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<br />~F,'R':-21-94 THU
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<br />9:05 GENERAL HOME DEVELQPMENT P.02
<br />
<br />cor.i!HTI0NS OF F'ERI'HT (~FFID(WIT,
<br />A. ~OTIC~ OF DEED REST~ICTIONa ' .
<br />The under51gnrd und~r5tand$ t~at this per.it kay ~. sub"ct to 'dtcd restrictions- which lay be .or. ~c~~rlctlve than Clty
<br />regulations. The .undrrslgned aS5U.r5 responsibility for cOlpliancf "i~h any applicahle deed rcslrlc\lons.
<br />
<br />El. UNL I CEN5E:D CONTRACTClr,S AND CO~TRAC"OI, RESr::.pN~.Ll!I LIT 1 ~~
<br />If the ownQr has hlr~d a contractor or c;ntractors to undQrt~kQ work, they .ay b~ requlrcd to be licensed In Iccordantl Mlth
<br />st~te and local regulations. If the ,tontractor l~ not licansed as requircd by laM, both the OMner and contractor lay be
<br />cited fur I 11sdeleanor violation u~dcr state law. If t~~ owner or intanded contractor are uncertain as to Mhat llcenslng
<br />requlrelents lay apply for the intended !lork, they are advised to contact the Ci~y of Zcphyrhills Building Departient, (813)
<br />78a-6611.
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<br />Furtherlore, if the o"n~r has hired a t~otractor or cDntrac\ors, he is advised to h~ve the contractorls) sign portions of the
<br />'Contr~ctor Se~ti6ns' of this application for which they Mill be re5po~sibl~. If you, as the owner siqn as the contractor,
<br />you are indicating that you, rather thdn the contractor, are responsible for the Mork. If the contractor _ishe, you to sl9n
<br />. as contractor that Day be an indication ~hat he is not pr~perly licensed and is not entitled to perlitting privileges in, the
<br />City of Zephyrhllls.
<br />
<br />c.
<br />
<br />TRANSPORTATION IMPACT FE~S AND UTILITY CONN~CTION FEES
<br />.
<br />
<br />0, CONSTRUCTION LIEN LAW (CHAPTER 713. FLORIOA STATUT~S, AS AMENDED)
<br />I certify that I, the applicant, have b~;; provided with a copy of 'Florida's Construction Lien LaM - H~.eowner'l Protection
<br />Guide' prep~red by the Florida Deparl.~nt of Agriculture and Consu.er Affairs. If the applicant is soaeone other than the
<br />'oNner", 1 certify that I have obtain~d a copy of lhe above described doculcnt and proii5~ in good faith to deliver It tD the
<br />'o~ner' prior.Jo co..ence.ent,
<br />
<br />I E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infur.ation in this application is accurate and that all Mork will be don~ in co.plianc! ~ith all
<br />applicable Ia., rcqulatinq construction, ~onln9, and land developlent.
<br />
<br />Application is hereby .~de to obtain a p~rlit to do work and installation as indicated. t certify that no work or
<br />In~lallation has co..~nced prior tD issuance of a p@rlit and that all work Hill be perforled to leet st~ndard5 of all laws
<br />re9ulating construction, City codes, %oning requlalions, and land develop.ant regulations in the jurisdiction. 1 1150
<br />certify that I understand that the r~gulations of other govern.ental agencies tay apply to the int~nded work, and that it 15
<br />.Y responsibility to identify what actiolls 1 .ust take to be in cOlpliance. 5uth agencies Include but are not tl.it~d to:
<br />. Dpoartlent of Environ.enlal R~~ul~ti~n ~ Cypr~5s Bayheads, Wetland Areas and Environ.entally Sensitive Lands,.
<br />. WaterJ~a5tewaler Tr~at4tnt
<br />t Southwest Florida ~iter ~~naQ~5ent District. Wells, Cypress B~yhcads, Wetland Areas, Alterinq Watercourses
<br />t ArlY Corps of Enqineers . Seawalls, Do~ks, Navi9~blt w~ter~ays .
<br />t Depart.ent of Health' Rehabilitative S~rvice51 Environ.cnlal Health U~ . Wells, Wastewater Treat.ent, Septic Tank,
<br />t US Environ.ental Protection AQcncy . A:hestos ab~teeent
<br />1 also certify that, if fill laterlal Is l~ be used in Flood Zone lA' Dr 'A,~tt.', it is und~rstood that a drainage plan
<br />addresslnq a 'co~pensating volu.~' Kill be sublitted which is prepared by a professional enQineer registered in the State of
<br />Florida prior to per.it issuance.
<br />
<br />A perl it issued shall be construed to be a license to proceed Nith the Hork and not as authority to violate, cancel alter, pr
<br />set aside any provisions of the technic~1 codes, nor shall issuance of a pertit prevent the Building Official frOI thereafter
<br />requiring I correction of errDrs in plan,;, construction, or violations of any code. Every per.it issued shall beco.e invalid
<br />unless the Nork authorized by 5uch peroit is co.~enced Kithin six Bonths of issuance,' or if work authQrized by the per.it is
<br />suspended or abandoned for a period of ~IX Donths after the tile the work is cOI~enced. . One 90 day extension of ti.e, .ay be
<br />alloNed for the perlit Hith fee charge or $15.00. The extension shall be requeiledin writing to the Buildlno Official. An
<br />approved inspection eust be loggcd durin) each six month period, or th~ projett Mill be considered abandoned.
<br />WARNING TO O~NER; YOUR fAILU~E TO RECORI) A NOTICE OF COHMENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR JHPROVEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OSTAIN FIHn!ll:lllG, COllSULT WtTH YOUR lENDER OR AN ATTORNEY DEFORE RECORDING YOUR !lenCE OF
<br />COHKENCE"EHT. JOBS UHDER $2,500 IN V~LUi: DO tlOT IIEED TO RECORD flUD POST A 'NOTICE OF COf1KENCEIIENT'.
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<br />""""""-
<br />SIGNATUREs OWNER OR AGENT
<br />J....')..~-:A-- ~,~o "~- - ~9S-0
<br />STATE OF FLORIDA
<br />COUNTY OF ~
<br />The foregoing instrument was ~cknowledged
<br />before me this , l(J_ by
<br />
<br />- " .' T ~'MI"""L '-""'IMtudT
<br />SIGNATUREI COHT~ACTOR
<br />L '2..J-~ -;-~ 0 &;-.J- - '2... 9'.s-- 0
<br />
<br />STAlE OF FLORIDA
<br />coulm OF .
<br />The fDreg~lng instrument
<br />befc.re me this
<br />
<br />was ~cknowledged
<br />, 19_ by
<br />
<br />who is personally known to me or who h~s
<br />produced
<br />as identification and Hho did/did not
<br />take an oath.
<br />
<br />~ho 1s personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />tOlI'e an 001 tM.
<br />
<br />(Signa.ture)
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY 'PUBLIC
<br />
<br />,(Name Typed, Printed ClI. StCllTlped)
<br />NOTARY PUBLIC
<br />
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