES AND UTILITY CONNECTION FEES <br />D. CONSTRUCTUION LIEN LAW (CHAfTER 113, 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 frotection 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 />Application 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 limdted 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, Cyp~ess Bayheads, Wetland Areas, <br />Altering Watercourses <br />*Army corps of Engineers-Seawalls, Docks, Navigable Waterways <br />*Department of Health i 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 ~compensatingvolume" will be s~bmitted 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 Offic~al from thereafter requiring a <br />correction of errors in plans, construction, or violations of any code. Every peDmit <br />issued shall become invalid unless the work authorized by such peDmit is commenced within <br />six months of issuance, or if work authorized 'by the permit is suspended or aband~ned 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 IMfROVEMENTS TO YOUR fROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT <br />WITH YOUR LENDER OR AN ATTORNEY BEJ!'ORE RECORDING YOUR NOTICE OJ!' COMMENc1!:MENT. JOBS UNDER <br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NqTICE OF COMMENCEMENT". <br /> <br /> <br />SI~~1/~ J!!#~ SIGNA~J~~?filJ( <br /> <br />STATE OJ!' FLORIDA --D <br />COUNTY OF. T MeD <br />The foregoing instrument was acknowledged <br />Befor~ me this ;2..&~day of feb.r-l-ItU'j , ~;L <br />by 'l2p-.iiy SlA-e.. VVt (()oV\CL( d.: . <br />(name of person ackno~ledged) <br />'Dwho is personally known to me, or <br /> <br />~hO has produced vi/ <br />(type of identification) <br />~id not take an oath. <br /> <br />STATE OF FLORIDA <br />COUNTY OF <br />The foregoing instrument was ackno~ledged <br />Bet. ore me t1L~s ~a~ of_f'.tJ>'vu-"') , . ~;, <br />by Be~ ~w t1Jt(U~ . <br />(name of person acknowledged) <br />[1ho is personally known to me, or <br /> <br />~hO has produced <br />~,!~ype of identification) <br />and who did ~ n~t~ke ~ oath ' <br /> <br />.~ Z~Z~ <br /> <br />Sign ture~ person taking acknowledgment <br />...,~~Ili;:.',,> :-,~u7anne Bdl,-lr <br />Name ~~:::~~t~~~e~~,7;;~~ed <br />-:;,,,;;,?;;;!:~:,\:---, - . :, - ::~~,~~;',':' ';:'.:::l~g" f~IC <br /> <br />Pc15CO <br /> <br /> <br /> <br />S1 <br /> <br />......"';i?!::?/,.. . <.~ ',.lnne 8ahr <br />a~~' 'E ... ,.," H~'geel~ <br />_. :. ~~.' ~ ' "fl'. ..... " '.') '. .. ".. ' <br />Name typed, p ~::" .~/J~tO~"stcunpe" 2002 <br />'.~::,\~ >,',:' ~."'0r.,~~' --, < U <br />. _0.r '1-- <br />