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<br />CUi,;)} }',lu!-J:'; V::' ::::;I'-Iv1,:,!, I\::'!:'::!/W.'.'J: <br /> <br />A. NOTICE OF DEED RESTRICTIONS <br />The undersigned understands that this permit Jnay b.e sub'ject to "deed restrictionsn which <br />~ybe,.JIK.)~eJ;es~rict,ive ,than City regulations. 'The und~rsigned assumes responsibility for <br />compliance., with. any applicable deed restriclt:ions. <br />B......UNLICENSED 'CONTRACTORS AND CON'rHACTOR RESPONSIBILI'l'lES <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 loc"l regulations. If the contractor is not <br />licensed as' required by law, both the owner and contractor may be cit~d'for a misdemeanor <br />violation'under sta~e 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 />co~tra~~or(s) sign portions of the "Contractor SectionsH 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~-;'..~ON~T~UCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) <br />I certlfy that I, the applicant, have been provided with a'copy of "Florida's Construction <br />lie~ ~w.~: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 dellver <br />it to the "owner" prior to commencement, <br />E. CONTRACTOR'S/OWNER'S AFFIUAVIT <br />I '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 issuance of a permit and that <br />all work will be performed to meet standards of all laws regulating construction, City <br />codes, zoning" regu.1,ations, 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 Bayheads, Wetland Areas and En~ironmentally Sensitive <br />Lands, Water/Wastewater Treatment <br />.Southwest Florida Wkter Management District-Wells, Cypress Bayheads, Wetland Areas, <br />. .Altering Waterc~urses:- <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-J\sbestos abatement <br />I also certify that, if fill mat~rial is to be used in Flood Zone "An or "A,etc.H, it is <br />understood that a drainage plan addressing a "compensating volumen 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 licensp. 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~ctionof errors in plans, construction, or violations of any code. Every permit <br />issued'shall, become invalid unless the work authorized by such permit is conunenced 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 />WITIl YOUR LENDER OR J\N J\'rTORNEY BEFORE RECORDING YOUR NO'rICE OF COMM E JOBS UNDER <br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST "NOTICE OF COMMENC <br /> <br />. <br />S:t~TURE: OWNER OR AGENT <br />.',' ~...,:\ ,~.;~. ,b,;J--~'~~:""i:';i'-':' . ...... <br />"STATB 'OI'FLoRIDA <br />_ ~~ .. o't;.~..,",~ ;..'....~' <br />,"COUIft'Y-JOp:':;J.- '"~. ,.," . <br />Th.~"fore90ing instrumentw~s" acknowledged <br />Before me this day of , 1~ <br />b '~'" , <br /> <br />,', Y~';;'*(n..- of- person acknowledged) <br />[J who''''!. personally known to, me, or <br /> <br />., ...,..... ''!''j':';''~ ," ~. <br /> <br />o wh~ ha~'p~~duced <br />, , (type of identification) <br />and whoOdidOdid not take an oath. <br /> <br /> <br />-:'~J~I\'~~'" . !, . \. <br />. '-'0-'--' <br /> <br />~~~;~YO~FFLORID~~\( a <br /> <br />The foregoing ins~~ent w <br />Before me this ~~a of <br />by <br />~ (name of person acknowledged) <br />~.hO is personally known to me, or' <br /> <br />" 0 who has produced ' <br />(type of identification) <br />O:l1d not take. an 'oathfli"t'~'~; <br /> <br /> <br />o~~~~.~1 <br /> <br />.'. . I'; t ',l,' <br /> <br /> <br />.'......~'~'t":"'".,.~i"':.'.'?.....~,(......... ~ <br /> <br />S19natureot person taking acknowledgement <br />-f"'~~J1J ~ ~__'.'" -""'. ~. <br /> <br />,.,',.......-\ "....' ,,, .....', .';.......'y" \.-" <br /> <br />N~...ttyp~! printed 01: stamped <br /> <br /> <br />~\.'~~: :;~ <br />'t'.::',',' ,._",u'~ <br />