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<br />~. NOTICE OF DEED RESTRICTIONS
<br />lhe undersigned understands that this perlit lay be subject to .deed restriction~" which lay be lore re~trictive than r.i~y
<br />regulations. The undersigned assUleS responsibility for cOlpliance .ith any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the o.ner has hired a contractor or contractors to undertake .ork, they lay be required to be licensed in accordance I.ith
<br />state and local regulations. If the contractor is not licensed as required by laM, both the OMner and contractor lay b~
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensilg
<br />requirelents lay apply for the intended .ork, they are advised to contact the City of 2ephyrhills Building Departlent, 11~13}
<br />788-6611.
<br />
<br />Furtherlore, if the owner has bired a contractor or contractors, he is advised to have the contractorls} sign portions of the
<br />"Coatractor Sections" of this application for which they .ill be responsible. If you, as the owner sign as the contract~r,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor .ishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />tity 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 />1 certify that I, the applicant, have been provided .ith a copy of 'Florida's Construction Lien Law - HOltowner's Prot:ection
<br />6uide. prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant i~ sOleone other than the
<br />.o.ner., I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it; to the
<br />.oltntr. prior to COllence.nt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in tbis application is accurate and that all work wi 11 be done in co.pliance lIith ilU
<br />applicable laws regulatiog construction, zoning, and land develop..nt.
<br />
<br />Application is hereby lade to obtain a perlit to do ItGrk and installation as indicated. 1 certify that no work or
<br />installation has cOI.enced prior to issuance of a per.it and that all work lIill be perforled to leet standards of all lilWS
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I alsl~
<br />certify that 1 understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lUst take to be in cOlpliance. Such agencies include but are not liaited 'to:
<br />f DeDartaent of Environaental ReauIation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treataent
<br />I Southwest Florida Water "anaaeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY CorDS of Enaineers - Seawalls, Docks, Navigable Waterways
<br />I DeDartlent of Health 1 Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environaental Protection Aaency - Asbestos abateaent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.., it is understood that a drainage plan
<br />addressing a "coapensating volule" will be subaitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perait issuance.
<br />
<br />A perait issued shall be construed to be a license to proceed lIith the work and not as authority to violate, cancel illter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perait prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall bee Oil! invalid
<br />unless the 1I0rk authorized by such perlit is cOlaenced within six aonths of issuance, or if Nork authorized by the pl!r.it is
<br />suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of till!, lay be
<br />allowed for the perait with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six aonth period, or the project Nill be considered abandoned.
<br />WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROYEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />
<br />
<br />7:[;;;;~ 00 ~T ~ED TO REamD ~DZTI7;;:;(
<br />
<br />SIGNATURE: OWNER OR AGENT, SIGNATURE: CONTRACTOR
<br />
<br />v
<br />
<br />STATE OF FlORl~
<br />COUITY OF ' ~f' / j
<br />The fDregoing ins~~nt
<br />before me this J& d.
<br />
<br />was acknowledged
<br />, 19'7 Y by
<br />
<br />STATE OF FLORI~
<br />COUNTY OF ",J:}~~&)
<br />The foregDing instrument
<br />before me th i s JVou It 'fi'
<br />
<br />was acknowledged
<br />, 19 <91" by
<br />
<br />
<br />o me or who ha~
<br />
<br />
<br />me or whD has
<br />
<br />d/did not
<br />
<br />GAil Y. GRINDLE
<br />tJnt!lry PlIhllc ~tatB of Florida
<br />(Name Typed, P~OI'X.'~' 1998
<br />NOTARY PUBLIC Comm. No. CO 368560
<br />
<br />GAil Y. GRINDLE
<br />~eliYjYMPD~.1 flodda
<br />(Name Typed, Pr y com . exp r ' . ~5. 19Q5
<br />NOTARY PUBLIC Comm. No. CC 368580
<br />
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