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<br />~'J.,:UJ T.!.u!\:..i V~:' ::::~;JJ-1,.;'_'J' J\:.",\:'.~.;}i\V..\.'}" <br /> <br />A. NOTICE OF DEED RESTRICTIONS <br />The undersigned understands that this permit may b.e sub:)ect to "deed restrictions" which <br />lDiIybe.. ~J:'e~estrict,ive .than City regulations. 'The uXldersi9ned assumes responsibility fo~ <br />compliance with, any applicable deed restriction;s. <br />B.'''''UNLICENSED' CONTRACTORS AND CON'rHACTOR RESPONSIBILI'l'Ie:S <br />If the owner has hired a contractor or contractors to undertake work, they may be required <br />to be licensed in accordance with slale and loci'll regulations. If the contractor is not <br />licensed'as'required by law, both the owner and contractor may be cit~d for a misd~anor <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, 813-788-6611. <br />Furthermore, 'if the owner has hired a contractor or contractors, he is advised to have the <br />cODtrac~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 STATUTES, AS AMENDED) <br />I certi'fy that I, the applicant, have been provided with a' copy of "Florida's Construction <br />lie~ 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 AFFLDAVIT <br />Ice,:tffy 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 in41cated. . 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, zoniner regu],: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 Waterccjurses:, <br />*Army Corps 'of Engineers-Seawalls, Docks, Navigable Waterways <br />.Department of lIealth & Rehabilitative Services, Environmental Health Unit-Welts, <br />Wastewater Treatment, Septic 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 "A" or "A,etc.N, it is <br />understood that a drainage plan addressing a "compensating volume" will be submitted which <br />is prepared by a professional enylneer 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 notas <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 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 ~Y RESULT IN YOUR <br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER'ry. I F YOU INTEND TO OBTAIN FINANCING, CONSULT <br />WITII YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO.rICE OF COMMEN N. JOBS UNDER <br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST ^ NOTICE OF COMM EME TN. <br /> <br />. ~~~;_.;.., f"4''1 . ',- . , <br />."'S'1'ATS"oi ~noRIDA" <br />"COUH'!'Y';,;,(jp:::"" . <br />The"'foregoing instrument was . acknowledged <br />Before me this day of , 1~ <br />by;",c..;.... '_ '._ .~'. ' <br />. ....,(n~ of person acknowledged) <br />Owho':'is.personally known to me, or <br /> <br />"-'!..~\...~ .,~.""'r:,~jol~'<.'. <br /> <br />[] wh~ ha~ 'p~oduced <br />. ,,' (type of identification) <br />and whoOdidDdid not take an oath. <br /> <br />":~ ;.'...~ ~'; <br /> <br /> <br />":JI~I:J'\)i~ . " <br /> <br />S~GHATURE I OWNER OR AGENT <br /> <br />STATE OF FLORIDA <br />COUNTY OF <br />The foregoing i <br />Before me this <br /> <br />J( (name of person acknowledged) <br />b~hO is personally known to me, or. <br /> <br />o who has produced <br />(type of identification) <br />[)::lid not take. an 'oath~'l:'~"~i' <br /> <br />9~~~!~~1 <br /> <br />"'....... D..'!......~:~.~...1"':'"...:!'..."..~l-'.......r ,~- <br />!.,'r-;c . ,'. . <br /> <br />,'. <br /> <br />'",..-t; i~':~"."" ~ . ~ <br /> <br /> <br />" ".::~:I:1f)~::;.,:~;~;r: <br /> <br />. _......_ 0"_-'.. <br />_~~~:ar~ ...otJ~!~~~n.ta~in9 acknowledgement <br /> <br />'#:. <br /> <br />,..\>.'....."t If .,. ...: ,t:;j>-." ,,:+....y 1( \. .,'.... . <br /> <br />M._~typed, printed or stamped <br />,>,1,,- .-,}.. .,;',. <br /> <br />