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A.' NOTI~E OF DEED RESTRICTIONS Th~ undersigned understands that this permit may be subject to "deed restrictions" which may be more restrictive than' City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSiBILITIES If the owner. has hired a contractor or contr~Ftors to undertake work, . they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may' be cited for a misdemea~or violation under s~ate law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the city of Zephyrhills Building Department, 813-780-0020. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign po~tions of the "Gohtractor. Sections" of this ~pplication for which they will be tesponsible. If yOn,. os the owner eigns as the contractor, ~ou are indicating ~hat you, rather than the contractor, are responsible for the work. .If the contractor wishes you to sign as contract?r that may be an indica~ion that he is not properly' licensed and is not entitled to permitting privileges in the City of Zephyrhills. C.. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTI.oN FEES . D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STA~UTES,' AS AMENDED) I certify that I, the applicant, hay~ been provided with a' copy'of "Floridats Construction lien Daw _ Homeowner's.protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "owner"t I cerify that I have obtained a copy of the above d~scribed document and promise in good faith to deliver it to the "owner;' prior to commencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIt I certify that all the information in this application'is accurate and that all work will be done in compliance with .all applicable laws regulating construction, zoningt and land I development. . Appll~ation is hereby made to obtain a' permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work wiil be performed to meet standards of all laws regulating constructiont City codes~ 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 be in compliance. Such agencies include but a~e not limited to: *Department of Environmental Regulation-Cypress Bayheads, wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment . *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wellst Wastewater Treatment, Septic ~anks . *U.S. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in FloC?d Zone "A" or "A, etc. "; i't is understood that a drainage plan addre.sing a"'compensa.ting volume" will be submitted which is prepared by a professional engineer regis~ered in the state of Florida prior to permit . ~ J.ssuance. A permit issued shall.be.construed.to be a license to proceed with the work and not ., authority to viol.te, .cancel, alter, or set aside any provisions of the technical codes, nor shall issuarice of a permit prevent the Building Official from thereafter requiring · correction of errors in plans, construc~ion, or violations of any code. EverY permit issued shall become invalid unles. the work authorizedhy such permit is commenced within six months of issuance, or if work authorized by the permit is suspended or ahandou.d for psriod of six months aftsr the time. the work is cOmmenced. One 90 day extension of tims may be allowed for the permit with tes charge of $15.00. The .xtension shall he requssted' in writing to .the Building Official. An approved inspection must be logged during each six month period, or the p~Dj~ct will be cbnsidered abandoned. .' . WARNING TO OWNER' YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR , PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOO INTENO TO.UBTAIN FINANCING, CONSULT WITH YOUR LENO~R OR AN ATTORNEY BEFORE RECORDINGYOORNOTICE UF COMMENCEMENT. JOBS UNOER $2,500 IN VALUE 00 NOT NEED TO RECORUANO POST A "NOTICE OF CoMMENCEMENT". SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT acknowledged 2CL- STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me. this ~day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this_____ day of by acknowledged '-,20_ (name' of person acknowledged) Owho is personally known to me, 'or (name of persor acknowledged) [1ho is personally known to me, or OWho has produced (type and whoO did 0 did not of identification) take an oath. o who has produced (type of identification) and who Odid Q:iidnot take an oath Signature of person taking acknowledgment Signature of person taking a~knowledgement " Name typed, printed or stamped Name typed, printed or stamped