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<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subject to "deed restrictions" ~nich
<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 />t.<?;. l[e ,l.i,censect.,in accordance with state and local regulations. I f the contractor is not
<br />licensed as' required by law, both the owner and contract'Or ,may be cit.ed for a misdemeanor
<br />v'iolation under state law. If the ovvner or intended contractor are uncertain as to '",hat
<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 portions of the "Con'tr?ctor Sectioo.s." of this, app..lica.tion for which they
<br />will be responsible. If you, as the owner signs as' tn~ '~ontra.ctor,y6uare. 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 STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's 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", I cerify tllat 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 informatior): hr this. 'ap.glic.ati'Glh .~\s act:urat\e and that all work will
<br />be done in compliance with all applicable laws regulating construction, zoning, and land
<br />development.
<br />Application is llereby 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 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 to
<br />the intended work, and that it is my responsibility to identify what actions 1 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, 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.", 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 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 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 [or a
<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 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 COMMENCE~1ENT 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 NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />~~ g ~ (l 5kLvcu
<br />SIG~~,;;;;I OWNER OR AG^;!;-
<br />
<br />S, TATE OF FLORI:DA.J\ j. ~A ~ "')':I~'
<br />"~q~t11;y..,dF . . '; tQ;)L.V
<br />The foregoing instrument wa"l acknowledged
<br />BefoD=- me thit3 0.J-h dq.y ofL\jOU. , 20.Qb
<br />by U 1vt h '{I rl. ~--;r-'" 'S 116 U- pe...-
<br />(name of person acknowledged)
<br />Dwho is personally known to me, or
<br />
<br />~ who has produced pi "])r-i vel'S' !vIe
<br />(type of identification)
<br />an'b;hODdld ~didi)~
<br />
<br />Signa~nn ta,inn '<1. . "'ement
<br />CAROLYN [)RISI(EU.
<br />MY C(JtAMISSION 4 00 254'315
<br />Name typed, ~ iW.~_tS
<br />
<br />~nL~D~
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />8. Sc'D
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />Before fie ~iS ~d~ of je J , 2rfJJ2
<br />by K'A-{ .er-/L ~()U 12-
<br />(name of person acknowledged)
<br />DIho is personally known t,o me, oJ'
<br />
<br />~ who has produced.tl ])h vex> I C
<br />(type of identification)
<br />
<br />and~'~~
<br />
<br />Signature of person taking acknowledgment
<br />
<br />
<br />Name typed,
<br />
<br />
<br />CAROLYN DRISKELL
<br />KXmR~~,2007
<br />tlQ<lde<lThru Nolory POOIic ~
<br />
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