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<br />A. NO'l'ICE OF' DEED RESTRICTIONS <br />'rile undersigned understands that Lh:Ls penrd I: I03Y be subject to "deed restrictions" Hhich <br />may be more restrictive than City requli',tio:ls. TIll: undersiqned assumes responsibility for <br />compLiance Hith any applicable deed :~l'!st.rict.io.lls. <br />B. UNLICENSED CON'l'RAC'1'ORS AND CO~ITru\CTUR R~SPOj\JS 1I3IL1'1'I ~s <br />If the OHner has hired a contract:n or contracl~ors to undertake work, they may be required <br />to bB licensed in accordance with state and local regulations. If the contractor is not <br />licensed as requJ.red by law, both the OlNner and contractor may be cited for a misdemeanor <br />violation under state law. If the OHner' or int:ended contractor are uncertain as to what <br />licensing J:equirements may apply for the intended work, they are advised to contact the <br />Clty of Zephyrhills Building Department, 813-7138-6611. <br />H~rthermore, if the owner has hired a contractor or contractors, he is advised to have the <br />contractor(s) sign portions of the "Contractor SectiollS" of this application for which they <br />1-1111 be responsible. If you, as the owner signs as the contractor, you are indicating that <br />YOll, rather than the contractor, are responsible for the Hark. If the contractor wishes <br />you t.o 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 Z~phyrhills. <br />C. 'I'RANSPOR'l'A'rION IMPACT FEES AND U'I'ILI'ry CONNECTION FEES <br />D. CONS'fRUC'l'UION I,IEN LAW (CHAP'fER 713, FLORIDA S'1'A'l'U'l'ES, AS AMENDED) <br />I certify that I, the applicant, have been provided Hith a copy of "Florida's Construction <br />1i en l,aH - Homeowner's Protection Guide" prepared by the Flori.da 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 1n good faith to deli.ver <br />it to the "owner" prior to conunencement. <br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT <br />I certify that all the information if I this application is accurate and that all work will <br />be done in compliance Hil:h all applicable laws regulating construction, zoning, and land <br />development. <br />Application is hereby made to obtain a permit to do Hork 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 performed to meet standards of all laws regulating construction, City <br />codes, zon1n9 regulations, and land development .regulations 1n the jurisdicti on. 1 also <br />certify that I understand that the regulations of other governmental agencies may apply to <br />the intended work, and that 1t is my responsibility to identify Hhat actions 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 Sens~tive <br />Lands, Water/Wastewater 'I'reatment <br />*SouthHest F'lorida Water Management District-Wells, Cypress Bayheads, Wetland Areas, <br />Altering Watercourses <br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways <br />*lJepartment of Health & Rehabilitative Services, Environmental Health Unlt-Wells, <br />Wastewater Treatment, Septic 'l'anks <br />*U.S. Envlrontnental Protection Agency-Asbestos abatement <br />1 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 "compensating volume" '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: lssued 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 tecllnical codes, <br />110rshall lssuance 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 permit is suspended or abandoned for a <br />period of six months afte.r the time the work is commenced. One 90 day extension of time <br />may be alloHed for the permit with fee charge of $15.00. The extension shall be requested <br />jn writing to l:he Building Official. An approved inspection must be logged dur.ing each six <br />month peLtod, or the project will be considered abandoned. <br />WARNING '1'0 OWNE',R: YOUR FAILURE '1'0 RECORD A NOTICE OF' COMMENCEMENT MAY RESULT IN YOUR <br />PAYING TWICE E'OR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN'I'END '1'0 OBTAIN FINANCING, CONSULT <br />WITH YOUR I,E:NDER OR AN AT'l'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'I'. ,TOBS UNDER <br />$2,500 IN VALUE', DO NO'1' NEED '1'0 RECORD AND POST A "NOTICE OF COMMENCEMEN'r". <br /> <br /> <br />11~._~~~_~~ <br /> <br />S 1 GNl\'l~E: OWNER" OR AGEN'1' <br /> <br />C(J~-,7:'~\.:~r~.1~O>~S O:!' PP~PII(~~T_rJ.' APFIDA'Vlrr <br /> <br /> <br />s'rATE OF FLORIDA D <br />COUNTY OF _____Ltl5.~ <br />The fotegoing instrument was acknoHledged <br />, <br /> <br />STATE OF FLORIDA <br />COUNTY OF <br />'l'he foregoinq instrument: w.a.. <br /> <br />pt)~co <br /> <br />~ f"'!ktli"'\w'l .a.rlrf.a.ri <br />