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<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that th:Ls permit may be
<br />may be more restrictive than City regulations. The
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ~wner has hired a contractor or contractors to undertake work, they may 'e re u'
<br />to be llcensed in accordance with state and local regulations. If the contractr i q lred
<br />l' did b s not
<br />lcense as requ re I' law, both the owner and contractor may be cited for a DUd
<br />violation under state law. If the owner or intended contractor are uncertain a- emeanor
<br />1', i ' '4..0 what
<br />lcenslng requ rements may apply for the intende~ work, they are advised to cont.t 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'_ve
<br />contractor(s) sign portions of the "Contractor SectionsH of this application for \~h the
<br />will be responsible. If you, as the owner signs as the contractor you are indic~ they
<br />, -L9 th t
<br />you, rather than the contractor, are responsible for the work. If the contractor \~ a
<br />i ',es
<br />you to s gn as contractor that may be an indication that he is not properly license ~d .
<br />not entitled to permitting privileges in the City of Zephyrhills. 1S
<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 Constru\
<br />lien Law - Homeowner's Protection GuideH prepared by the Florida Department of Agricuf
<br />and Consumer Affairs. If the applicant is someone other that the "ownerH, I cerify th
<br />have obtained a copy of the above described document and promise in good faith to deli
<br />it to the "ownerH 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 w,
<br />be done in compliance with all applicable laws regulating construction, zoning, and lal
<br />development.
<br />Application is hereby made to obtain a permit to do work and installation as indicated.
<br />certify that no work or installation has commenced prior to issuance of a permit and th
<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 jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies may apply t
<br />the intended work, and that it is my responsibility to identify what actions I must take t
<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 Watercourses
<br />*Army 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 "compensating volumeH 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 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 />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 />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 ~bandoned.
<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 />J::1/~ 1]~L1:-I
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />'vV!.VLJL.'._'.U!.\';j Ut ::~.~':'l.J.'J.' AJ~'t'llJAVlT
<br />
<br />sub:l ect to "deed restrictions" which
<br />undersigned assumes respon,ibilit f
<br />Y or
<br />
<br />1--L --f'/ ,
<br />~'/~ . 7 ) --eeb{
<br />SIGN TURE: ONTRACTOR
<br />
<br />STATE OF FLORIDA V dS' C
<br />COUNTY OF I/~ 0
<br />The foregoing instrument was acknowledged
<br />BefoJ;~Lme th~s.-2::..:L. day of "TlAv'c ,20./22
<br />by CPK-{:,G 6t:.F/J6 '
<br />~name of person acknowledged)
<br />~ho is personally known to me, or
<br />
<br />STATE OF FLORID~ A c-
<br />COUNTY OF v ( 0
<br />The foregoing instrument was acknowle~ed
<br />Before me this ~day of :XvvE ,... 03
<br />by CflEt:; {S ,;G;BF
<br />~ (name of person acknowledged)
<br />~ho is personally known to me, or
<br />
<br />Dwho has produced
<br />(type of identification)
<br />and whoD did [B'Cfid not take an oath.
<br />
<br />~ A. f1dJ~
<br />
<br />and who D did
<br />
<br />~
<br />
<br />Dwho has produced
<br />(type of identification)
<br />~d not take an oath
<br />
<br />II. ~
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />B/lVq~
<br />
<br />f)(LucE II. ASDEL-
<br />
<br />Name typed, printed or stamped
<br />.,.r:r ~ Bruce A Asbel
<br />!~ . My Commi&sion 00116710
<br />~ Of...'I Expires June 22. 2006
<br />
<br />Name
<br />
<br />A. A.Sf36L
<br />
<br />typed, printed or stamped
<br />
<br />.,.r:r ~ Bruce A AsbeI
<br />!~ . MyCommission0011671U
<br />
<br />~Of,.'I Expires June 22. 2006
<br />
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