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<br />'.;UNIJ.'.'.I:.'.UN;j (,).~. Ie! t:.1:<.I:v!,.'.',': A.~..~..'..')AV .'.',': <br /> <br />A. NOTICE OF DEED RESTRICTIONS <br />The undersigned understands that th:Ls PElrmi.t Inay bl! s'..lb}ect 1:0 "deed restrictions" which <br />.may be more restrictive than City .rl!gulcltio:ns. 1'hl:l undl!rsicJlled assumes responsibility for <br />compliance with any applicable deed rl:lstricti.::ms. <br />B. UNLICENSED CONTRACTORS AND CONTHACTClR Re:SPONSIlHLI'rIES <br />If the owner has hired a contractor ox' c:ontractor:s to Llllder1:ake work, they may be required <br />to be licensed in accordance with s1:a1:e and l,ocal ;reg'Lllatiolls. If the contractor is not <br />licensed as required by law, both the olfmer and c:c:mtrac1:or Inay be cited for a misdemeanor <br />violation under state law. If the ()Wlle1: or intended c.ontrac:::tor 'are uncertain as to what <br />licensing requirements may apply fo;r 1:hE! intended l/iork, they are advised to contact the <br />City of Zephyrhills Building Department, 813-788-'6151l. <br />Further.more, if the owner has hired a CClntractor or contractors, he is advised to have the <br />contractor(s) sign portions of the "Cont:ractor 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 licensed and is <br />not entitled to permitting privileges in the City of Zephyrhills. <br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES <br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, 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 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 />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 perfor.med to meet standards of all laws regulating construction, City <br />codes, zoning regulations, and land development regulations in th~ 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 a1:'e 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-We,lls, Cypress Bayheads, Wetland Areas, <br />Altering Watercourses <br />*Ar.my Corps of Engineers-Seawalls, Docks, Navigable Waterways <br />*Department of Health & 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 "c:ompensating volume" will be submitted which <br />is prepared by a professional engineer registez:ed 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 asi.de any provisions of the technical codes, <br />nor shall issuance of a permit prevent the Building Official from thereafter requiring a <br />correction of errors in plans, construction, 01: 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 if I commenced. One 90 day extension of time <br />may be allowed for the permit with fee charge ()f $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 />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER <br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". <br /> <br /> <br />:NAJ~~ENT~ SIGNA~R <br /> <br /> <br />STATE OF FLORIDA STATE OF FLORIDA ~~ <br />COUNTY OF MJ.tQoJ~ COUNTY OF <br />The foregoing instrument was acknowledged The foregoing i~st~ent was acknowledged <br />Before JlL8 . this 07\f- day of ~ )y. ~ "........Before me this n.. day of k1..L~..... , ~ ~l.". <br />by ~e.--t-- (.....- 01 -::r . by ~ L-- 01 -:J . _. . <br />_ ~ of person acknowledged) _~ame of person acknowledged) <br />~o is personally known to me, or ~o is personally known to me, or <br /> <br />o who <br /> <br /> <br />o who has produced <br />J,..type <br />IBdt'd not <br />\ <br /> <br /> <br />~ EUOllIlIlI M ~"il~ <br />Name tYPed,~ Li}~~6 <br />0, fl.'" Expires June 17 2005 <br /> <br />_~ F'OW..... Rclg_ <br />Name typed,' .~~~6 <br /> <br />.~ i=xpires June 17 2005 <br />