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<br />A. NOTICE OF DEED RESTRICTIONS <br /> <br />The undersigned understands that this permit may be subject to "deed restric clans" whee:: <br />may be more restrictive than City regulations. The undersigned assumes responsibility E~r <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 contr~ctor 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 the <br />will be responsible, If you, as the owner signs as the contractor, you are indicating (ha <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 1 <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 Constructior <br />lien Law _ Homeowner's Protection Guide" prepared by the Florida Department of Agricultur, <br />and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that <br />have obtained a copy of the above described document and promise in good faith to dellver <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 wlll <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. <br />certify that no work or installation has commenced prior to iaauance 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 t <br />the intended work, and that it is my responsibility to identify what actions I must ~ake <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.u, it is <br />understood that a drainage plan addressing a "compensating volume" will be submitted whi <br />is prepared by a professional engineer registered in the State of Florida prior to perml <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 ~equiring , <br />correction of errors in plans, construction, or violations of any code, Every permit <br />issued shall become invalid unle.. the work. authorized by such permit is commenced with <br />six months of issuance, or it work authorized by the permit is suspended or abandoned f <br />period of six months .fter the time the work 'i8 commenced. One 90 day extension of tim <br />may be allowed for the permit with fee charge of $15.00. The extension shall be reques <br />in writing to the Building Official, An approved inspection must be logged during each <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, CON <br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT, JOBS UNC <br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". <br /> <br />1:1 13J~ <br /> <br />S~T~~WNER OR AGENT <br /> <br />d;;?~ <br /> <br />IGNAT :;';:J'CONTRACTOR <br /> <br /> <br />STATE OF FLORI~ ~~~ <br />COUNTY OF ~- <br />The foregoing instrument was acknowledged <br />Bef re me t ay of , 20,-- <br />by \) <br />~ame f person acknowledged) <br />~ho is personally known to me, or <br /> <br />STATE OF FLORID~~a <br />COUNTY OF ~- <br />The foregoing instrument was acknowled~ <br />Befor me this of ' <br />by <br />~ame f person acknowledged) <br />~ is personallY known to me, or <br /> <br /> <br />of identification) <br />take an oath <br /> <br />Signature of person taking acknowledgement <br /> <br />Signature of person <br /> <br />Name ty <br /> <br /> <br />Nam <br /> <br />Y!~ <br />,~~ <br /> <br /> <br />d <br />