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<br />& CC):-.j .
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<br />! C :'.jC OF" r":Ilf1! -, A; j:" r ;o',lt.',\) 1 T
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<br />A. NOTICE OF nrcn RESTRICTIONS
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<br />The,undersigned understands t~at this perlit ~ay be subject io "deed restrictions' Hhich ~ay be ~ore restrictivc than City
<br />regulations. The undersigned aS5U~CS rC5pons\bil\ty:for..co~pliance Hith any applicable deed rcstrictions,
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<br />B. UNL T CEt'-ISED cr.:.!:::!TnDCT.~)RS AND CONTRACTOR 8ESPONS I II I LIT I ES
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<br />If the owner has hired a centractor Dr contractors to undertake Hork, .they Iny be required 10 be licensed in accordance with
<br />state and local regulations. If the contractor Is nol licensed as required by Inu, both Ihe ouner and contractor nay be
<br />cited for a nisdeneanor viDlatirn under state la>>., If the oHner or intended contraclor are uncertain as to what licensing
<br />requirelents ~ay apply for ih~ inlended Hort, they are advised to contact the Cily of Zephyrhills Building De?artEcnt, (813)
<br />7813-6611.
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<br />Further~ore, If the owner h~s hired a cDntractor or contractors, he is advised te have the contractor Is) sign portions of the
<br />'Contractor Sections' of this application for ~hlch they will be responsible, If you, as the owner sign as the c~ntractor,
<br />you are indicating that YO\l, ralher than the contractor, ar-e respe,nsible for the wc.rk. If the ce,ntr"ctc,r l1ishes ye,u to sign
<br />as contractor that nay be an indication that he is nDt properly licensed ~nd is not entitled to per~ilting privileges in the
<br />City of Zephyrhills.
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<br />C, TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D.
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<br />CONSTRUCT ~_ill:.LJ-.:} Et-!_LAI-l
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<br />(CHAPTER 713~ FLORIDA STATUTES, AS AMENDED)
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<br />I CErtify that I, the applicant, have been provided with a copy of 'Florida's Construction lien laM - HD~eDMner's Protection
<br />Guide' prepared by the FIDrida Department of Agriculture and Consumer Affairs. If the ~pplicant is SOle~ne other than the
<br />'oHner', I certify that I have obtained ~ c~py of the above described document and pro~i~e in good faith to deliver it to the
<br />'Dwner' prior to com~encrment.
<br />.. ~ t. . ~.~:: 0 ': . ; : .
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<br />E. CONTRACTOR I ~'iL91I'Jf\IER' S AFFIDAVIT
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<br />I certify that all the infDrlation in this application is accurate and that all Hork l1ill be done in c~~pliance Mith all
<br />applicable laHs regulating construction, zonirig, and land developcent.
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<br />Application is hereby ~adp. ~c' (,btain a percH to'do Hork and installdic.n as indicated, I certify that no Hork or
<br />installation has cO~1enced prior to issuance of a permit and that all work Hill be pErfor~Ed 10 ~eel standards of all laMS
<br />regulating construction, City codes, zDning regulatiDns, anc land development regulations in thE jurisdiction. I also
<br />ccrtify that I understand that the regulations of other govern~ental agencies ~ay apply'tu the inlended l1urk, and that it is
<br />ey responsibility tel identify lfhat actions I itust take to be in cc,mpliance, Such agr:nciEs ir,cludc bill ~I r: Ii"t lir.iled 10:
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<br />. ".;.> .
<br />l Departs!nt of Environ~r:n\a] Reoulation - Cypress Dayheads, Hetland Areas and Environmentally S~n5i tiv~ L~ndsJ
<br />, Hater/Yaste~ater Treatment
<br />l SouthWEst Florida Hater. "a~ane~ent District - Yells; Cypress Dayheadsr Hetland Areas, nllering Yalercourscs
<br />l Arty Ceoros ,of EnQirleers_ - Se;;l1alls, Ducks, Navigable Hatenlays
<br />f Departmcrlt c.f fleal th !, EEh~h\ I i tative Services. EnviroMental Health Unit - IIc-lls, \lilSlcl1aler TrE::l,:cn.~. Sept ic Tanks
<br />I US Environ~r:ntal Prutr:clion ~Qr:ncy - Asbestos abatement
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<br />also certify that, if fi]1 natedal is to be used in F1'elod Zeone 'n" elr 'n,dc.', it is unoc-rstc,[,d \:..;\1 a drainage plan
<br />addressing a 'co~pen5ating VDlu~e' Hill be submitted lfhich is prepared by a profe5si~nal engineer registr:red in Ihe Slate of
<br />Florida prior to per~it issuance.
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<br />A per~it issued sr.;;11 be construed to be a lice~se to proceed uith the Mork and not as allther!ty 10 viol~le, cancel alter, or
<br />set aside any pru\'isie.ns e,f tl,e technical ce.des, nor shal1 issuance of a permit prevent the ['uilding tJjf\ci~l irc.~ thereafter
<br />requiring a cc,rrEc\ic,n e,f errors in plans; ce,nstruc\ic,n, cor violations of any cude. Every pr.rdl i5SIl<,d ~hall becc,f(' invalid
<br />unless the wc.rk aut!.c,ri:ei! by such permit is ce,ml1enced Hithin six 1Il0nlhs of iSSIl,1ncE, e,r if IICo1l: aI' 11,[" },0J by Ihe pNlit is
<br />suspended or abande'lied fc,r a pcric,d c,f six lIonths after the tbe th~ \lerk is ce,rlmencEd, Dill' ~(I day e~\~;.si.;ql l'f ti~", lIay be
<br />allowed for lhe permit Hith fee charge of $15.00. The extension shall be requestEd in IIrililiQ to lhe Building Official, An
<br />approved inspection ~IIS\ be lugged during each six month period, or the project l1il1 be considered dballduned.
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<br />WARNING TO OW~IER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER1'Y. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECORDI~IG YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO 'ECORD AN .: ST A "NOTICE OF COMt1ENCEI"ENT"'~
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<br />SIGNATURE SIGNATURE -------- ------------
<br />GENT!;:;-;;;;;;::-'i--j.,Jn,.;JJ CmHRACT fa!Sc)JlfLL::/ P1JnJAJ
<br />DATE ____,_J.a ::.d.7_-=-_i.t{----.:.-.~~~--_.~------ DATE - - ____/-a _:2-:. Z -- 9- If- - - - - - - -- -- - ---
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<br />......
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<br />NOTARY AS TO~' .. I? .
<br />OWNER OR ()GENT ___ _ ~__4:..~~
<br />TJli-~E:/V $- J3/?OWtJ
<br />MY COMMISSION EXPInES______________________
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<br />NOTARY AS TO / ~
<br />CONTRACTOR~___~~~~-~~~~
<br />" K.4'l71L.I:;.~ ::J;jl -B,e,-wN
<br />MY COMMISSION EXPInES__________________
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