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<br />A, NOTICE OF DEED RESTRICTIONS <br /> <br />The undersigned understands that this permit may be subject to "deed restrictions" WhlCh <br />may be more restrictive than City regulations. The undersigned assumes responsibility for <br />compliance with any applicable deed restrictions. <br />B, UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br />If the owner has hired a contractor or contractors to undertake work, they may be requlreu <br />to be licensed in accordance with state and local regulations. If the contr~ctor 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 uncertain as to what <br />licensing requirements may apply for the intende~ work, they are advised to contact the <br />City of Zephyrhills Building Department, 813-766-6611. <br />Furthermore, if the owner has hired a contractor or contractors, h, is advised to have the <br />contractor(s) sign portions of the "Contractor Sections" of this application for which the' <br />will be responsible. If you, as the owner signs as the contractor, you are indicating tha <br />you, rather than the contractor, are responsible for the work. If the contractor Wlshes <br />you to sign as contractor that may be an indication that he is not properly licensed and 1 <br />not entitled to permitting privileges in the City ot Zephyrhills. <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 ot "Florida's Constructlorl <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 compliance with all applicable laws regulating construction, zoning, and land <br />development, <br />Application is hereby made to obtain a permit to do work and installation as indicated, <br />certify that no work or installation has commenced prior to i.suance 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 that the regulations of other governmental agencies may apply t <br />the intended work, and that it is my responsibility to identity what actions I must ~ake <br />be in compliance. Such agencies include but are not limited to: *Department of <br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitlve <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 Protection Agency-Asbestos abatement <br />I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc,U, it is <br />understood that a drainage plan addressing a "compensating volume" will be submitted whic <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 shall issuance of a permit prevent the Building Official from thereafter ~equiring a <br />correction of errors in plans, construction, or violations of any code. Every permit <br />issued shall become invalid unle.. the work authorized by such permit is commenced withl <br />six months of issuance, or it work authorized by the permit is suspended or abandoned fa <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 extension shall be request <br />in writing to the Building Ofticial. An approved inspection must be logged during each <br />month period, or the project will be considered ~bandoned. <br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CON: <br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT, JOBS UNDE <br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". <br /> <br /> <br />;Jr1k d1 8~ <br /> <br />SIGNATURE~NER OR AGENT SIGNAT~ CONTRACTOR <br /> <br />STAT< OF FLORIDA\t:, =:":: ,<, STATE OF FLORIDA (~~ ::::--, <br />COUNTY OF ~ ~ COUNTY OF --- ----- <br />The foregoing i strument was ac~~ledged The foregoing <br />Bef re e t day of~\\::.D, 20~~ Bet e me thi <br />by by <br />~ame f person acknowledged) ~am f person acknowledged) <br />~ho is personally known to me, or ~ is personally known to me, or <br /> <br /> <br />trument ~~le~ <br />a of ' <br /> <br />~.,--- <br /> <br /> <br />of identification) <br />take an oath. <br /> <br />Dwho has produced <br />(ty <br /> <br />whoO did <br /> <br />Slgnature of <br /> <br />taking' acknowledgement <br /> <br />of person taking acknowledgm <br />Notary Public State of Florida <br /> <br />Name t <br /> <br />Name t <br />