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<br />c;( :JD!TIo~rs OF ~'E'~'"
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<br />A . NOT I CE OF DEED F:E_~J,1
<br />The undersigned understands that this
<br />regulations. The undersigned aSSU2CS
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<br />-.:~; _ ~J7J-..2~~lj~~~
<br />'r~it 12Y be subject to 'deed restrictiDns' which may be ~ore restrictive than City
<br />'5~Dnsibility fDr cD~pliance Mith any applicable deed restrictions,
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<br />B. UNL I CENSED CONTRf~C-i ')1:;:8 .l':J::112-~Qi\IT8-"CjCTOF~ F:;:f=:_.2LPLi_~_.II-U LXLI E~~!.
<br />If the owner has hired a contractor or:Dntractors to undertake 140rk, fhe'llll,ly be ,required to be licensed ,in accc,rdance with
<br />state ilnd Joral regulatiDns. If the crntrador is not licens.l'd as r.equirrd-.by ]a\ll;- bo'th',thktl'wner~'nd cD.ntrador lIay be
<br />cited for a ..isdeleanM violation unde, state law. 1J the otmer. or intended contoctor are uncertain as to what licensino
<br />requiresents lIay apply for the intended lmrk, they are adviSEd tn c-{lntact the Citv of ZephyrhillsBuilding Department, (813)
<br />788-6611. ,
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<br />FurthermorE, if thE owner has hired a 0ntractor or contractors, he is advised to have the cDntractor(s) sign portions of the
<br />'Contractor Sections' of this applicat 3n for which they will be responsible. If you, as the Drlner sign as the contractor,
<br />you are indicating that YIlU, rather th.;) the contractor I are responsibl~ for the ,jork. If the. contractor wishes you to sign
<br />as contractor that may be an indicatiD' that he is nt<t properly licensed and is not entitled to permitting privileges in the
<br />City of Zephyrhills.
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<br />C. TPANSPORTATION HiP( ;~_T FEE? AND UTI_~UY Cm~F\IEJ"~_T_U:;~tLEEE;.2.
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<br />D. CONSTPUCTION LIEN I
<br />I certify that I, the applicant, have
<br />Guide" prEpared by the Florida Depart&'
<br />BONner', I certify that I have obtainc
<br />'ownerB prior to cOlftencement.
<br />
<br />(CHAPTER 713~ FLORIDA STATUTES, AS AMENDED)
<br />Den provided with a copy of BFlorida's Construct.ion Lien Law - Ho,eowner's Protection
<br />nt of Agriculture and Consumer Affairs. If the applicant is someone other than the
<br />a copy of the above described document and promise In good faith to deliver it to the
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<br />E. CONTPACTOR'S/OWNE~3 AFFIDAVII
<br />I certify that all the, information in his application is accurate and
<br />applicable laws regulatinq constructic, 1 zoning, and land develop~ent.
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<br />th.t all work will be done in compliance with all
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<br />Application is hereby made to obtain a permit to do work and installation as indicated, I certify that no work or
<br />installation has commenced prior to is uance of a permit and that all work will be performed to meet standards of all laws
<br />regulating construction, City codes, ,'ning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the re9 lations of other governmental agencies may apply to the intended work, and that it is
<br />IY responsibility to identify what act DOS I ~ust take to be in co~pliance. Such ageocies include but are not liIDited to:
<br />I Department of Environ~enta] Requlati 2 - Cypress Bayheads, Wetland Areas and Enyironmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />t Southwest Florida Water Manaqement D strict - Wells, Cypress Bayheads, Hetland Areas, Altering Watercourses
<br />t ArlY Corps of Enqineers - SeaHalls, 'GLKS, Navigable Waterways
<br />f Department of Health L Rehabilitati~ Services, Environmental Health Unit - Wells, Wastewater Treatment, Septic Tanks
<br />t US Environmental Protection Aqency - D=bestos abatement
<br />I also certify that, if fill material 5 to be used in Flood Zone BA" or "A,etc.", it is understood that a drainage plan
<br />addressing a Bcompensating volume' ftil be submitted which is prepared by a professional engineer registered in the state of
<br />Florida prior to per~it issuance.
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<br />A permit is~ued shall be construed to ,;e a license to proceed with the Hork and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technj~al codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br />requiring a correction of errors in pI "liS, construction, or violations of any code. Every per~it issued shall become invalid
<br />unless the work authorized by such per,it is commenced within six months of issuance, or if work authorized by the permit is
<br />suspended or abandoned for a period 01 six ~onths after the time the work is cOffimenced. One 90 day Extension of time, aay be
<br />allowed for the permit with fee charge of $15.00. The extension shall be reqUEsted in writing tD the Building Official, An
<br />approved inspection Ju~t be logged dur\ng each six IDnth period, Of the project will be considered abandoned.
<br />WARNINS TO OWNER: YOURFI\ILURE TO REC'1RD A'NOnCE OF .COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF 'loll iNTENIJ.'l"P OBTAIN FI!!NCINS, CONSULT WITH YOUR LENDER OR i\N ATTORNEY BEFORE R.CORDING YOUR NOTICE OF
<br />CmUIENCEl'IENT. '. ~OBS UtlDt:R $2,500 IN V, .UE DO NOT NEED TO RECORD ANi} POST A 'N:lTlCE OF CO;1I'1ENWIENT".
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<br />m~~pl4.. dr~~-
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<br />ST'TE DF FlD~ ST,TE OF F~o'ID~
<br />COUNTY OF ~C 0 COUNTY OF ~Q.. D
<br />The foregoing instrument w:= acknowledged The foreqoinq instrument was acknowledged
<br />bcfo~-c me this I D-~d .' I CiS ~\/ Iwfnno' m; i ,-,; s _ _10.. -:~~ ' lq~~ by
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<br />_~~~~:TP)~ ') _ J~ Q:(A~____
<br />who). s persoiJc,ll \/ '.l>nl>'l'i",,, to me.."'o'.-. ~hD h~s \o'lho i 5 ~na 11 Y; fd,own to me Dr ,'Iho has
<br />pi-o-dlJc~d ____::...'-c...::.~ produced
<br />as id~nt}ficatiof.i. and vlho [ ld/did.~2~ ,;5 identificE\
<br />take: an C~$~"" . t kE' an [I
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<br />(Name T~ped, Printed or Stmped)
<br />NOTAF:Y PUBLIC
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<br />(Name Typed, Printed
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