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<br />A. NOTICE OF DEED RESTRICTIONS <br />'I'ile undet:signed understands that L11113 penni t: !nay be subject to "deed restrictions" tvhich <br />may be mor:e restrictive than City requlclt:ions. The undersigned assumes responsibility for <br />compLiance with any applicable dee,d Xl,S t.r:ict:ions. <br />B. UNLICENSED CON'l'RACTORS AND CONTHACTOR RESPONSIBILI'J'IE:S <br />If the owner has hired a contractor or c:ontt:actors to undertake work, they may be i'equired <br />to b. licensed in accordance with state and local regulations. If the contractor is not <br />licensed as requlred by law, both the owner and contract:or may be cited for a nd.sdemeanor <br />violation under state law. If the owner or intended contl:actor are uncertain as to Hhat <br />Licetlsing requirements may apply for the intended work, they are advised to contact the <br />City of Zephyrhills Building Department, 813-788-6611. <br />H'urt.hermore, if the owner has hired a contractor or contractors, he is advised to have the <br />contractor(s) sign portions of the "Contractor Sections" of this application for whicll 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 Hork. If the contractor wishes <br />you to sign as contractor that may be an indication that he is not properly licellsed and is <br />not entitled to permitting privileges in the City of Z~phyrhills. <br />C. 'l'RANSPOR'l'A'l'ION IMPACT FEES AND U'l'ILI'l'Y CONNECTION FEES <br />D. CONS'l'RUCTUION I,IEN LAW (CHAP'!'ER 713, FLORIDA STA'l'UTES, AS AMENDED) <br />I certify that I, the applicant, llave been provided wIth a copy of "Florida's Construction <br />lien LaH - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture <br />and Consl1mer Affairs. If the applicant is someone other that the "oHner", 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. CONTRAC'I'oR' S/OWNER' S AFFIDAVIT <br />I certify that all the information in this application is accurate and tllat all wor:k 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 illdicated. 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 regulations, and land development regulations in the jurisdictioll. 1 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 are not limited to: *Department of <br />Envirornnental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sens~tive <br />Lands, Water/Wastewater Treatment <br />*Soutllwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, <br />Altering Watel:courses <br />'Army Corps of Englneers-Seawalls, Docks, Navigable Waterways <br />*Depart:mellt of Health & Rehabilitative Services, Environmental Health Unit-Wells, <br />Wastewater: Treatment, Septic Tanks <br />*u.S. Enviromnental Protection Agency-Asbestos abatement <br />I also certify that, if fill material is to be used in Flood Zone "A" or "A,ete.", it is <br />understood that a drainage plan addressing a "compensating vol.ume" 'will be submitted which <br />Is prepared ~y a professional engineer registered in the State of Florida prior to permit <br />issuance. <br />A permit issued sllall 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 tecllnlcal codes, <br />nor'.llall issuance of a permit prevent the Building Official from thereafter requiring a <br />correction 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 />si.K months of issuance, or if work authorized by the perrni.t is suspended or abandoned for a <br />period of six months afte.t: the t1.me the work is commenced. One 90 day extension of time <br />may be allowed for the permit with fee charge of $15.00. The eKtensioll shall be requested <br />1.n Hri t1 ng to the Building Official. An approved inspection must be logged dur:.ing each si.}{ <br />month peLtod, or the project will be considered abandoned. <br />WARNING TO OWNER: YOUR FAILURE '1'0 RECORD A NOTICE OF COMMENCEMENT MAY RESU.LT IN YOUR <br />PAYING TWICE H'OR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND '1'0 OBTAIN FINANCING, CONSULT <br />WITH YOUR LE:NDER OR AN ATTORNEY BEFORE RECORDING YOUR NO'l'ICE OF COMMENCEMENT. JOBS UNDER <br />$2,500 IN VALUE DO NO'I' NEED '1'0 RECORD AND POST A "NOTICE OF COMMENCEMEN'!'" . <br /> <br />CO~';~JITlor\I.S OF PF~PJ.'~J.T l\FFIDAVlrr <br /> <br />Sl~O~---- <br /> <br />ck /~ <br />SiGi~URi~AC~10R <br /> <br />S'I'ATE OF nOR <br />COUNtl'Y OF <br />The foteg "g instrl ent was acknowledged <br />Before me this..d3- day of D('C'(,t.\.-~ ~~.J... <br />by ___. <br />'rd.., (name of person acknowledged) <br />~10 is personally known to me, or <br /> <br />o who has produced <br />(type <br />[]did not <br /> <br /> <br />PUlS(~ <br /> <br />STATE OF FLORIDA ~,. So to <br />COUNTY OF r c; ___._ <br />The foregoing instrument was ackn~ledged <br />Be for e me t his ,..:27;. day 0 f _.J~):~:..e:;'IAA (7~ ~ 2Q?.,;) <br />by _.__ <br />.:x. (name of person acknowledged) <br />~~ is personally knoHn to me, or <br /> <br />o who has produced______._________ <br />(type of identi fJcation) <br />[)Ji.d not~e an oath <br /> <br />;r(~ <br />- ---- <br />8i person taking acknowledgment <br /> <br /> <br />Name <br /> <br />and <br /> <br /> <br />~- <br />person taking acknowledgement <br />Suzanne Bahr <br />. issiCA #DDIS7131 <br />p r~~ t .::i.tEx,Jr819PN~vi IS, 2006 <br />-"~ip Of "-~,,, Bonded Thro <br />"""",' Atlantic BondingCo"lnc. <br /> <br />of identification) <br />take an oath. <br /> <br />~~ <br /> <br />s <br /> <br /> <br />Name l~yped, <br />