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<br />DEe 31' S'2 [12: 15F'r'l rrF"=;~J~.fJ~:ltl:0~-g~rU~f~F~~L:~j~, A::.r- I DA',j I T
<br />
<br />A . . NQT I CE OF: DEED RESTR r Ci~XJi'lli
<br />The u71d~nigne-d lln;Jer~t.mc5 thilt lhi~ p~:aJt ii) ~(- 1utj~Ct tD 'jl'ed resl! Lt:,H;~' I1hlCh Jay ~e S('~ rt~tnctille th~n City
<br />regul.tions, The undersigned assutes responsltllitv for cOlp!iance wi th d~Y Jrp\jcahl~ de~d re~l :li~ns,
<br />
<br />B. UNLICENSED CONTRACTORS ~J"m CONTRACTOR hE3F'ONSIBILITIE.~ \
<br />If th~ o~ner has hired a contractor or contractor5 t~ undertake "Drk, th!y .~y be r~quir~d t~ be l~rensed In accordance wIlh
<br />Statf and local regulahons-. If thf contnctor is net licen5ed as required by lilli, both the Ollner .nd contractor lay be
<br />cited for il .i5deaeanor violation under state law. If th! o~npr or inten~ed conlractor are uncert~ln as to "hat licensing
<br />requirelents lay apply for the intende'J llork, they ~Te ~dV~1iEd b contact th~ City (,f Zephyrhills ?uiidinq Depart1lmt, (813)
<br />788-6611.
<br />
<br />Q .1
<br />
<br />Furth~r.or~, if the owner has hired a contractor or contractors, he is ad,'ised to hav!! the contractor(s) sign portions of thl'
<br />.Contractor Sections" of thi~ ~pplicatian fer .hieh they Nill be responsible. If you, as the Olln~r sign as the contractor,
<br />you are indic.tinq that you, rather than the contri(t~r, are responsible fOT the Nork. If the contractor .ishes you to sign
<br />as contractor that lay be an indication that he is n~t properly licensFd ~nd is not entitled to per.itting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. IRANSPORTATION IMPACI,_EJ::~~,AND UTILITY CQJ:'itlEC-IIO~_Er=FS
<br />
<br />D. ~ONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES. AS AMENDED)
<br />I certify that I, the applicant, have been provided ~ith a cOP1 of 'FloTid~'s Construction lien la~ HD.eoNn~r's Prot@ction
<br />Guide" prepared by the Florida Departlent of Agricultur~ and ConsulPr Aff~)rs_ If the applicant l~ s~le~n~ other than the
<br />'o~ner., [ cerlify that I have cbtained a ~opy of the abDve descrihed dDCUlent and prolise in gD~d 'alth to deliver it to the
<br />'o~ner' prior to cOllencelent.
<br />
<br />E_ CONTRACTOR'S/OWNER'S AFF)D_AVtI,
<br />I certify that all ;he inforaation in this applicatIon is accurate and t!i~\ oJI W!>rk: will bf :loGe
<br />applicable laws reglll.;ting construction, zoning, 'and land o!!'lIdopa!'nL
<br />
<br />r C Ip l i a lie e If it h a J J
<br />
<br />Application is hereby lade to obtain a per.it to do Mort ind installation is indicated. I certify that nD wark or
<br />installation has cOlilenced prior to issuance of <: per.it and that all liL,;1 .:i!l bE' perfc;'Ad (c: .:_ ,t~:,dii: c< (If .]] i.;,~
<br />regul.iting construche,n, City codes, ~oning regulationsj and' land developlent regulatj(ln~ in Ire ;;,",,,,jj~tj0n, I .IH'
<br />certify that I underst<1T1d that the regulations of other governaentijl agenr;"s lay apply to the l':\fJ?d j(,'ri, and that it is
<br />Ir rfsponsibilit~ to Identify whilt actions I lust take to be in cOlpliance_ Such Agencies ~~c)ujt bc; ofe nDt li.ited to:
<br />f De-jlarh",nl of EnviiJlnlr-ntal Reoulatiorl - CYFl::s Bayhl:'aos, Wetland A~ec," dnd Envircn.ent.ll" S"'C! l <" lands,
<br />Water/wastewaier ireataent
<br />I Southwest Florida Water ~AnaQelent District - Wells, Cypress BAyheads, Wptland Areas! AlterIng Wat~rcDcrses
<br />t Arty Corns of EnQin~er5 - S~a"alls, Docks, NAvigAble WaterKays
<br />.. Deparhe>nt of Health Ir Rehabilitative Services. EOIIlfonle_ntaI ~alth_I~nl!
<br />t US Environlental Protettion AQency - AsbestDs abatelfnt
<br />I also tertify that, if fill lateri~1 is tD be used in Flood Zone 'A" Dr 'A,etc,', it is understood that a drainage plan
<br />addressing a "cDlpensatinq volul~" Mill be sublitt~d which is prepared by a professional engin~pr rfql~tered in the Statp of
<br />Florida prior to peTlit issuance,
<br />
<br />lIells, Wastewater [I,".<ttent, S!'fltlc Tanks
<br />
<br />"
<br />
<br />A per.it issued shall be construed to be a license t~ proceed with the wort And not as authority to violat~l cancel alter, or
<br />s~t aside any provisions of the t~chnic~l codes, nor shall issuance of a p~rllt prPllent the Building Official frPI thereaft~r
<br />requiring a corr~ctiDn of errors in plans, construction, or vi~latjons of any cDde. Ev~ry perlii; issued shall becole invalid
<br />unless the work authorized by such per.it is cOllented within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths aftpr the tile the Mork is eOI.enced. One 90 day extensiOn of tilP, lay he
<br />alloll!'d ,for the PUlit with fee charge I)f Sl5.00. Thl' extension shall be requ!?sbd in wrding It, the Bui lding Offici.l. An
<br />approYe~ inspection lust be logged during each six lonth period, Dr the projPct will be con5ider~d abandDned.
<br />WQRNING TO O~HER: YOUR FAILURE TO RECORD A NOlICE C~ COKKENCEMEHT HAY RESULT IN YOUR PAVING T~J(,E FOR IKPROYEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, COHSUL T WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORi:IN6 YOUR NOTICE OF
<br />COMKENCEMENT. JOBS UNDER $2,500 IN V~LUE DO NOT HEED TO RECORD AND POST A .NOTICE OF CO"HEHCE~EHT'.
<br />
<br />'*
<br />
<br />jc-rY\ C JlQ
<br />516KATURE: OWHER OR~
<br />
<br />.--
<br />
<br />SI6NATURE: CONTRACTOR
<br />
<br />
<br />~AI.N'H
<br />STATE OF, Ri~
<br />COUNTY OF but'.t;j ,~_______~
<br />The fClrr=go i ng IJ:LStrum~ was ac:kn<.,wl pdT:JFd
<br />bE:fD,e me th i s-lhl/JII- ,19 ~ by
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<br />l'ihcr is pi?rsc1na:.ly krlC>wn tel fftE'.: C' I",',r [-2).5
<br />prc,duced _____ .~_~___. ____
<br />as j dee, n ti" i '.,d. t >e' n e dOl'"
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<br />- . ~":'f;:;;i; 'R~;. ~5 1094
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<br />STATE OF flORIDA
<br />COUNTY OF _,~__
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