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<br />SON.' L~lNS O;~ P;:-.f"":i'1I"'. r4FF:L;),"l\IIT
<br />A. NOTICE qr DEED REST 'Tl'.":'..NS
<br />The undersigned understands that this per~i, ~Q! Je subj~ct to "d2ed restrictions" which lay be lore restrictive than C~ty
<br />regulations. The undersigned assu.es responsibi ,~ly for cc,lp!i.;!nCfi with any applicable deed restrictions.
<br />
<br />B. UNL I CENSED CO NT ~ACTOnS Ar!k.. !;:ONTRW:':-OR RESPONS.:. B I LIT I EE-
<br />If the C!wnl!r has hired a contractor or ttl1triicto.. to undl!rta~~ lOl'Tk, they lay be required to be licensed in accordance Ilith
<br />state and local regulations. If the c&M'factcr ~s ,00\, ,I icens!: , i~ :equir!:'d by lall, both the ollner ai;~ contrador lay be
<br />cited for a lisdueanor violation under statP. ).111. If the Ollner." iiltended contractor are uncertain as to what licensing
<br />requirelents lay apply fi)r thE intendl'd t:',r~, th~1" "ie i\dvi~el ':1. (ontad ~:le Citj' (if L€!lhyrhills Building Deparhent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the ollner has hi~ed a contracto: ~r c~ntractor5, he is advised to have' the contractorls} sign portions of the
<br />'Contract~r Sections' cf ,his appliration fDr whj:~ th~y wi;~ h~ fe5ponsible. If YOti; as the ollner sign as the contractor,
<br />you are indicating that you, rathEr than the contractor, are responsible for the 1I0rk. . If the contractor wishes you to sign
<br />as contractor that aay be an indi~ati.on th~t he IS nl>t praperly :icensed and is not entitled i.o perlitting privill'gl's in"thl'
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION L'1PAST FEES AN:;) ,-~T:.L-:.ITY CONNECTION FEES.
<br />
<br />D. CONSTRUCTION LIEN LAH (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have bee~ pr~vijej ~ith a copy of 'Florida's Construction Lien Law - HOleONner's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture alid CJllsul'l'r A~fairs. If the applicant is sOleone other than the
<br />'owner", I certify that I have obtained a copy of the abOVE described docuaent and prolise in good faith to deliver it to the
<br />'owner' prior to cOIsencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this applicat;on is accurate and that all work lIill be done in co.pliance Nith all
<br />applicable laws regulating constructionj zoning, and land develop,ent.
<br />
<br />Application is hereby lade to obtain a perlit to f, ~ork and itstal1ation ~s indicated. I certify that no work or
<br />installation has coslenced prior to iss"uDce of J per.i~ and that ;11 ~or~ Hill bt perforled to leet standards of ail laws
<br />regulating construction, City codes, zonjll~ regulations, and !aLd deieloplent regulaticns in the jurisdiction. I also
<br />certify that I understand that the regu:a.ions of other gOVl'r,,~frtal agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actiolis T IUS~ take ~o b~ in cOlpliance. Such agencies include but are not liaited to:
<br />f Departsent of Environlental ReQulado'i .. CYf/feo;; Bayhead:>, ',,,1 iand Areas and Environlentall y Sensi ti 'Ie Lands I
<br />\Ia~f'r !!iastewatE'" ;, ,~tllent
<br />f Southwest Florida Water "anaQelent District - ~el!~, CYPi'~S~ B~yheads, Wetland Areas, Altering Watercourses
<br />f Arsy Corps of EnQineers - Seawalls, Docks, Naviga)le Water"~'s
<br />f Departlent of Health L Rehabilitativl' Services. Envi~onlental~ ~EL~th Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection AQency - A'Destos abat~lent
<br />I also certify tha., if fill lateriai is ~u be used in FIDed Zu~~ "~I" or "A,etc " it is underst,od that a draina~f plan
<br />addressing a 'compensating voluse' will te ';ubilitted whirh is I)re~~ 'o,d by a professionalenginel'r registered in ,he state of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license tc proceea ~ith the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in rlans, construction, or violatior.s of any code. Every pertit issued shall becole invalid
<br />unless the work authorized by such peni t is '.~liIenced within six lonths of issuanc!!, or if work authorized by the perlit is
<br />suspend!!d or abandoned for a p!!riod of six sonth~ after the tile ~~e work is cOII!!nced. One 90 day extension of tile, tay be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approv!!d inspection .ust be logged durin~ e2ch ~~x lon~h period, uf \he project will be considl'rl'd abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORO A NOTI~~ OF Lill1MEHCE"EMI ~AY RESULT IN YOUR PAYING TWICE FOR IKPROVEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORIHN6 YOUR NOTICE OF
<br />CO""ENCE"EnT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKKENrEKENT'.
<br />
<br />~1 / (l //~1 "J
<br />.__, LI ./.~)(:.1 / , I~. s..--.~p "~---,
<br />SI&NATURE; . CONTR CTOR
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Pasco
<br />The foregoing instrument
<br />before me this 11/30
<br />
<br />WL\~: c =~~notjJ.edged
<br />, 1t! .-<l2... by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Pasco
<br />Th~ furegoing instrument
<br />befJre me this 11/30
<br />
<br />was acknc1wledged
<br />, 19...2.L- by
<br />
<br />W. A. Neumann
<br />who is personally known to me ~r who has
<br />produced ------------------------
<br />
<br />as identification no~
<br />take
<br />
<br />W. A. Neumann
<br />who is personally known to me or who has
<br />pr:.duced
<br />as identification did not
<br />
<br />ta~~
<br />
<br />(Slgnatw-e)
<br />MARY H. RAY
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />
<br />(Signature)
<br />MARY H. RAY
<br />(Name Typed, Printed or Stamped)
<br />~OTARY PUBLIC
<br />
<br />CD MARYH.RAY
<br />: Il'lCOUMISSION' cc 1884121!lCP1RU
<br />"'~ December 14, 1895
<br />"'~'1IClNDEl) tJlRU TROY FAIN 1N8UIWICI!.1NC.
<br />
<br />CD, MARY H. RAY
<br />. UYCOMMISSION , CC 1884121!lCP1RU
<br />Dace~r14.1995
<br />. 8ClNDED THRU TROY FAIN lN8UIWICI!.lNC.
<br />
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