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<br />A, NOTICE OF DEED RESTRICTIONS <br />The undersigned understands that this permit may be subject to "deed restristions~ which <br />may be more restrictive than City regulations. The undersigned assumes responsibility 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-J80-0020. <br />Furthermore, if the owner has hired a contractor or 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 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~ion 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 alld 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 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' Cm1MENCE~1ENT ~1AY RESULT IN YOUR <br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT <br />WITH YOUR LENDER OR N ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT, JOBS UNDER <br />$2,500 IN VALUE DO OT NEED XO RECORD AND POST A "NOTICE OF COMMEN EMENT", <br />------ <br /> <br /> <br /> <br />-- <br /> <br />STATE OF FLORIDA~ <br />C:OUNTY OF r asco <br />The foregoing instrument was acknowledged <br />Before me this ~day of .:JL.UA..L 2005' <br />by rev- I l.A.JeMI'~+n......, <br />(name of person acknowledged) <br />Owho is personally known to me, or <br /> <br />STATE OF FLORIDA <br />COUNTY OF <br />The foregoing lnstrur~ent \Vas ackl1')I-'/l edgpd <br />Before me this .QO~ay of :Tc..o..c... ,20 oS- <br />by E a....-- t G....)~d..11 "j-fol-- <br />(name of person acknowledged) <br />C1ho is personally known to me, or <br /> <br />R<.sCo <br /> <br />~ho has produced ~ L . <br />(type of identification) <br />~did not ke an oath, <br /> <br />~ho ha s produced [)4 L . <br />(type of identification) <br />~id not ake an oath <br /> <br /> <br /> <br />Name typed, <br /> <br />,,-'" ,.,';, <br />p rl'l'lt e d <br />- . c ;., <br /> <br />,'",j,)HHlt; Hal'll <br />o.fm~~~ili~ 157! 3 <br />~. ,;-;ires No\ ~:; 2 (1(; t- <br />~~OUL~~i T~li'" <br /> <br />~. . - <br />Name typed, <br /> <br />. ,.li'aI,ne Ball) <br />"" t"21II!""U! i1Q~~~~ <br />p,~.~r:l! r",r}:n;,,;~ T,..I, <br />.f..:.:' <br />", ,.~I ,.J,_;o ( <br />t <br /> <br /> <br /> <br />in{ <br />