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<br />A. NOTI~E OF DEED RESTRICTIONS <br />Th~ undersigned understands that this permit may be subject to "deed restrictions" which <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 required <br />to b~ licensed in accordance with state and t~cal regulation~. 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 intended work, they are advised 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 po~tions of the "Gontractor Sections" of this ~pplication for which they <br />will be responsible. II you, as the owner signs as the contractor, ydu are indicating that <br />you, rather than the contractor, are responsible for the work. ,If the contractor wishes <br />you to sign as contractor that may be an indication 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 />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STA'rUTESrAS AMENDED) <br />I certify that I, the applicant, haye been provided with a copy of "Floridars Construction <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"r 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 />Appliqation is hereby made to obtain a permit to do work and installation as indicated. I <br />certify that no work or installation has commenced prior to issuance of a permit and that <br />all work wiil 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 to <br />the intended work, and that it is my responsibility 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, Wetiand Areas and Environmentally Sensitive <br />Lands, water/Wastewater Treatment <br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areasr <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 thatr if fill material is to be used in Flood Zone "A" or "A,atc.", it is <br />understood that a drainage plan addressing a "compensating volume" will be submitted which <br />is prepared by a pro<essional engineer registered in the state of Florida prior ~o 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 requiring a <br />correction of errors in plans, construction, or violations of any code. Every permit <br />issued sball become inv,'id unless the work authorized by auch permit is commenced within <br />six montba of issuance, or if work authorized by the permit is suapended or abandoned for'a <br />period of aix months after the time. the work is commenced. One 90 day extenaion of time <br />may be allowed for the permit with fee charge of $15.00. The extension shall be requested <br />in writing to.the Building Official. An approved inspection must be logged during each six <br />month period, or the project will be considered abandoned. , <br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF you INTEND TO OBTAIN FINANCING, CONSULT <br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTIC OF COMMENCEMENT. JOBS UNDER <br />~$.2: 500 IN VALUE DO ;OT NEED TO RECORD AND POST A "NOTICE COMME EMENT". <br /> <br /> <br />~, ()--L c\ J.A \ ~A I\Sl E AlJL, ~ft- <br />SI TURE: OWNER OR AGENT \ <br /> <br />STATE OF FLORIDA j) <br />COUNTY OF ~C~ <br />The foregoing instrument wa~ acknqwledged - <br />Before frrie ,this~ .~_daLof J)(l('~ . 20t9~ <br />by . /SJj~~ ~~ . <br />(name' of person acknowledged)' . <br />t!Lwho is personallY J~o~n :; mD ~~r3/)(,t - <br /> <br />~o has produced Lf1()./)( .tAll ': ~Ol. -$5'~ - 2:l <br />(type of identification) <br /> <br />an~O~::l1:':ke an oath. <br /> <br />Signature of person taking acknowledgement <br /> <br /> <br />~OUNTY OF ~ :'. C. 0 <br />The foregoing instrument wa.~c~Wledg~d <br />Before mUh!~ 2Jt-r1ay of-t / ,200" <br />by ,~t:)~l"\.f'r <br />__~ (name of person acknowledged) <br />~o is personally known to me, or <br /> <br />Owho has produced <br />~ (type of identification) <br />and who rJd.tf;! D:iid not take an oath <br /> <br /> <br />on taking acknowledgment <br /> <br />~ <br /> <br />Name typedr <br /> <br />uth 0 fonester' <br />pri .~ Gelb~ao1384 <br />:~::_ " J EX"'"'s August 01 2006 <br />>t o. ,..CT ......- , <br /> <br /> <br />Name <br /> <br />t~ prtl)"~~y.&fampE,d <br /> <br />-i...1' MY COMMISSION II DD469llM <br />~.,~" EXPIRES: Sept. 8. 2009 <br />(407) ~153 Florida Notary 5arYIca.com <br />