|
<br />CONn 1 T 1 uNS 01: PEItI',
<br />
<br />,- t- llHW 1'1
<br />
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />lhi undenigned undenhndi thit thh penH uy be iubject to 'deed rntrlctillrli" which uy be IlIrt re~tritliYe tI..1I City
<br />reguletion~. lhe undersigned iiiUI" reiponilblllty for cll.pliillce Nlth iny ippllce~le d~ed reitrictlllni.
<br />
<br />B. tJNLICENSED CONTRACTORS AND CONTRACTOR RESpONSl~'LITI~S
<br />
<br />If the IINner hiS hired i ellntrictor or contrictorl ,. undertik. "ork.. thlY liY be required tll bl liceni,d in iccordince with
<br />s'.'. and 10Cil requlatillns, If 'he contractor il no' llcen.ed a. requil5d by liNt both thl ONner ind cllntrac\lIr aay be
<br />cited for i liideleanllr violation under itate li~. If \hl IINner'lIr Intended contriC'lIr ire uncertain a. tll wh.t li'el~ln~
<br />requirelents lay apply fllr the intended Nor~. they Ir. Idviied to clIntic' t~} City of lephyrhills 8ulldin9 Depirt.er.t. 18111
<br />1BB-bU I.
<br />
<br />Fur\herlore, If the IINner hiS hired i contrictor or contrictori. he Ii idvlied t~ hav, the cllntrictllrli) ii9n portillni III tl,e
<br />'Contrictor Sections' of \hi. applicitlon fllr "hleb they .,ill be resplInslble. If YIIU, i' the IINner .ign i. th, '1I"'r.c~lIrl
<br />you ire i~dicitin9 thit YIlU, rilher thin 'he 'IIntrictor, ire reipllnsible 'IIr 'he NlIrk. If the cllntrictllr Nishe. Yllu III ~I~II
<br />is cllntrietllr that liY be in indicition that he il not prllperlv licensed ind i. not entitled to perlitting privilegrs ih ll,r
<br />City IIf Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, F~ORIDA STATUTES, AS AMENDED)
<br />
<br />1 certify thit I, the applicint, hive been provided NI'h,a copy of 'florida', Conltructllln ~ien LiM - HII.eIlMner'. Prllltclillll
<br />Guide' prepared by thl florida Departllnt of Agricultur. And Coniullr Affiira. If the ipp'Icint Ii i~allln. ~'~Ir '~in 111M
<br />'lIwner', I tlr'ify t~at I hive IIbtiined a CIlPy of thl ab~vl described dllcuaen' And pr~.li' iA g~od fiith to dMllver Il lu II,~
<br />'~Mn~r' pri~r to co.aenceaenl.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify lhal ill the infllrlalilln in thil ipplici\l~n II iccurile and that ill Mllrk Nill be dllne in c~.pliance Mith .11
<br />applicable laNs requlilin9 c~nstructi~n, z~nin9, ind l~nd dtveloplenl,
<br />
<br />Application i, hereby lade to ~btain a perlit to do Nork and instill.tion ii indicited. I certift Ihit nil w~rk or
<br />Installation hiS coalenced pr.illr to iSSUince of . perlit and that all ~lIrk Mitl be perforltd tll leet stindalds III ill I.w~
<br />regulating cons'ru,lion, City c6~es, l~ning regulation,. ind land dev.lllpl.n\ regul.tion, In t~e juri.dictilln, I .Is~
<br />certify that:lunderit.nd thit th. regulatillnl of ,ther gllvernlentil ag.r~ie. liy ipply tll 'h. inttnded wlIrk. and l~.l il i~
<br />IY responsibility to identify Mh.t aclions I IU.t hh h be in CUpliillC', Such i9trlC~" iltclude tllll .Ie 11111 Illiltd I[d
<br />
<br />~
<br />
<br />. Departlent of Environlent.1 ReQula'\lIn - Cypre'5 Biyhead" Wetland Arei' and Envlronlent.lly Stnsilit, I,>>ds,
<br />Water/Wiit.~atf' lreatlent
<br />. SlIulhwe5' Florida Witer "inaqelent Dis\rltl . Welli. Cypress 8iyheidl, Wetl.nd Areil, Altiring WatercourstS
<br />. Bray Corps of Enqineera - SliWilli, D~cki, Navigabll W."r~'Yi
<br />. Dep.rt.ent of Health L Rehabilitative Service.. ~nvironlen,.l Health Unit - Weill, Waite~ater lreallent. Septic links
<br />. ys ["yirlln'."'il Pr~l.c'ion Aqency - A.bestoi ibiteaent
<br />
<br />I .150 certify that, if fill laterial ii to be uied In Flood Zone 'A' Dr 'A.etc.', i\ ii under stolid 111.1 i dl"iinage plall
<br />iddre.sinq a 'c6aptns.'inq v~luae' ~itl be sublitt.d Nhich ii prepared by i profe"i~nal ehgihter re~151tic~' in lllM 51.Ie ~,
<br />Floridi prillr to perlit issuance. I
<br />
<br />,I
<br />.
