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DE~!~J!2JJJ!~E~ J2: 43 FM ZEPHYRHILLS BUILDING FAX 10, 3~3-73J-JJ2: F, JJjJJ_ A. NOTICE 'OF DEED RESTRICTIONS The unde~signed understands that thh pe_rmH: may be subj ect to "deed reetrictions}' whi"h may be more restrictive than city regulations, The undersigned ass\JJlIes rBsponsibility for compliauce with any appiicable deed restrictions. B. UNLICENSED coNtRACTORS AND CONfRACTOR RESPONSIBILITIES If the owner has hired a contractor orcontracl::orsto undertake work; they may be required to be licensed in accordance with state and local regUlations; If tbe contractor is not licensed as required by law, both the owner and contractor may'be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as t6 what licensing requirements may apply for the ~ntended work, theg are advised to contact the City of Zephyrhills Building Department, 813-180-0020: . Furthermore, if the owner has hired a contractor or contracto~s; he is advised to have the contracto:rls) sign pOj:tions or the "Contractor Secticins" of thi.. application for which they' will be responsible. If :{ou,' as the owner signs as the contractor, ydu are incti"atin9' that you~ rather than the "ontractor, are responsible for the work. If the contractor wishes you to sign aB contractor that may be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C: TMNSPORTATION IMPACT FEES AND U'I'ILIT'i CONNECTION FEES ' D. CONSTRUCTUION Ln:N hAW (CHAPTER 113, FLORIDA STATUTES; AS AMENDED) I 'certify tbat I, the applicant; haye been provided with a copy 'of ~Floridais Construction lien Law - Homeowner'S Prote"tion GUide" prepared by the Florida Department of Agriculture and Consumer Affairs, If the applicant is someone othBr that the "owner", I_cerify that I haveobtOlined a copy of the above described document and promise in goo<:! faith to deliver it to the "owner" prior to commen"ement. E. CONTRACTOR' S/OWNERi S }'-FFIDIWIT_ I certify that all, the information in t~s application'is accura~e and that all work will be dop-e in "ompliance with all_ appli"able laws regUlating construction; zoningj and land development. - ' Appli~ation is hereby made to obtain a permit to do work and inataliation as indicated. I certify tnat no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, City oode$. zoning regulations, and land development regulations in the jurisdiction. I also certify that I -understand that the, regulations of .other governmental agencies may apply to the intended work; and that .it- is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: -Department of' Environmental Regulation-Cypress Bayheads; Wetiand Areas and Bn~ironmentally Sensitive Lands, Water/Wastewater Treatment . *Southwest Florida Water Management District-Wells, cypress BayheadBi Wetland Areas! Altering Watercoursea *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Depart\llent of Health & Rehabilitative Services, Environmental Health Unit-Wells, wastewater Treatment, Septic TankS . - *U;S. Environmental protecitiori Agency-~sbestos abatement r a180 certify that; if fill material is to be used in Flood Zone "AU or "Ai etc, i'; it is understood that a drainage plan addressing a "compensating 'volume" will be submitted which is prepared 'by a professional engineer registered in the State of Florida prior to permit issuance. A permit issued shall-he .conatrued-to be a licen~e to pro"eed with the work Olnd not ~s authority to violate, _can.celt alter, or set aside any proviaionlO of the techni"al codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring ,a correction of errors in plans, construction; Or violations of any code, Every permit issued shall become invalid unless the work authori~ed by such per~it is commen"ed within six montha of issuance,or if work authorized by the permit is suspended or abandonBd for fa period of six months after the tilne .the work i8 commenced. One 9() day extension of time may be allowed for the permit with fee "harge of ~15.00. The extension shall be requested in writing to 'the Building Official. . An approved inspection must be logged during each six month period, or the project ~ill be considered abandoned. , WARNING TO OWNER: YOUR :e:Al.LURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR' PAYING T~ICE FOR' IMPROVEMENTS 'roYOUR PROPERTY. IF YOU INTEND 'l'O, OBTAINFItJANCING, CONSutT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING y CE OF CO CEMENT. jOffS UNDER $2,5()O IN VALUE' DO NOT NE~D TO RECORD AND POST A ~ OTICEO C SIGNATURE; OWNER OR AGENT STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of ,by (name. of person o who is personally acknowledged i 20...- SIGNATURE: STATE OF FLORl~...... rI/"\ COUNTY OF --~ Th. e. fOrS. going in~. r~entw.aB acknowledged _ :~for~4i.,;., . r.>; Of~}-p~ i 20CQ .....,/ (name of person ~knoWled.ged) - ~no ispe~sonallyknown to me; or Owho has aclcnowledqed) known to me; - or o who has produced (type of identification) and whoO did 0 did not taks an oath. e nt ~ " MY COMMISSION # DO 17S45~ .,. OF I\~ EXPIRES: March 15. 200~' HlOO.3-NOTARY FL _NOl8Iy Setvk:e & Bonding. 1m: Signature of person taking ~cknowledgement Name typed, printed or stamped