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<br />A. NOTICE OF DEED RESTRICTIONS <br />The undersigned understands that this permit may be subject to "deed restrictionsU wt~ich <br />may be more restrictive than City regulations. The undersigned assumes re~ponsibility for <br />compliance with any applicable deed restrictions. <br />B. UNLICENSED CONTRACTORS 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 required by 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 intended work, they are advised to contact the <br />City of Zephyrhills Building Department, 813-780-0020. <br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the <br />contractor(s} sign po~tions of the "Contractor SectionsU of this application for which they <br />will be ~esponsible. If you, as the owner signs as the contractor, you are indicating that <br />you, rather than the contractor, are responsible for th~ 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 of 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 of "Florida's Construction <br />lien Law - Homeowner's Protection Guideu prepared by the Florida Department of Agriculture <br />and Consumer Affairs. If the applicant is someone other that the "ownerU, 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 "ownerU prior to corrunencement. <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 corrunenced 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 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 agencies include but are not limited to: *Department of <br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Envirornnentally 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 "AU or "A,etc.u, it is <br />understood that a drainage plan addressing a "compensating volumeu will be submitted which <br />is pre~ared 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 corrunenced 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 abandoned. <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 FIN NCING, CONSULT <br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF C MENCEME JOBS UNDER <br />$2,500 IN VALUE DO NOT NEED TO 'D AND POST A "NOTICE OF COMMENC <br /> <br /> <br /> <br />STATE OF FLOfltA <br />COUNTY OF r~ <br />The foregoing i'l::Jlment wa~knO\f~edged L( <br />Beforpml ttS Ztay o~ (/J""'-, 20Q.. <br />by n i!., G. q../l~ <br />, ~/ (name of person acknowledged) <br />~who is personally known to me, or <br /> <br /> <br />!:.l (/0 <br /> <br />edged nlJ <br />, 2 0 r2..:J <br /> <br />(name of person acknowledged) <br />is personally known to me, or <br /> <br />Owho has produced <br />(type <br />id not <br /> <br />of identification) <br />take an oath. <br /> <br />Owho has produced <br />(type of jdentification) <br />and who Dd~ take an oath <br /> <br /> <br />signature~ person taking acknowledgment <br /> <br /> <br />Sign <br /> <br />Name <br /> <br />.1........- :"....~, <br />typed '.j Pc$-:r;n;t.ed oPE~~S <br />, il ,,5" #, '" ~ 'iiY COMMISSION DO 018359 <br />i i ~'~:,:,*",:-.,'~,.,',-,:'t,{::,:,:' EXPIRES: June 18, 2005 <br />", '''' _ _ ,'_ t.',u(\(!,~d Thru Notary Public underwmQr:~ <br />~ ~~:;';';g-;,: <br /> <br />\,,'1111"1 <br /> <br />Name <br /> <br />typ .....;-~~tI1~MMlSSIOOl/.~~6t1 <br />:~;:~;i~/ EXPIRES: June 18, 2005 <br />',i~-;,\~'~"'-" !3oflded Thru Notary Public Underwriters <br />".~;;-~:_,-,,~ <br />