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<br />t,.;UI~),I)} '}"o!,U,r,~:"; V,{:' ,1'..li':~,l."",\V:\ol"'I' 1\,,:,,_,0' '}/\V...\~'}: <br /> <br />A. NOTICE OF DEED RESTRICTIONS <br />The undersigned understands that this permil: In.ay b.e subject 1:0 "deed restrictionsN whJ,ch <br />JIY.Iy be:_IQ9J;e,.t;es~rict~ve ,than City regulatioi:ls.'I'ite ulIldersigned assumes responsibility for <br />compliance, with. any applicable deed lmstricti':m,s. <br />B.'-' UNLICENSED , CONTRACTORS AND CON'rHAC'rOR RES:E)iJNS1IHLI'l'lBS <br />If the owner has hired a contractor or cont.ca'::l:';).tlJ to l.Jndert:ake work, they may be required <br />to be licensed in accordance with slale aud II)';:"'! regulations. If the contractor is not <br />licensed-as required by law, both the owner and coutractor may be cit~d for a mis,demeanor <br />violation' under state law. If the owner or inlt::l!!nded 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, 6l:3-'78:a-6611, <br />Furthermore, 'if the owner has hired a contractor or contractors, he is advised to have, the <br />co~~~.~~o~(s) sign portions of the "Contractor SectionsN of this' application for which they <br />'w1lf'be'responsible. If you, as the owner signs as the contractor, you are indicating that <br />you,; r~ther, 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,RUCTUION 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 GuideN prepared by the Florida Department of Agriculture <br />and Consumer Affairs. If the applicant is someone other that the "ownerN, 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'SAFFLUAVIT <br />I 'ce~tlfy 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 />Appl~cationis hereby made to obtain a permit to do work and installation as in4icat~d. ,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" regul,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 Environmentally Sensitive <br />Lands, Water/Wastewater Treatment <br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, <br />, .Altering Waterc~urses:- <br />*Army Corps 'of Engineers-Seawalls, Docks, Navigable Waterways <br />*Department of Health & Rehabilitative Services, Environmental Health Unit-WeltS, <br />Wastewater Treatment, Septic 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 "AN or "A,etc.N, it is <br />understood that a drainage plan addressing a "compensating volumeN will be submitted which <br />is prepared by a professional enyineer 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 />c~rr~c~~on ,of errors in plans, construction, or violations of any code. Everyperm1t <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 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 COMMENC EN JOBS UNDER <br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A NOTICE OF COMMENCEME TN, <br /> <br />01. <br /> <br />"rt-t; t.,;:;'f.,:' 0 ~ ~ . <br /> <br /> <br />':,.~~~~~~ '. ',~~~\ <br /> <br />SI~TURBI OWNER OR AGENT <br />'ijJ" ~~,/\ ~ ~._ r.;,: '~{;::~.~ 0 ~ ~ ~o <br />~.:~:~~~.. ~";i;~, ',:,'. <br /> <br />The,;,..fore901ng instrument~.w~;'. acknowledged <br />Before me ,th1,~ day of , 19_ <br />b ..' , <br />f,p>+.> ..., <br />. """;' ',(n..-ot-person acknowledged) <br />. IJwho''''is'peJ:80nally known ~o, me, or <br /> <br />o:~~~o I <br /> <br />(name of person acknowledged) <br />is personally known to me, or' <br /> <br />~?~Ih' "'.. ,~--;,ii"'- . 0 ~. <br /> <br />[] wh~ ha~ -p~~uced <br />, ". (type of identification) <br />and who[]d1d Odid not take an oath. <br /> <br />identification) <br />take. an:oath9l'l~1~">" <br /> <br />..,...., '~"o.~~~,"~....,.:....~~-':"-'~"'o," - <br /> <br />. ..... __ '_._00... . 0 <br />Signature ot person taking. acknowledgement <br />_..~...~~. IU.... 1......-...'...~" ""00'- ."" . <br /> <br />,.'\", .~'oC' It .,f<'... <br /> <br />.' 'or" ..). .....:,.,." t-., ... <br /> <br />N_t:typed, pdnted 01: stamped <br />".".-, ,.', ~ ..,',. <br /> <br /> <br />,,,"" <br /> <br />.,..;<<~i::':',~,,:~<)'< ),,,, .-, :.~ <br />'~~'_ _,',;. '" ~<.I' -~,,,-t(.,,~:~ <br />