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<br />A, NOTI~E OF DEED RESTRICTIONS
<br />Th~ undersigned understands that this permit may be subject to "deed restrictions" which
<br />may be more restrictive than city regulations. The undersigned assumes responsi~ility for
<br />compliance with any appiicable 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 />lieensed 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 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 indica~i6n 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, haye 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 />Appliqation 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 psrformed 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 bf 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 wh~ch
<br />is prepared by a professional engineer registered in the state of Florida prior to perm~t
<br />issuance, .
<br />A permit issued shall.be construed to be a license to proc7ed with the work a~d not as
<br />authority to violate, cancel, alter, or set aside any prov~sions of the techn~?al,codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requ~ring a
<br />correction of errors in plans, construction, or violations of any code. Every permi~ ,
<br />issued shall become invalid unless the work authorized by such permit is commenced w~th~n
<br />six months of issuance, or if work authorized by the permit is suspended or a?andoned.for!a
<br />period of six months after the time.the work is commenced. One 90 day extens~on of t~me
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be requeste~
<br />in writing to 'the Building Official, An approved inspection must be logged during each s~x
<br />month eriod, or the project will be considered abandoned, ,
<br />WARNIN~ TO OWNER' YOUR FAILURE TO RECORD A NOTIct OF COMMENCEMENT .MAY RESULT IN YOUR
<br />PAYING TWICE FOR' IMPROVEMENTS 'TO. YOUR PROPERTY. IF YOU INTEND TOO~~~~:M~~~ANC~~~S ~~~~~LT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF C ".
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT.
<br />
<br />JI1/1 ". r ()Wro ~. . J'lII ~ ~ ( )9- ()~ r '
<br />
<br />SIG[{"U~~R OR AGENT U SIG~~~ONTRACTOR
<br />
<br />STATE OF FLORIDA ~ 6(0
<br />STATE OF FLORIDA Pt!5.W COUNTY OF .J:::3;!
<br />COUNTY OF . d d The foregoing instrument was acknowledged s-
<br />The foregoing instrument was acknowle ge Before me. .t)1is '3fL-day of J""t..~ , , 20 L
<br />Before me this <("t"'- day of J" ~ , 2005'" t1fVt-~3Z~Ja.$1)l4e.
<br />by ~r-t-Z\7ettl~l4.ec" by (name of person acknowledged)
<br />(name" of person acknowledged) C1ho is personally known to me, or
<br />Owho is personally known to me, 'or
<br />-:--, oduced 1) ~ L- .
<br />ftI who has produced ",....~ L.. " (type of
<br />(type of identification) ~id not t
<br />and wno . did Odid not ke oath.
<br />
<br />
<br />
<br />ture of erson taking acknowledgment
<br />"!uzanne Baht
<br />.;. ""'" . . ~BEl t ~ 1
<br />.-:-" ... " "_ " ' ;\!1\ll~~1 I
<br />typed,- print'~d Pfs ~c~ 06
<br />, , .. . ~
<br />
<br />person taking acknowledgement
<br />'~\Xwnne Baht
<br />, i n',~,m"siori #OOlS7t11
<br />Name typed, printed ofx~~5. 2006
<br />BonJed Thru
<br />II Bond.!ng Co.. lnc
<br />
<br />Name
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<br />;",'n .. C\, Inc
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