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A. NOTICE OF DEED RESTRICTIONS The undersi9ned understands that this permit may be subject to ~deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor Dr contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. if the owner or intended contractor arE! uncertain as to what licensing requirements may apply for the intended work, they are ad~ised to contact the City of Zephyrhills Buildin9 Department. 813-780-0020. Furthermore, if the Owner has hired a contractor or contractors. he is advised to have the contractor(s} sign pD~tions of the "Contr~ctor Sections" of this application for which they will be responsible. If you, as the owner signs as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that may be an indica~ion that he is not properly licensed and is not entitled to permitting privileqes in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of ~Florida's Construction lien LaVl - Homeowner's Protection GUide" prepared by the Florida Department of Agri",ulture ..nd Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I have obtained a copy of the above described document and prOmise in good faith to deliver it to the "owner" prior to commencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land development. Appliqaticn is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance ot a permit and that all work will be performed to meet standards of all laws regulating construction. City codes, 20ning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations ot other governmental agencies may apply to the intended work, and that it is my responSibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: *Department of Environmental ReQulation-Cypre99 Bayheads. Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-Wells. Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps ot Engineers-Seawalls, Docks, Navigable Waterways *Oepartment o~ Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. Environmental Protection Agency-Asbestos abatement I also certify that. if fill material is to be used in Flood Zone hA" or "A, etc.", it is understood that a drainage plan addressing a "compensating volume" will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel. alter, or set aside any provisions of the teChniCal codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, Or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of issuance. or if work authorized by the permit is suspended or abandoned for 'a period of six months atter the time the work is COmmenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Offioial. An approved inspection must be logged during each six month period, Or the project Vlill be considered abandoned. WARNING TO OWNER: YOUR ~~ILURE TO RECORD A NOTICE OF cOMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY aEFORE RECORDING YOU 10TICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "N TI E 0 OMHENCEMEN ". SIGNATURE: OWNER OR AGENT l.. ~ STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged Betore me this _ day of , 2L by (name of person acknowledged) o who is personally known to me, or <<ho (name of person aCknowledged) is personally known to me, or o who has produced (type of id~ntiricatiOn) and whoD did Odid not take an oath. Dwho has produced (type of id~ntification) id not take an oath 7 . r1 qrvv.ON Nam.. ty Signature of person taking acknowledgement Name typed, printed or stamp..d SllIH~^Hd3