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<br />L;UI-lU l I .i. Uf'o/b UI'" r.Li(~.l I f-lt. t- J. J..i,..; 'V ....
<br />A. . NOTICE OF DEED RESTRICTIONS
<br />
<br />The und~rsigned understa~ds that this per.it .ay be subject to .deed restrictions" which lay be lore restrictive than City
<br />regulatIons. The underSIgned assu.es responsibility for cOlplianee with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />Jf the owner has hired a contractor Dr contractors to undertake work, they .ay be required to be licensed in accordance with
<br />s~ate and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
<br />clte~ for a lisde.eanor violati~n under state law. If the ONner or intended contractor are uncertain as to Nhat licensing
<br />requlre.ents lay apply for the Intended .work, they are advised to contact the City ~f 2ephyrhills Building Depart.ent IBI3)
<br />788-6611. '
<br />
<br />Furtherlore, if the ONner has hired a contractor or contractors, he is advised to have the contractor 15) sign portions of the
<br />.Contractor Sections. of this application for which they will be responsible. If you, as the ONner 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 />a5 contractor that lay be an indication that he 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 />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 Construction lien law - Ho.eowner's Protection
<br />Guide. prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />.o.ner., I certify that I have obtained a copy of the above described doculent and pro.ise in good faith to deliver it to the
<br />.o.ner. prior to co..encelent.
<br />
<br />E. CDNTRACTOR'S/DWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />ipplicable laMS regulating construction, zoning, and land develop.ent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a per.it and that all Mork Mill be perfor.ed to .eet standards of all laws
<br />reguliting construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. (also
<br />certify that I understand that the regulitions of other govern.ental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not lilited to:
<br />I Depart.ent of Environ.ental Requlation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
<br />Water/Wistewater Treat.ent
<br />I Southwest Florida Water Kanaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />. ArlY Corps of Enaineers - Seawalls, Docks, Navigable Waterways
<br />I Depart.ent of Health L Rehabilititive Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />, I US Environlental Protection Aaency - Asbestos abatelent
<br />I also certify that, if fill literial is to be used in Flood Zone "A" or .A,etc.", it is understood that a drainage plan
<br />iddressing a .colpensating YDlule. will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida priDr to perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set iside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official fro. thereaft,r
<br />requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall bee D.! invalid
<br />unl,ss the work authorized by such perlit is cOllenced within six .onths of issuance, or if work authorized by the per.it il
<br />suspended or abandoned for a period of six .onths after the ti.e the work is co..enced. One 90 day extension of ti.e, lay be
<br />allowed for the perlit with fee charge of '15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection .ust be logged during each six lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"KENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR I"PROVEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CONKENCEKEHT. JOBS UNDER '2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKKENCEKENT".
<br />
<br />~IC:~
<br />SI6NATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />
<br />P /1S(!D
<br />
<br />STATE OF FLORIDA
<br />COUHn OF
<br />. The foregc, i ng instrument
<br />befc.re me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(SignatUl-e)
<br />
<br />rc
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />,-;,,~~O?""'" DANA M. GIELLA
<br />i::""/A. ,;\ MY COMMISSION /I CC301855 EXPIRES
<br />~:.~.;,.ff July 14, 1997
<br />"1.i;p'f.:r.-~" BONDED THRU TROY FAIN INSURANCE, INC.
<br />
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