<br />
<br />,
<br />A perlit ISlued shall be construed to be a llc.nl. to proceed Nith thl Mllr. and not aa iuth~rity tll yi~lale. canctl illlr I vi
<br />set aside any provisillns of the technical clldei, nor ihall iSluanc, of a perllt prevent the Building Ufficiil Iro. there.'Ill
<br />requirln9 a cllrrtdilln of IlrOfi in phns, con"nlc\1on. or violetillol {If iny HId,. Every perait i55UL!~ ~I..ll becllle ill'lid id
<br />unleu the ~ork authllrized by such penH h collenced ""hin il. lon'bs of iuuantt, ~r if NIII k .ulllll.lZc~ by 'he ~eral t I~
<br />suspended or abandoned f~r i period of iix I~nth, ifttr 'he ti.e the wlIrk ii C~I.en'ed. Dlle ~O dit ~~I~ni'oll of l~.tl .it ~~
<br />i1l1l1wed for '~e"penit Mith he chuge IIf U~.OO. lh. exhnilon Iihilll be requlsted In ~ri\in9 \II t~u 8uildill9 Dffici.1. f'l,
<br />ipproved inspectilln IUlit be logged during eich il. IlIn\h period, or the prllject Nill ~. considered _b~l~olttd.
<br />
<br />WARNING TO OWNERs YOUR FAILURE TO RECORD A NOTICE OF COMMEHCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PRdRERIY. IF YulJ
<br />. INTEND TO OBTAiN" FINANCING, CONSULT WITH YOUR LENDER OR AN AI1'OANEY
<br />BEFORE RECORDING YOUR'NOTICE OF COMMENCEMENT. JOBS UNDER $8,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "r;OT ICE OF COMMENCEMENT".
<br />
<br />
<br />M SIGNATURE_. ~~_.lLLfi.~"~.:.d..----- 6IGNATURE_____~~_____
<br />, ~;:::?- O~NER OR AGENT ~~ .~~ CONTRACTOR p~a~ ~
<br />
<br />I DATE jL~~~~~2L--------_-__-------- DATE_ _____.IJ_~~~_~~~______________
<br />--------- ~
<br />
<br />NOTARY AS TO -1/ -' /J Il , 1/
<br />OWNER OR AGENT__~-(J~~-
<br />'h A 7 J.I ~IZ"A.J ::j';. 131< C'l..<J N
<br />MY COMMISSION EXPIRES
<br />i . KATHLEEN J.1IIlO'MI
<br />Stateof,=_
<br />~~"\ Ltt~~~..
<br />
<br />NOTARY AS TO~' . ~ ~
<br />CONTRACTOR___~_ 0..;_ -rZ __:..!:""< _ .
<br />f<1f71ru;e:.AJV J; &-;;:;:.t;J
<br />MY COMMISSIO X ES
<br />1l"i- KA THLEEN J. BROWN
<br />toll '6 IAo State of FIorfda
<br />.., c:onn. t.
<br />
<br />
|