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<br />A. NOTICE OF DEED RESTRICTIONS- ," :. ." ,~"
<br />The undersigned understands that this permit may be subject to ~deed restrictionsU which
<br />may be more restrictive than City regulations. The undersigned assumes responsibility:for
<br />compliance with any applicable deed restrictions,
<br />B. UNLICENSED CONT~CTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in accordance with state and local regulations. If the contractor is not
<br />licensed as requireaby law, both the owner and contractor may be cited for a misdemeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to what
<br />licensing requirements may apply for the intende~ work, they are advised to contact the
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />Furthermore, if the owner has hired a contractor or contractors, h, is advised to have the
<br />contractor(s) sign portions of the "Contractor SectionsU of this application for which they
<br />will be responsible, tf you, a. 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 ot 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 ot "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 ot 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 performed to meet .tandards of.lllaws 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 to
<br />the intended work, and that it is my responsibility to identify what actions I must take to
<br />be in compliance. Such agenci..s lz:t<;:lUde but 'are\not"~limited to: *Department of
<br />Environmental Regulation-Cypress Bayhead., 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-Asbesto.~batement
<br />I also certify that, it fill material i$ to be used in Flood Zone "A" or "A,etc.H, 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 issued shall bePconstrued to be a license to proceed with the work and not as
<br />authority to violat., cancel, alter, o~ ..t 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 unle"i,tile,. w'p~.~. .~th()1;li~,d by such permit is commenCJed within
<br />six months of issuance., or it wo;k"\J;~_llo.r1~..4::\~t-~~~..LP'~rmit is su~pendedor 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 tee charge ot $15.00. The extension shall be requested
<br />in writing to the Building Official,M approved inspection must be logged during each six
<br />month period, or the projeptwill .be QQnsidered .ab~ndoned,
<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 />SIGc1:~.rl~ SIGNAc1 ,;~.M ~
<br />
<br />STATE OF FLORIDA P /l ...-
<br />COUNTY OF . n,)C CJ
<br />The foregoing instrument was acknowl.d9?~U
<br />Beforj:. me this 2- day of _"\ JIV/:' , 20~
<br />by 6zllpc, (3~ .
<br />__ ~name of person acknowledged)
<br />~ho is personally known to me;~ or
<br />
<br />o who has produced
<br />. (type of identification)
<br />and whoO did Q-dld not take an oath.
<br />
<br />R~ /-1. ~
<br />
<br />Signature of person taking acknowledgement
<br />
<br />STATE OF FLORIDA PASe'
<br />COUNTY OF C
<br />The foregoing instrument was ackeowle~e~,
<br />Before me thils :2- d~ of SUV , t....:L
<br />by ~/ZEG I3ff7?r-
<br />~ (name of person acknowledged)
<br />~ho is personally known to me, or
<br />
<br />and who 0 did
<br />
<br />~
<br />
<br />o who has produced
<br />(type of identification)
<br />I9::i'IO not take an oath
<br />
<br />A, rbe~
<br />
<br />Signature of person taking acknowledgment
<br />
<br />-1Sr2UCE
<br />Name typed,
<br />
<br />A ' /:J-Sr3E L
<br />printed or stamped
<br />,~ ~ Bruce A Asbel
<br />;.,~ .: My Commission 00116710
<br />"7Iit/f."." Expires June 22. 2006
<br />
<br />g(l.vCE /J. A'~{?E L
<br />
<br />Name typed, printed or stamped
<br />'J' Bruce A Asbel
<br />;.,~ .: My Commission DD116710
<br />"7Iit/f."." Expires June 22.2006
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