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<br />A.. NOTI~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 />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSiBILITIES <br />If the owner has hired a contractor or contr~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 maybe 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 portions of the "Goritractor Sections" of this ~pplication 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 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 CONNECTI,ON FEES <br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STA~tiTES,AS AMENDED) <br />I certify that I, the applicant, hay~ 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 instaliation 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 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, Wetiand Areas and Environmehtally 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 certity 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 la <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 COMMENCEMENT MAY RESULT IN YOUR <br />PAYING TWICE FOR IMPROVEMENTS 'TO YOUR PROPERTY. IF YOU INTEND TO,OBTAIN 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 RECbRDAND POST A 'tNOTICE OF COMMENCEMENT". <br /> <br /> <br />SI~i:!~A~tiJ ~I'du;:: ~~ <br /> <br /> <br />STATE OF FLORIDA"" . STATE OF FLORIDA P ~ <br />COUNTY OF . y~ ~ ~ COUNTY OF <br />The foregoing in~~lm~ ~w aCknowle.dged The foregoing i~~t wa <br />Bef"". ..eL this ~ . Y _ ,2Qt;L'" B.fore e. ' s . L-Jiay f <br />by"SE:l12 !2qL l"e s- .. . by <br />(name' of person acknowledged) . (name of person ac <br />~ho is personally known to me, 'or ~personally known <br /> <br /> <br />nowledged <br />, 2oQS. <br /> <br />o who has produced ,...---.... <br />(type of identification) <br />and wlioO did [}d"'lcl. not take an oath. <br /> <br />o who has produced <br />(type of identification) <br />and who Odid -B:tfCInot take an oath <br /> <br />Signat <br /> <br /> <br />owledgement <br /> <br /> <br />wledgment <br /> <br /> <br />~ped <br /> <br />Name <br /> <br />stamped <br />