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<br />c: [; >': D I or ~. :=:i \l S c:: ;-- '":' ~? F:::
<br />
<br />P,. t:LOT I CE OF DEED F;SJ]JE:_H~..~,::-:-cJ.\~IX~
<br />The undersigned understands that this pe,rit 1\1~'{ In> suIJj"ct to "de,er! Hctrict\cr,':" \.;hic\' may br.,{j'ore restricti'!!.' than City
<br />regulations. The undersigned assumcs responsibility for compli~nce "ith any ~pplicable aeed restrictions.
<br />
<br />B. UNI_ I CE"~t;LED G;_gJ\lTSi0J.:.:.TiJC-;.,<J....J?d\J.P._Gg"~n<B..~~U}g_J~:r;.f)F(~)i':I.G-Uc.{)Jc_LLU:~:~~
<br />If the owner has hired a contractor or contractDr~ tD ul1~erta~c Mork, thry may h~ required to he licensed in accordance wilh
<br />state and local regulatiDns. If the contractor is not licensed ~5 required by law, bo~h the owner and contractor ~ay be
<br />cited for a misdeoeanor violation under state la~. If the OHner Dr intended contractor are Ilncertain as to "hat licensing
<br />requirelents Qay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart~ent, 18131
<br />788-6611.
<br />
<br />Furtheroore, if the OHner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of the
<br />'Contractor Sections' of this application for which they nill be responsible. If you, as the OHner 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 ~ay be an indication that he is not properly licensed and is not entitled to permitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TF:ANSPORT (='1 T I ON II'1F'ACT FEES AND UT I \;- I T'L.[J:JJ,Ii~ii~GI)II!~LnFEt:~c:;
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy. of 'Florida's Con5truc~ion Lien La" - Homeowner's Protection
<br />Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the, applicant is so~eone other than the
<br />"owner", I certify that I have obtained a copy of the above described document and promiSE in good faith to deliver it to the
<br />"owner" prior to cor.mence~ent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVII
<br />I certify that all the information in this application is accurate and that all work "ill be done in compliance with all
<br />applicable laws regulating construction, zoning, and land development.
<br />
<br />Application is hereby made to obtain a perait to do work and installation as indicated. 1 certify that no Hork or
<br />installation has co~menced prior to issuance of a permit and that all Hork "ill be performed to leet standards Df all laws
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. ] also
<br />certify that I understand that the regulations of other governmental agencies may apply to the intended Hork, and that it is
<br />.y rfsponsibility to identify what actions I diust take to be in conp]iance. Such agencies include but are not ]i!1ited te,:
<br />t Department of Environ~ental Requlation - Cypress Bayheads, Uetland Areas and Environaental!y Sensitive Lands,
<br />Hater/Wastewater Treatment
<br />t Southwest Florida Water Manaqelent District - Hells, Cypress Bayheads, Hetland Areas., Altering Watercourses
<br />t ArNY Corps of Enoineers - SeaHails, Docks, Navigable HaterHays
<br />I Deoartment of Health t Rehabilitative Services, Environmental Hea]th Unit - Wells, WasteHater Treatment. Septic Tanks
<br />t US Environ~ental Protection Aqency - Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone 'A" or "n,etc,", it is understood that a drainage plan
<br />addressing a "compensating volume" will be submitted which is prepared bv a professional enOlneer registered in the state of
<br />Florida prior to pernit issuance.
<br />
<br />A perait issued sha]1 be construed to be a ]icense to proceed Kith the "ork and not as authority to violate, cancel alter, Dr
<br />set aside any provisions of the technical codes, nor shall issuance of a per~it prevent the Building Official from thereafter
<br />requiring a correction of errors in plans, construction, or violations of any cod~, Every p~rlit issued shall becD~e invalid
<br />unless the ~ork authorized by such perait is commenced within six months of issuance, br if "or~ authorized by the per~it is
<br />suspended or abandoned for a period of six lonths after the tice the "Drk is comaenced. One 90 day extension of time, aay be
<br />allo"ed for the permit "ith fee charge of 515.00. The extension shall be requested in wriling to the Building Official. An
<br />approved inspection ~ust be logged during each six month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT III YOUR rAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORHEtBEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 ]N VALUE DO HOT NEED TO RECORD nND POST n "NOTiCE OF COMMENCEMENT'.
<br />
<br />(:J ("Q
<br />~ yV\ 'H;-F1~
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />_..~.m,_~
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA n
<br />COUNTY OF [A S c...o
<br />The foregoing instrument was acknowledged
<br />befol""E:' me this (p- ~L1 , 19~ by.
<br />
<br />_R Lc ~<; e II V\\ ~,c:)u.> (\)
<br />who is personally known to me or who has
<br />pl-oduced
<br />as iden ification
<br />take" oath.
<br />
<br />STATE OF FLORIDn
<br />COUNTY OF
<br />
<br />~, S- ( 0
<br />
<br />The foregoing instrument was acknowledoed
<br />b=fc'i-e~'. 'I,l~ ".~c/ .' l'::;.C.3 b'./~
<br />
<br />_C /<'I'=;;[':{ jt( ~OdW ~~
<br />
<br />----===-
<br />and viho did(fJid not~
<br />
<br />C f A..i' f..A.A--n -
<br />
<br />vJho i~. pE'l-~.c'n~;~lly knC'Hn to me ell ~'Jho ~olc\S
<br />
<br />pi-oducecJ _-
<br />as id .i-ficaticll1
<br />
<br />
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTAF:Y PUBLIC
<br />
<br />(I\jame T\/ped, F",-ini;ecJ c,,- 'C:,t2.mp'.?d)
<br />rlgTDf\Y._...F".\J.FIL_I._(=-
<br />
<br />..~~ OFFICIAL SEAL
<br />(~) SUSAN A. McCOLLUM
<br />, My CommlSlllon Eltplr..
<br />\ April 16. 1991
<br />....~CP~.. Comm. No. CC 268619
<br />........
<br />
<br />..~..~ OFFICIAL SEAL
<br />l!il\ SUSAN A. McCOllUM
<br />.. : My c.mmlss1on El<plres
<br />\ : April 16. 1997
<br />..~'t .r1I!.l c.mm. No. CC 268679
<br />*. OFf\!.*
<br />........
<br />
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