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<br />A. NOTIGE OF DEED RESTRICTIONS <br />The undersigned understands that this permit may be subject to "deed restrictions" ~hich <br />may be more restrictive than City regulations. The undersigned assumes re~pon5ibility 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 (5) sign po~tions of the "Contractor Sections" of this application for which the <br />will be responsible. If you, as the owner signs as the contractor, you are indicating tha <br />you, rath~r than the contractor, are responsible for the work. If the contractor wishes <br />you to sign as contractor that may be an indica~ion that he is not properly licensed and i <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 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 of 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 />Appli~ation 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 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 t( <br />be in compliance. Such agencies include but are not limited to: *Oepartment 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 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 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'c <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 si~ <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 FINANCING, CONSUL1 <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 />SIGNATU~~ o~!!- <br /> <br />~~ea k/L <br /> <br />SIGNATURE: CONTRACTCR <br /> <br />STATE OF FLORIDA ...0 <br />COUNTY OF r tt $Co <br />The foregoing instrument was aCknOWledg~d4 <br />~;fO~~ci-;~~..~;:- day of C)r~bt r , 2 IJ <br /> <br />(name of person acknowledged) <br />Etwho is personally known to me, or <br /> <br />STATE OF FLORIDA <br />COUNTY OF <br />The foregoing instrument wa~ ~knowledged <br />Before me th~s q~?!:;"ay of Urt'l>bu , 200!L <br />by ~fl.l.i n <br />(name of person acknowledged) <br />~ho is personally known to me, or <br /> <br />Pasco <br /> <br />o who has produced <br />(type <br />did''':~id not <br /> <br /> <br /> <br />o who has produced <br />(type of identification) <br />~id not ta e an oath <br /> <br />of person taking acknowledgement <br /> <br />""Ii,, Suzanne Bahr <br />,'~~~Y.~lJe:// .. I ~ ~ 3 ' <br />'::"'mrl~- CUIIII"I~wH1l1D;D 5 I <br />Name typed, p~~~._~:;~!xJ5'lr'e~q5, 2006 <br />-;.;?~.. ' 'c/'/ Bonded Thru <br />"1111~~t\\\\\ Atlantic Bor:ding Co., Ine <br /> <br />Signature 0 rson taking acknowledgment <br />"""" Suzarme Balu <br />,,~tl'V PUll", , , #DD I 5713 I <br />Name tYPe~(~~;;i='~~6 <br /> <br />--;''''/~~QF f~O~~"''' Bonded .Thru <br />",,,,,,, Atlantic Bondll1g Co" In<: <br />