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<br />A.. NOTIC.E 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 responsibility for
<br />compliance with any applicable deed restrictions.
<br />E. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner. has hired a contractor or cbntr~Ftors 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, 813-780-0020.
<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 "Gohtractor Sections" of this ~pplication for which they
<br />will be responsible. If ydu, as the owner signs as the contractor, ydu 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, hay~ been provided with a copy of "Florida's Construction
<br />lien Daw _ 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 />Appll~ation 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 wiil be performed to meet sta~dards 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, Wetiand Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheadsr 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 certi~y that, if fili materIal is to be used in Flood Zone "A" or "A,etc.", it is
<br />understood that a drainage plan addressing a "compensa,ting volume" will be submitted which
<br />is prepared by a proiessional 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.8xtension 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 TOOETAIN 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 COMMENCEMENT".
<br />
<br />()dL/;tt"AjlAt0d>Ml~~L~~
<br />
<br />SIGNATURE' ,O~~O~';;~';;-~ ;{ .. ." SIGNATURE' CONTRACTOR ..
<br />
<br />STATE OF FLORIDA 11z..5 CD
<br />COUNTY OF
<br />The forego in? inst~ent w~~~k wledged__
<br />Before ~ th1.~j~d.aX o~ -n 200S
<br />by 'l).€?-/For(J.V] -.:;>.. Doli. ord-
<br />~ (name of person acknowledged)
<br />~ho is personally known to me, or
<br />
<br />
<br />pged
<br />, 20t?S
<br />
<br />o who has produced
<br />(type of identification)
<br />and WhO~id~~ake an oath.
<br />
<br />
<br />Signature of pe~~~~~~~9TmF~~ement
<br />~ Stacielullo,
<br />. r.o~R1iSS~D482036
<br />Name typed, pr~n <Expife~;a 16 2009
<br />"Jed Thru Atlantic Bo~ding Co" Inc
<br />
<br />o who has produced
<br />(type of identification)
<br />
<br />and~~ j:!t take an oath
<br />
<br />Signature of ~~aking acknowledgment
<br />_ UC-ST'FE OF FLORIDA
<br />StacIe.
<br />Name typed, =m~SiEm=# 036
<br />Bonded Thru Atl:ti OBoCI: 16, 20(';.
<br />C ndfng Co., r,;:
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