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<br />A.' NOTI~E OF DEED RESTRICTIONS
<br />Th~ undersigned understands that this p~rmit may be subject to "de~d restri~tionsN which
<br />may be more restiictive, 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 contr~Ftors to undertake work, 'they may be required
<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 maybe cited for a misdemea~or
<br />violation under s~at~ law. If the owner or intended contractor ar~ uncertain as to what
<br />licensing requirements may apply for the intended w'ork, 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.rtions of the "Gontractor Sections" of this application for which they
<br />will be responsible. If ytiu,' 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 contract?r 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" TRANSPORTATIbN IMPACT FEES AND UTILITY CONNECTI,ON FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STA~tiTES, AS AMENDED)
<br />I certify that I, the applicant, hay~ b.een provided with a copy 'of "Florida;s Construction
<br />lien Daw _ Homeowner's ,Protection Guide" prepared by the Florida Department ot 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 compli~nce with .all applicable laws regUlating construction; zoning; and land
<br />I development. ' "
<br />Appliqation is hereby made to obtain a permit to do work and installation as indicated. I i
<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 sta~dards of all laws regulating construction; City
<br />codes, zoning regulations, and land developmerit regulations in the jurisdiction. I also I
<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 t~
<br />be in compliance. Such agencies include but a~e not limited to: *Department of I
<br />Environmental Regulation-Cypress Hayheads, wetland Areas and Environmentally Sensitive !
<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 Protectiori Agency-Asbestos abatement
<br />I also certify that, if fill material is. to be used in Flo~d Zone "A" or "A, etc. ,1 t it is i
<br />understood that a drainage plan addressing a;:'compensa,ting volume" will be submitted which i
<br />is prepared by a professional engineer registered in the State of Florida prior to permit :
<br />, ~
<br />l.ssuance.
<br />A permit issued shall.be ,construed'~o be a license to proceed with the work ~nd 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, qonstruction, or violations of any code. Every permit ,
<br />issued shall become invalid unless the work authorized by such permit is commenced within i
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned for l~
<br />period of six months after the time. the work is commenced. One 90 day extension of time
<br />may he allowed for the permit with fee charge of $15.00. The extendon .hall 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 ~OYOUR PROPERTY. IF YOU INTEND TO,OBTAIN FINANCING; CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOT+CE OF COMMENCEMENT. JOBS UNDER
<br />$2 500 IN VALUE DO NOT NEED TO RECORD 'AND POST A 'INOJICE OF COMMENCEMENTu._
<br />
<br />
<br />SI~NATURE' ONNER OR AGENT ~IC{k(~4~!1zfo:~
<br />
<br />
<br />STATE OF FLORIDA ().,,~/\
<br />COUNTY OF r-~~D
<br />The foregoing instrument wa~l~~Jowl.edge~
<br />Befor~..me\ this f6;} lV\day of :nVl..A., 2~_
<br />by ~,\\j.r.e (t- ~ Q -
<br />~ (name of persor acknowledged)
<br />ynnu is personally known to me; or
<br />/,'
<br />o who has produced .
<br />~type of identification)
<br />Od' <~\dnot; take an oath
<br />
<br />"
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this _ day of
<br />by
<br />
<br />acknowledged
<br />, 2~
<br />
<br />(name' of person acknowledged)
<br />Owho is personally known to me, 'or
<br />
<br />DWho has produced
<br />(type
<br />and whoD did D did not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />
<br />.,
<br />
<br />Name typed; printed
<br />
<br />taking acknowledgment
<br />KIMBERLY A. HILLEN
<br />~'STATEOF FLORIOI'
<br />SION #I e~a51e
<br />or ~Q\)f2712007
<br />BONDED THRU 1.688-NOTARY1
<br />
<br />Signature of person taking a~knowledgement
<br />
<br />Name typed, printed or stamped
<br />
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