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<br />-=-:--~7A-. NOTICE OF DEED RESTRICTIONS v~
<br />The undersigned understands that this penH lay be subject to "deed restrictions" which lay be IIOre restrictive than City
<br />regulations. the undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />~~.,;..u'J,.J.. J.. ill.: J..: .)..J..)Ci, v ..t.)..
<br />
<br />B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they lay be required to he licensed inaccordanceillith (1;\
<br />state and local regulations. If the contractor is not licensed as required by law, bOth the 'ollIler and contractor lay be
<br />cited for a lisd8leanor violation under state law. If the owner or intended contractor are uncertain as to what licensing'!c',
<br />requireJents lay apply for the intended work, they are advised to contact tbe City of Zephyrhills Building DepartJent, (813)
<br />788-6611.:;:;.\
<br />
<br />Furtherlore, if the owner bas hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for wbich they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicatingtbat you, rather than the contractor, are responsible for the work. If the contractor wishes'you to sign,:C
<br />as contractor that lay be an' indication that be is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zephyrhills. .
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />,: :~J
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - Hoaeowcer's Protection"
<br />Guide" p~epared by the Florida Departlent of Agriculture and ConsUler Affairs. If the appIicantis sOlieo.ne other than': theJ'6?l((
<br />"ollIler", I certify that I have obtained a copy of the above described docUAent and prolise in good faith to deliver it to.,tbe;L' '.
<br />"owner" prior to couenceJent. '(.;,if;"';:
<br />
<br />'fY\ ',.'.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in compliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />" iI,
<br />u~. .
<br />
<br />Application is hereby lade to obtain a peuit to do work and installation as indicated. I certify that no work or ,,1
<br />installation bas couenced prior to issuance of a penH and that all work will be perforJed to leet standards of alllillls;,:,.:
<br />regulating construction, City codes, zoning regulations, and land development regulations in' the jurisdiction. I also
<br />certify that I understand that the regulations of other governJental agencies lay apply to the intended work, and that
<br />11' responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are notlilited to:
<br />A Department of Environmental Regulation - Cypress Baybeads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />A Southwest Florida Water Manageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />A ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />A DepartJent of Health & Rebabilitative Services, Environmental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />A US EnvirODlental Protection Agency - Asbestos abatement
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A, etc. ", it is understood tbat a drainage plan
<br />addressing a "cOlpensating volUle" will be sublitted which is prepared by a professional engineer registered in the State
<br />Florida prior to perlit issuance.
<br />
<br />
<br />A perlit issued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of tbe technical codes, nor shall issuance of a peIlit prevent the Building Official frOJ thereafter;; 1:
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued sball becOle invalid,
<br />unless the work authorized by such perlit is commenced within Sil lonths of issuance, or if work authorized by the peIlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOIIenced. One 90 day extension of tile, JaY be
<br />allowed for the perJit with fee charge of $15.00. The extension shall be requested in writing to the BuildingOfficial.':l,,An,,i!:
<br />approved inspection lust be l09ged during each six IOnth period, or the project will be considered abandoned. ," ".,
<br />WARNING TO OWllER: YOUR FAILURE TO RECORD A NOTICE OF COHMEHCmNT KAY RESULT IN YOUR PAYING rwlCE FOR IMPROVEHmS TOYOUR:4.~<~r::;~[.
<br />PROPERTY. IF YOU mEND fO OBTADl FIHAHCIHG, CONSULT WITH YOUR LENDER OR AHArTORHEY BEFORE RECORDING YOUR )lO'flCE OF!';iCi'}!
<br />COIIIlEIICElIIlIII. JOBS OHniR \2,500 IN VALOH DO NO'! NEIlO 10 RK::; p.a~ A '~~CElIIlIII"
<br />
<br />
<br />~~ ---- - ~::~
<br />
<br />SIGNATU~ SIGNATURE: COIl~
<br />
<br />
<br />
<br />--
<br />
<br />STATE OF FLORIDA LJi1
<br />COUNTY OF ui 5 c 0
<br />The foregoing instrument was acknowledged
<br />before me this "1Y1'7J ~:L-, 19.:t..r.- by
<br />
<br />
<br />~o is personally known t~r who has
<br />produced
<br />as identification and who did/did not
<br />take an'oath~::1n1 ~
<br />
<br />(Signature)
<br />
<br />STATE OF FLORIDA ~
<br />COUlITY OF ,19.5 CO", , "
<br />The foregoing instrument was acknowledged
<br />before me thiS~1 d--~ , 19~ by
<br />
<br />~ho is personally ~~~ to ~ or who has
<br />pro uced ---~
<br />as identification and who did/did not
<br />take an ~ vrn ~~. "
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Nam~ Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />#'.' ~
<br />ti t- DONNA M SINCLAIR
<br />* ~ * MyC0mmi8sionCC38261Q
<br />~_ Expires Jun, 14,1998
<br />"....,~ ..&'"
<br />'.OFf\.O""
<br />
<br />#'.' ~
<br />.^ DONNA M SINCLAIR
<br />* * My Commission CC38261!;
<br />Expires Jun. 14, 1998
<br />">.;ltOFf\.~'"
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