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<br />C'...},f,I.~)..' '.1:.'~,...}'..1:"3 (J,'~' ,'~.,I..;ll....''''.I_':.' ^,'~',~..'_1,.,'}^V_'_'.'.' <br /> <br />A. NOTICE OF DEED RESTRICTIONS <br />The undersigned understands that UU:J p,ermi.t: milY b..~ s'lb:)<~ct 1:0 "deed restrictions" which <br />may be more z;estrictive than City r.~~JulatioJ:ls, I'il.~ ul:1dl~rsiqlled assumes responsibility for <br />compliance with. any applicable de.ed rt~s t:.ric:t:iIJl:l,S. <br />B.- UNLICENSED CONTRACTORS AND CON'rHJ\CTOR RI:!:S:[)()NS:CIHLI'l':ce:S <br />If the owner has hired a contractt:',r OJ: .cont.ca.:::t,n:1 to llnderl:uke work, they may be required <br />to be licensed in accordance wi Lh s telte and l().:.:al J:egll.ln tioJ1:J. I f the contractor is not <br />licensed as required by law, both thE! o'",ner alldcontractlJr rIlay be citE!ld for a misdemeanor <br />violation' under state law. If the, owne,r or iI11t(~n(h~d c:c:mtra(:t:or are uncertain as to what <br />>. licensing requirements may apply fOJ: th.~ intel1d(~d \#od:, they are advised to contact the <br />City of Zephyrhills Building Depa.r:tmEmt, 81:3-'7I~I~-661l, <br />Furthermore, if the owner has hired a contract();t: C)J: contractors, he 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 sign:3 as the (:::ont:ractor, you are indicating that <br />you, rather than the contractor, are responsibll~ for the WOJ:k. If the contractor wishes <br />you 'to sign as contractor that may be an indica!: ion that he is not properly lic,ensed and is <br />not entitled to permitting privileges in the City of Zephyrhills. <br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES <br />D.;,.~ONSTRUCTUION LIEN lAW (CHAPTER 713, FLORIDA STATUTES, }~ AMENDED) <br />I certify that I, the applicant, have been provided with a' c:opy of "Florida's Construction <br />lien Law. - Homeowner's Protection Guide" prepared by the Flclrida Department of Agriculture <br />and Consumer Affairs. If the applicant is somec>ne other thalt the "owner", I cerify that I <br />have obtained a copy of the above described document and pro1mise in good faith to deliver <br />it to the "owner" prior to conunencement, <br />E. CONTRACTOR's/oWNER'S AFFIDAVIT <br />I ce,rtify that all the information in this appli.cation is ac:curate and that all work will <br />be done in compl~ance with all applicable laws J::egulating co,nstruction, zoning, and land <br />development. . , <br />Application is hereby made to obtain a permit tel do work and installation as inqicated. ,I <br />certify that no work or installation has conunene:ed prior to iss,uance 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 elf other governmental agencies may apply to <br />the intended work, and that it is my responsibility to identify what ~ctions 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-WeltS, <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. EverypeJ:lllit <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 is conunenced. 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 ~Y RESULT IN YOUR <br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER'rY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT <br />WITIl YOUR LENDER OR AN A'rTORNEY BEFORE RECORDING YOUR NO'rICE OF COMHE CEMENT. JOBS UNDER <br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMM C <br /> <br />SIGNATURE: OWNER OR AGENT <br /> <br /> <br />"';I.;:,:,.J.~ <br /> <br />STATE OF FLORIDA <br />COUNTY OF <br />The foregoing instrument was <br />Before me this day of <br />by <br /> <br />acknQwledged <br />, 19....:... <br /> <br />of identification) <br />take an oath. <br /> <br />~.., ~...:' "'J80."'lJ.r'.~"-:,.~-''.;.',;,::'.;... <br /> <br />I." <br /> <br />signature 'Of person taking acknowledgement <br />.. .....,.,......,.,.joo....--,~..'~"'. . oj.. <br /> <br />Signature of person taking acknowledgment <br /> <br />. .:.... 1.( " <br /> <br />'. . .~... -J-. l . <br /> <br />Nametyped~ printed or stamped <br /> <br />Narne t.yped, printed or stamped <br />