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<br />CONDI"'.:C~,\IS OF F'C~;:i'i:rT AFr=I~.'(l'';JT
<br />A". NOTICE OF DEED F:ESTRICTI ]~~,::;.
<br />The undersigned understands that this per.it ~ay be suLJect t[ 'd~Md restrictions' which ~ay be ~ore reslrictive than Cit~
<br />regulations. The unQersigned aSSURes responsibility for compl"knce with uny applicable de~d restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESF'QNql8ILITIEB.
<br />If the owner has hired a contractor or contracto~s to undertake Mork, they ~ay be required to be licensed in accordance with
<br />state and local regulations. If tl,';' coTit'ra!:toT is not' ., ;censed as required by law, both the c,wner and contractor lIay be
<br />cited for a lisdeleanor violation under state law. If the o~r"r or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they :-~ tidvised to contact the City nf ZephyrhiIls Building Department, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contr1~tur or contractors. o~ is advised to have the contractor(s) sign portions of the
<br />'Contractor "Sections' of this application jor which they Hill be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that may be an indication that tie is not properly licensed and is not entitled to per~itting privil~ges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 712, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a co~y of 'Florida's Construction Lien Law - HOleowner's Protection
<br />Guide' prepared by the Florida Departaent of ~griculture tird ronsu.er Affairs. if the applicant is so.~one other than the
<br />'oNner', I certify that I have obtained a ropy of the above described document and promise in good faith to deliver it te, the
<br />'owner' prior to cOI.encelent~
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application isa,cclJraJe_,and that all work will be done in cOlpliance with ,all
<br />applicable laws regulating construction, zoning,'aild land deve.opllenL
<br />
<br />Application is hereby lade to obtain a perl it to do Mork and installation as indicated. r certify that no work or
<br />installation has cOllenced prior to issuance of" a perlit and that all Hork will be performed to Je~t standards of all laws
<br />regulating construction, City codes, zoning regulations, and ,l~nd developlent r~gulations in the jurisdiction. r also
<br />certify that I understand that the regulaticns or other governmental agencies may apply to the intended Hork, and that it is
<br />IY responsibility to identify what actions I must take to be in cODpliance. Such agencies include but are not Ii.ited to:
<br />, Depart_ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environ~entaIly SensitiVE! Lands,
<br />"Water/Wastewater Treatment
<br />, Southwest Florida Water ManaQeaent District - Wells! Cypress Fayheads, Hetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways .
<br />, Departeent of Health ~ Rehabilitative Services, Environmental Health Unit - ~ells, Hast~water Treataent, Septic Tanks
<br />f US Environ_ental Protection AQency - Asbestos abatement
<br />I also certify that, if fill laterial is to b~ used in Flood Zone 'A' or 'A,etc,', it is understood that a drainage plan
<br />addressing a 'compensating volume' Mill be subBit.~d whicb_is pr~~ared by a professional engineer registered in the State of
<br />Florida prior to pereit issuance.
<br />
<br />A perlit issued shall be construed to be a jicense to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical code. nor shall iS5~ance of a perlit prevent the Building Official froD thereafter
<br />requiring a correction of errors in plans, cDDst-uction, Dr violations of any code, Every per~it issued shall becole invalid
<br />unless the work authorized by such permit is c~~~enced within six months of issuance, or if work authDrized by the permit is
<br />suspended or abandoned fDr a period of six ~ont~s after the tise the work is com~enced. One 90 day extension of tiQe, lay be
<br />allowed for the perait with fee charge of fl5.00: The extension shall be requested in writing to the Building Official. An
<br />approved ~nspection Qust be logged during each six ~orth perio~, 0r the project Hill be considered abandoned.
<br />~ARHING TO OWNER: ytlUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR rAVING TWICE FOR IMPROYEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT HITH YO::" LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COKKENCEKEHT. JOBS UNDER $2,500 IN VALUE DO HOT NEED TO RE~ORD AND POST A "NOTICE OF COMMENCEMENT'.
<br />
<br />tJ~&'--J~
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />_ d~~~~
<br />SIGNATURE: CONTRACT R
<br />
<br />STATE OF ~LORlr/~ '
<br />COUNTY OF. _.' /a...d.--' {!AJ
<br />The fCoregc,ing ~';5tl-Llment \.'12\'- acknc.wledged
<br />befc,re me thisffl!.~t:?v, 19!C1 by
<br />
<br />Y:!2~~m~~~
<br />
<br />-prodlU:-;d__ prCoduced
<br />as identifieati,.n and "ho Idid d .~~ntif~on and'- did/~not
<br />
<br />~__:n 0 ~,~n [oLaz;G~-L~
<br />
<br />(3ign l~rE) / ~ (Signc\~e) H ~
<br />../11!lzfy Ll/?77-fE-6AlE r/l/?J/L{2.-.dl.IJ~'/ tJllrHe:?C/A:.JE /h7;;/~O
<br />(Name Typed; Printed or Stamped) (Name T;ped, Printed Cor Stamped!
<br />NO'TARY PUBUC {'c-~;fI6.s7~ t~OTARY PUfJ""L~ (l C c/9 /6.577
<br />
<br />-- ...,..... State of FIorhIlI
<br />., (~~.... bpins..ch 14, 1"1
<br />.......... hill.......... ...
<br />
<br />
<br />has
<br />
<br />, Notary Public, State of Florida
<br />My (i)mmisliion Expires March 14, 199.
<br />ilwMW Uw9lNf hili. ___........
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