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<br />LU,',;;')} '.1.'.'..U,':-,,':"'; 'J.~,:' ,~',l,.'~,!.),~~ 1'1' I\~ ',\:'1 ,'}I\V+,\~'_I" <br /> <br />A. NOTICE OF DEED RESTRICTIONS <br />The undersigned understands that this perini'!: In,ay b.t! subj-ect to "deed restrictipns" which <br />~y b&"IIl~)I:e. .t;:es~rictive ,than City regulations .'I'itt! undl!rsigned assumes responsibility for <br />compliance with, any applicable deed res tricti.:m,s. <br />B.....UNLICENSED CONTRACTORS AND CONTJU\CTOR RI::S;I;>>ONSIIHLI'nl':S <br />If the owner has hired a contractor or ,cont.ca.::t.:ns to l..lllderl:ake work, they may be required <br />to be licensed in accordance with sLaLe aud ll).;:",l regu.lations. If the contractor is not <br />licensed'as' required by law, both the owner and contractor may be cit~dfor a misdemeanor <br />violation'under state law. If the owner or inltended 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, 81:3-'788-6611. <br />Furthe~re, if the owner has hired a contractor or contractors, he is advised to have the <br />,co~~ra~~or(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 li~,ensed and is <br />not entitled to.' permitting privileges in the City of Zephyrhills. <br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES <br />D..;" .CON~T~UCTUION LIEN LAW (CHAPTER 713, FLORIDA S'l'ATUTES, AS AMENDED) <br />I certlfy 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 />1 ce~tify that all the information in this application is accurate and that all work will <br />be done in compl~ance with all applicable laws regulating construction, zoning, and land <br />development. " <br />Application is hereby made to obtain a perlnit to do work and installation as inqicated. . I <br />certify that no work or installation has commenced prior to iss,uance of a permit and that <br />all work will be performed to meet standards of all laws regulating construction, City <br />codes, zoning"regu~~tions, 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 ~ctions I must take to <br />be in compliance. Such agencies include but are not limited to: *Department of <br />Environmental RegUlation-Cypress Dayheads, Wetland Areas and Environmentally Sensitive <br />Lands, Water/Wastewater Treatment <br />.Southwest Florida Wkter Management District-Wells, Cypress Bayheads, Wetland Areas, <br />, .Altering Watercc;jurses:- <br />.Army Corps 'of Engineers-Seawalls, Docks, Navigable Waterways <br />"Department of lIealth & Rehabilitative Services, Environmental Health Unit-Welts, <br />Wastewater Treatment, Sep~ic Tanks <br />"U.S. Environmental Protection Agency-Asbestos abatement <br />I also certify that, if fill mat~rial 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 iss~ed 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 />c~rr~ction -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 allow~d for .the permit with fee charge of $15.00, The extension shall be requested <br />in writing to' the Building Official. An approved inspection nmst be logged during each six <br />month period, or the project 'will be considered abandoned. <br />WARNING TO OWNER: YOUR FAILURE '1'0 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 />WITII YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO'rICE OF CO ENT. JOBS UNDER <br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMER EMEN <br /> <br /> <br />WO.jp~I~t\~~ . '.~... <br /> <br />S~~RB~ OWNER OR AGENT <br />ol" "l...;I~, ~'..,'~. "~:"."~"'~;~~;..,~. .. ~.'., <br />:,=:;~~~~D.I\ ~,~ -";l;~,,~.." <br /> <br />'The".foregoing instrument was . acknowledged <br />Before me this day of , l~ <br />b "', <br />Y... , <br />, '. . -'r.(n~ ~ ot-'person acknowledged) <br />Owho':>ls"personally known to ,me, or <br /> <br />. ''''-''';,j,''':' ,.,...*:'<"',.'i':...,. ~ <br /> <br />o wh~ ha~'p~~duced <br />.,' (type of identification) <br />and who[] did []did not take an oa th. <br /> <br />n9~~~'?~ <br /> <br /> <br />(name of person acknowledged) <br />is personally known to me, or' <br /> <br />o who has produced <br />(type of identification) <br />Otid not take. an 'oath*'\"~',~, <br /> <br />.', <br /> <br />. ~';I'; t, :"'.l.: . , . . <br /> <br /> <br />,........''''''''!!~~~f':~..'~,..f':...~.......)'....~...~. ,,~ <br /> <br />'''''', -. - "-"'~. <br />.~~~~u~~".. ot.-J?~;!C?nta~ing acknowledgement <br /> <br />,~'''-tW'.-' 1>- ~ ." <br /> <br />':r ...-........,:.\t '.:";. , <br /> <br />M....~typed, printed or stamped <br /> <br />, . <br />~::z~'" <br />";'~1:' <br />:.,~~ <br /> <br />