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<br />A. NOTItE OF 'DEED RESTRICTION~ <br />d h th' it y be subJect to "deed restrictionsN which <br />The und,rsigned understan stat 1S per~ ma Th ~' : d assumes responsibility for <br />may be more restrictive than city regu~at~on~. e un e~s1gne 0" <br />compliance with any applicab~e deed restr1ct10ns. <br />B. ' UNLICENSED CONTRACTORS AND CONTRACTOR R~SPONSIBILITIES <br />If the owner has hired a contractor or co~tractor5 to undertake work, they may be ~equired <br />to be licensed in accordance with stat~. and local regulations. If the contract?r 15 not <br />licensed as required by law, both the owner and contractor may be cited for,a m1sdemeanor <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 ~dyised 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(~) sign portions of the "Contractor SectionsN of this application for which they <br />will be responsible. 'If you, as the owner signs ~s the contractor, ~ou are indicating that <br />you, rather than the cQntractor, are responsible for the work. If the contractor wishes <br />you 'to sign as contractor that may be an indicat;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 CONNECTION FEES <br />o CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) <br />I'certify that I, the applicant, have been provided with a co~y of "Florida's cons~ruction <br />lien Law _ Homeowner's Protection GuideN prepared by the Flor1da Department of Agr1culture <br />and Consumer Affairs. If the applicaQt is ~o\TIeone other that.the "pwnerNj I cerity that I <br />have obtained a copy of the above qescribed document and promise in good faith to deliver <br />_it to the "ownerN prior to conunencement. <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 aone in compli.ance with all applicable laws r~gulating construction, zoning, and land <br />- development. <br />Appliqation is hereby made to obtain a permit to do ,work and installation as indicated. I <br />certify that no work or install~tion has conunenced 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 Bayhea~s, Wetlapd Areas, <br />Altering Watercourses <br />*Army Corps of Engineers-Sea~a~lsl Dock~, Navigable ~aterways <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 certif~ that, if fill material is to be used in Flood Zone "AN or "A,etc.N, 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 Shfll issuance of a permit prevent the Building Official from thereafter requiring a <br />correc ion of errors in plans, constru9tion, 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,t 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 ~fficial. An approved inspection must be logged d~ring each six <br />month period, or the project will be considered abandoned. . <br />WARNING TO OWNER: YOUE FAILURE TORE~ORD A'NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROP RTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT <br />WITH YOUR LENDER OR ~N ATTOR Y BEFORE R ORDING YOUR NOTICE OF COMMENCEMENT. JOB' ER <br />$2,500.1 ALUE DO NOT NE R CORD POST A "NOTICE OF COMMEN~ MENTN. <br /> <br />STATE OF FLORIDA . STATE OF FLORIDA <br />COUNTY OF ~ ' COUNTY Of . <br />The forego>.'n.? ins~. u n~ledged The foregoing lnst <br />~;f~~/~.~~ ..' 2~ ~;for me t is <br /> <br />__ ~ of person acknowledged) (name of person ac nowl'edged) <br />~o is personally known to me, or ~p~rsonally known to me, or <br /> <br /> <br /> <br />.-----' <br /> <br />of identification) <br />take an oath. <br /> <br />...------ <br />Dw~o 'has produced <br />(type ot identification) <br />~- not take an oath <br /> <br />Name typed, printed <br /> <br />Name typed, <br />