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<br />A.. NOTIGE OF DEED RESTRICTIONS <br />Th~ undersigned understands that this permit may be subject to "deed restrictions" Ioiihich <br />may be more restrictive than. City regulations. The undersigned assumes responsibility for <br />compliance with any appiicable deed restrictions. <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSiBILITIES <br />If tpe owner. has hired a contractor or cbntr~ftors to undert.ake 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 misdemea~or <br />violation under s~ate 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 "C;:ontractor. Sections" of this application for which they <br />.will be responsible. If you,..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 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 CONNECTI,ON 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 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 compli~nce 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 oommenced 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 a~e 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 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 Protectiori Agency-Asbestos abatement <br />I also certify that, if fill material is. to be used in Flo,?d Zone "A" or "A, etc.", i.t is <br />understood that a drainage plan addressing a "compensa.ting 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 ~nd 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.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 COMMEN ENT MAY RESULT IN YOUR <br />PAYING TWICE FOR IMPROVEMENTS ~OYOUR PROPERTY. IF YOU IN ND TO.OBTAIN FINANCING, CONSULT <br />WITH YOUR NDER OR AN A ORNEY BEFORE RECORDING YOUR NO . CE OF JOBB UNDER <br />$2,500 IN VALUE UU NOT ~DAND PO~T A "(2 ~OF co <br /> <br /> <br /> <br />. " SIGNA URE: <br /> <br /> <br />STATE OF FLORIDA ~\OQjDA <br />COUNTY OF.' . <br />The foregoing in;!%rument was, ackn?tlledge~r <br />Befo~E'1 me tp.,is~(J . di:1Nfcf c.Jft(l...JAR.1fJ , 2Q!L.!) <br />by Dl1FUILL _' H U/2.16 onE <br />(name. of person acknowledged) <br />Dwho is personally known to me, 'or <br /> <br />~has producedq=-bt21PJj 1JcJl..Ct2. ~cJE <br />(type of identification) <br />and whoD did 0 did not take an oath. <br /> <br />Cotol ~J.lY \Q.Qdo <br /> <br />Signature of person taking acknowledgement <br />NOTARY PuI~JC.STATE OF FLORIDA <br />... '. . . <br /> <br /> <br />mRUssion # 00422009 <br />Expires: APR. 24, 2009 <br />Y..m;ed ThIll Atlantic Bonding Co., Ioe. <br /> <br /> <br />STATE OF FLORIDA...+--t (\ <br />COUNTY OF -'--\'lQe.;uA <br />The foregoing instrument wa,~nOWledge~ r <br />Before,.. ~~ th~,sl 0.6 .da~L qf~~nI A?A4, 20 (l...Q <br />by ~1l'PJL,_ ~JlrsiOA_ <br />(name of person acknowledged) <br />C1ho is personally known to me, or <br /> <br />. ~o has produced 1:bv f)A f)cJ~~ IJ<.J/.A Jt <br />(type of identification) <br />and who Odid (Jiidnot take an oath <br /> <br />CJ)lWltM-\ mclAJ . . . <br /> <br />Signature of pe~~T~~ent <br />f\ 1\. hJA- D II~. Carolina Pulido <br />\: ,,,00 II.UI. CemmissieI\ itR9422QQ9 <br />Name typed, pri, .",,) <B(p~~~ 24, 2009 <br />. ""c.....:; n'n.' Atlantic Bonding Co., Ine. <br />