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<br />A. NOTICE OF DEED RESTRICTIONS <br />Tha undersigned understands that this permit may be su~ject to "deed restriction~H which <br />may be more restrictive than city regulations. The unde~signed assumes responsibility for <br />compliance with any applicab~e deed re'strictions. <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES , . <br />If the owner has hired a contractor or co~tractors to undertake work, they may be requ1red <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 uncerta1n as to what <br />licensing requirements may apply for the intended work, they are 9dvised 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 "Contractor SectionsH of this application for which they <br />will be responsible. If you, as the owner signs as the contractor, you are indicating that <br />you, ~ather than the contractor, are responsible for the wor~. If the contra~tor wishes , <br />you'to sign as contractor that may be an indica~ion that he 1S not properly 11censed and 1S <br />not entitled to permitting privileges in the City of Zephyrhil1s. <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, have been provided with a copy of "Florida's Construction <br />lien Law - Homeowner's Protection' GuideH prepared by the Florida Department of Agriculture <br />and Consumer Affairs. If the applicant is ~o~eone other that.the "pwnerH; I cerify that I <br />have obtained a copy of the above qescribed document and promise in good faith to deliver <br />.it to the "ownerH 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.ance with all applicable laws regulating construction, zoning, and land <br />. development. <br />Appli~ation is hereby made to obtain a permit to do .work and installation as indicated. I <br />certify that no work or install~tion has commenced prior to issuance of a permit and that <br />all work will 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 th~t th~ regulations of other governmental agencies may apply .to <br />the intended work, and that it is my responsioility 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, Wetland Areas and Environmentally Sensitive <br />Lands, Water/Wastewater Treatment <br />*Southwest Florida Water Management District-Wells, CYP!ess Bayheads, Wet1ard Areas, <br />Altering Watercourses <br />*Army Corps of Engineers-Sea~a~ls, Dock~, Navigable ~aterways <br />*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, <br />Wastewater Treatment, Septic Tanks <br />*U.8. Environmental Protection Agency-Asbestos abatement <br />I also certif~ that, if fill material is to be used in Flood Zone "AH or "A,etc.H, it is <br />understood that a drainage plan addressing a "compensating vo1umeH 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 Shfll issuance of a permit prevent the Building Official from thereafter requiring a <br />correc ion 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 t~me the work is commenced. On~ 90 day extension o.f 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 consid~red abandoned. ' . <br />WARNING TO OWNER: YOUR FAILURE TO RE~ORD 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 ~N 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 /> <br /> <br />"- <br />STATE OF FLORIDA STATE OF FLORIDA <br />COUNTY OF COUNTY Of <br />The foregoi~g ins~nt~cknoWledg:~_____The foregoing inst <br /> <br />~;f~t,~~_~re:~ ' 2~. ~;for me t is <br /> <br />~. of person i'lcknowledged) (na!l'e of person ac now1edged) <br />~o is personally known to me, or ~personally known to me, or <br /> <br /> <br />acknowledged <br />, 200r- <br /> <br />O-Who has produced <br />(type <br />and ~d not <br /> <br />---- <br /> <br />of identification) <br />ta e an oath. <br /> <br />OWQo 'has produced <br />(type ot identification) <br />~ not ake an oath <br />r1 <br /> <br />---- <br /> <br />Name typed, <br /> <br />person t king acknowledgement <br />Cii Angela ~ <br />· . My CommlHIon DD1~ <br />print ~aa.2007 <br /> <br /> <br />Name typed, <br /> <br />