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<br />LUNJJlT lUN::> UJ~' )!J~RJ"'U.T AE'F'IDA V 1. T
<br />'- A.~ NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be SubjE~Ct tc "deed restrictions" which lay be IIOre restrictive than City
<br />regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to uncertake work, they lay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
<br />cited for a lisdeJeanor violation under state law. If tiie owner Of intended contractor are uncertain as to what licensing
<br />reguirelents lay apply for the intended work, they are advised to contact tile City of Zephyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />.Contractor Sections' of this application for which they will be responsible. If you, as the owner 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 />as 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 - Hoaeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described docUlent and prolise in good faith to deliver it to the
<br />"owner" prior to couencl!lent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVI~
<br />I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a peIlit and that all work will be perf OIled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govel1llental 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 lilited to:
<br />t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways "
<br />t DepartJent of Health & Rebabilitative Services, EnvirODlental Health Unit - NeIls, Wastewater rreatJent, Septic ranks
<br />t 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 that a drainage plan
<br />addressing a 'cOlpensating volUle' will be subtitted which is prepared by a professional engineer registered in the State of
<br />Florida prior 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 aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall becOle invalid
<br />unless the work authorized by such perlit is cOlleDced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOlllenced. One 90 day extension of tile, laY be
<br />allowed for the perJit 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 IOnth period, or the project will be considered abandoned.
<br />WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKMENCKMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVKMEHTS TO YOUR
<br />PROPERTY. IF YOU IllTEHD TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "HOT ICE OF COMMENCEMENT",
<br />
<br />...,....-. ~ ~, - ~
<br />r-'- -=:> ~
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<br />- ... --:::::--, ,,,
<br />
<br />~tmAGEMT -- SIGXATU~~ ...
<br />
<br />STATE OF FLORIDA ~
<br />COUllTY OF ' 'A.s c 0
<br />The foregoing instrument was acknowledged
<br />before me this~{)V /'( , 19~ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF ~1I..s c 0
<br />The foregoing instrument
<br />before me thisv"}1 tfV /4
<br />
<br />was acknowledged
<br />, 191L.... by
<br />
<br />
<br />who is personally known to me r who has
<br />produce
<br />as identification and who did/did not
<br />take ~ v-m ,--L~/1
<br />(Signature)
<br />
<br />(Nam~ Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~"
<br />*~*
<br />#e.~
<br />
<br />~perSOnallY ~or wbo bas
<br />pro uced
<br />as identification
<br />take an h.
<br />
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />DONNA M SINCLAIR
<br />MyCom~~nCC~18
<br />Expi,es Jun. 14. 1998
<br />
<br />#A'
<br />*~
<br />e~*
<br />
<br />DONNA M SINOLAIR
<br />My Commission CC382019
<br />Expir.." Jun, 14,1998
<br />
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