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<br />CC;~,lD IT:;: Ot'-lS C,:-, i=>Efif'1 I T ,',:'-F I Dn'.' I ";-
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<br />A. NOTICE OF DEEp RESTRICIIONS
<br />
<br />Thf,undersigned understands Ihet thl~ per~it may bf subject to "deed restrlctiDns' Hhich may be DDre restrjctlve than City
<br />regulations. The undersignDd aS5u~e5 responslbllity~for compliance Hith any applicable deed restrictions.
<br />
<br />E. UNL I CENSED C[\NTRA,CT..ORS AND CONTRACTOR RESPO]\IS I fl I LIT I ES
<br />
<br />If the owner has hired a cDntractDr ,or contractors to undertake Hork, 'they nay be required tD be licensed in aCCDrdance Hlth
<br />state and local rcgulatlo'ns, If \h" cr,ntractor is not liceml:d as requirl:d by liill, b(,H, the ('\lner and cDntractDr ~ay bf
<br />cited for a ~isde~eanor viDlatiDn under statf laH., If the owner or intended contractDr are uncertain as to Hhat licensing
<br />requirelents aay apply for Ih~ intended Hork, they are advised to cDntact the City of 2ephyrhills Building Depart~en!, (8131
<br />788-6611.
<br />
<br />Further~ore, if the owner h~s ~irrd a cDntractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />'Contractor SectiDns' of this ~pplicition for which they Hill be responsible. If YDU, as the owner sign as the CDntractor,
<br />you are indicating that YO\:, fiilhcr th3n the contractor, are respe,nsible for the H[,rI:. If the [(,ntracte,r wishes y('U to sign
<br />as contractor that may be an iildjc3~ion that he is not properly licensed ~nd is not entitled to perlitting privileges in the
<br />City of Zephyrhil Is.
<br />
<br />C. TRANSPORTATIQl0_t1~f\CT FEES AND UTILITY CON!,Ir::CTIO~L..E.f:TS
<br />
<br />D.
<br />
<br />CONSTRUCT I Of\! .L"J,j=:N LA\.-L
<br />
<br />(CHAPTER 713~ FLORID~ STATUTES, AS AMENDED)
<br />
<br />I certify that I, the applic2nt, have been provided with a copy of 'Florida's Construction Lien La" - Ho~eowner's Protection
<br />Guide' prepared by the Fle,ridil !)['par\~;ent of Agriculture and Consui:\er Mfairs. If the "[,pliciln! is s(,:c6ne Dther than the
<br />'owner', I certify that I :';:'12 e,bL,incd a, copy of the above described dHument and pr('IT,i~e in 0.c:od faith to delil'Dr it to: the
<br />'owner' prior to CDs~encemcrt.
<br />
<br />~ I .. .; 7 \
<br />
<br />E. CONTRACTOR'S/DWNER'S AFFIDAVIT
<br />
<br />I certify that all the information in this application is accurate and that all Hor~ Hill be done In co~pliance with all
<br />applicable laMS regulating CGnstruction, zoning, and land develop~ent.
<br />
<br />Application is hereby lade tD obtain a permit to'do work and instal12tion as indicated. I certify that no work Dr
<br />installation has co~~enced prior to issuance of a permit and that all work Hill be perfDr~ed to roeet standards of all laws
<br />regulating construction, City codes, zDning r~gulatiDns, and land development regulations in Ihe jurisdiction. I alsD
<br />certify that I understand that the r~~ulations of other governmental agencies ~ay apply'to the intended Hork, and that it is
<br />/tY responsibility te. identify \lhat actions I roust take to be in cDmpliance. Sucl, <1gerlcies include bid ~I C lid jir.ited to:
<br />
<br />. ,-
<br />I Deparhcnt of EnvirDn~ental R~o\lJation - CyprESS Bayheads, Heiland nr~as and EnvirC<r'if,cntally Sensi tjie L:li':ds,
<br />Water/WasteHater Treatment
<br />i Southwest Florida Water ManaQe~ent District - Hells; Cypress Bayheads, Hetland Areas, Altering WatercDursEs
<br />I Arcy CorDS ,of EnQineer~ - SeaHalls, Docks, Navigable \/aterHays
<br />I Department (,f Health I, [':r:l"ib.ilita\iv~ Services, Environm~ntal Hcal!h Unit - Ildl5, \lilSte\1ater Tre"t'~',f\\. Septic Tanks
<br />I US Environaental Protection Arency - AsbEstoS abate~ent
<br />
<br />also certify that, if fill "atr:riaJ is to be used in Fl[,od Ze,ne 'n' [.r 'JI,DtC,', it is \In[Jt'r~t(o(:d li"l a drainage plan
<br />addressing a '[o~pensating vDlu~e' Hill be submitted "hich is prepared by a professional engin~er regi5t~r0~ in the Slate of
<br />Florida prior to per~it iosuancc.
<br />
<br />A perlit issued shall be lonstrued to be a license to proceed Hith the Hork and not as authority to yioj~le, C2ncel alter, or
<br />set aside any provisions Gf the technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter
<br />requiring a ce.rrectle.n (,f errDrs in plans; C[,nstructie.n, e.r viol;;tions of any c[,de. Eveq r['r~it iS5\!I'j 01',011 b~ce'fD invalid
<br />unless the ~[,rk autheori7r:d by such permit is ce'/lIilenced \lithin six Ilionths of issu.1JiCe, (,r if 11[<\ ~ ;;ull,['1 I;od by the per~it is
<br />suspended Dr abandoned fDr a period of six months after the t;~e the \lor~ is co~menc[d. One 90 day e~le~si011 of ti~e, ~JY be
<br />all(,wed fe,r the per"it ,lith fee charge Df ~15,OO. The extension ,hall be requested in \nitin0 t(, the' Building Official. An
<br />approved inspectie,n ~us\ be 1e'9geo during each six month period, Of the pre,jt'd Hill be c('C1si,!crcd dbal,Gi",c,d.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COM~lENCEMENT 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 RECORDING YOUR NOTICE OF COMMENCEMENT. JOGS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO f~ECOFD n POST A "NOTICE OF COMtvlENCEi'lE::r\lT".
<br />
<br />
<br />
<br />SIGNATURE AG~;-1;~-;;;;:;:Y- YJJ~~ATlInE-~~~;'AUY ~,
<br />DATE f'-/?,.--- 9r/ DATE f - / j' - 9'1-
<br />--------------------------------------- -----------------------------------
<br />
<br />
<br />NOTARY AS TO' NOTARY AS TO 'A/_. A 11 ::9
<br />OWNER an AGENT___'::-~-'rt,~,;:~L (}~_w3;-:.,~ caNTRAcTaR_____~...d- - Pv.._ ^-
<br />klt'n-iLCl=-t..J $ 'BRC;Jk.J" K ArnL~---0... g-{fh:)iJ
<br />MY COMMISSION Exr:nEs______________________ MY COMMISSION ExrIRES__________________
<br />
<br />...~I\V PVe
<br />-+~ .6. '1t
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<br />. F OF f~l)~ .
<br />
<br />KATHLEEN J BROWN
<br />Mv Commlnlon CC448029
<br />,,-"pires~. 02. 1S199
<br />Bonded by I'o{FNU.
<br />800-224-6388 .
<br />
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<br />if,., Of ,\.O~
<br />
<br />KAMl!!I[!N"~
<br />MV ~QC4'49020
<br />,~.,~.1Q99
<br />aonded by NI'lNU
<br />800-22408388
<br />
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