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<br />A. NOTICE OF DEED RESTRICTIONS <br />The undersigned understands that this permit may be subject to ~deed restrictions" which <br />may be more restrictive than City regulations. The undersigned assumes responsibil~ty 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' requ~red <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 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 Sections" of this application for which they <br />will be responsible. If you, as 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 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 />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 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 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 a <br />period of six months after the time the work lscommenced. 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 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 COMMENCEMENTH. <br /> <br />11 "~ l1J>A t1 ~ 13 ~. <br /> <br />SIGNATURE: NER OR AGENT SIGNAO C TRACTOR <br /> <br />STATE OF FLORIDA t;"'D Jl..( 0 Ll.. <br />COUNTY OF I' [L <br />The foregoing instrument was acknowled9~~~ <br />Befo;,.e me this 4- day of 'SAtJVIlIU-( , 206 <br />by &/2';;& f5r;:-~ j:. . <br />(name of person acknowledged) <br />~o is personally known to me, or <br /> <br />o who has produced PEIZ.>()A!.4LL...y /(/v()vV;V <br />__~(type of identification) <br />and whoO did ~did not take an oath. <br /> <br />~ tJ rkfrJ) <br /> <br />signature of person taking acknowledgement <br /> <br />STATE OF FLORIDA <br />COUNTY OF <br />The foregoing instrument was acknowle~ed <br />Before me, t~is :}1? of-:5fJovvl))zr , :lU o.L" <br />by (;.r2f r;; f'S'o::, _ '- <br />_~ (name of person acknowledged) <br />~o is personally known to me, or <br />?- ,/ 1/ <br />o who has produced I I:'/~>~(,).... 7 flAA w;J <br />(type of identification) <br />and who Odid [iJdfCi not take an oath <br /> <br />j} < fUJJJ <br /> <br />person taking acknowledgment <br /> <br />'VLD rU iD It- <br /> <br />GJA~ <br />Signature of <br /> <br />J5rcJ0{ /J, A StJ[~ <br />Name typed, printed or stamped <br />~ ~ Bruce A Asbel <br />!~ .; My Commission 00116710 <br />~o,~df Expires June 22. 2006 <br /> <br />BlLJCC <br /> <br />Name <br /> <br />A, A-5/jIiL <br /> <br />typed, printed or stamped <br /> <br />~"j' Bruce A Asbel <br />;,~ .; My Commission 00116710 <br />TJtOl~df Expirell June 22. 2006 <br />