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<br />A. NOTICE OF DEED RESTRICTIONS <br />The undersigned understands that this permit may be subject to "deed restrictions" w'cic: <br />may be more restrictive than City regulations. The undersigned assumes responsibillty tor <br />compliance with any applicable deed restrictions. <br />8, UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br />If the owner has hired a contractor or contractors to undertake work, they may be requlred <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 uncertain as to what <br />licensing requirements may apply for the intende~ work, they are advised to contact the <br />City of Zephyrhills BuildinQ Department, 813-788-6611. <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 SectionsH of this application for which the <br />will be responsible. If you, as the owner signs as the contractor, you are indicating thai <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 of 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 of "Florida's ConstructlOI! <br />lien Law _ Homeowner's Protection GuideH prepared by the Florida Department of Agrlculture <br />and Consumer Affairs. If the applicant is someone other that the "ownerH, 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 "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 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 issuance of a permit and that <br />all work will be performed to meet standards of all law8 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 ( <br />the intended work, and that it is my responsibility to identify what actions I must cake <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 />*v,s, Environmental Protection Agency-Asbestos abatement <br />I also certify that, if fill material is to be used in Flood Zone "AH or "A, etc.", lt is <br />understood that a drainage plan addressing a "compensating volume" will be submitted whi <br />is prepared by a professional enQineer registered in the State of Florida prior to perml <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 perrrut <br />issued shall become invalid unle.s the work authorized by such permit is commenced withi <br />six months of issuance, or if work authorized by the permit is suspended or abandoned fc <br />period of six months after the time the work is oommenced. One 90 day extension of timE <br />may be allowed for the permit with tee charge ot $15.00. The extension shall be request <br />in writing to the Building otticial. 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 or COMMENCEMENT. JOBS UND <br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENTH. <br /> <br /> <br />acknowledged) <br />known to me, or <br /> <br />.ArJ" ~,~ ' <br />SIGNATUR. CONTRACTOR <br /> <br />STATE OF FLORI~ ~~ <br />COUNTY OF ~ K:S <br />The foregoing i ument ~~~le~ <br />Befo m th ay 0 ' <br />by <br />~na of person acknowledged) <br />~ is personally known to me, or <br /> <br />o . <rf;~ <br />SIGNAT~: OWNER OR AGENT <br /> <br />STATE OF FLORI D~ ~ CJ <br />COUNTY OF ~ <br />The fo.regoing i trument was a~.dge~ . <br />Be~ t s day o~ ' 2~ <br />by <br /> <br /> <br /> <br />Owho has produced <br />(t <br /> <br />Owho has produced <br />( <br /> <br />Odid <br /> <br />Slgnature of person taking acknowledgement <br /> <br />of person taking acknowledgr <br /> <br />Ndlll <br /> <br /> <br />Notary P.mIIc State 01 Florida <br />6~am ed <br />