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<br />~UHU111UN~ U~ ~~Knl' ~~~lU~Vii
<br />~. NOTICE OF DEED RESTRICTIONS
<br />The und~rsigned understa~ds that this per.it ~a~ ~e subject to. "deed ~estrictions" which lay be lore restr~ctive than City
<br />regulations. The underSigned assules responsibility for cD.pllance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas hired a contractor Dr contractors to undertake work, they lay be required to be licensed in accordance with
<br />s~ate and loc~l regulatio~s. ~f the contractor is not licensed as required by law, both the owner and contractor lay be
<br />clte~ for a Ilsdeleanor vlolatl~n under state law. If the owner Dr intended contractor are uncertain as to what licensing
<br />requlre.ents .ay apply for the Intended work, they are advised to contact the City of Zephyrhills Building Depart.ent (813)
<br />788-6611. '
<br />
<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractorls) 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 si;n
<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 - HOleowner's ProtectiDn
<br />6uide" prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If the applicant is sOleone other than the
<br />'o.ner", I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the
<br />'owner" prior to cO'lence.ent.
<br />
<br />E. CONTRACTOR'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 />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby .ade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installatiDn has cOllenced prior to issuance of a perlit and that all work will be perforled to .eet standards of all laws
<br />regulating construction, City codes, zDning regulatiDns, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of Dther governlental agencies lay apply to the intended work, and that it is
<br />IY responsibility tD identify what actions I lust take to be in co.pliance. Such agencies include but are not li.ited to:
<br />. Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands,
<br />Water/Wastewater Treatlent
<br />. Southwest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps Df Enaineers - Seawalls, DoCks, Navigable Waterways
<br />. Departlent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />, t US EnvirDn.enta! PrDtection Agency - AsbestDs abatelent
<br />I also certify that, if fill laterial is to be used in Flood 20ne 'A" or 'A,etc.", it is understood that a drainage plan
<br />addressing a 'cD.pensating volule' will be sub.itted which is prepared by a professional engineer registered in the State Df
<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 perlit prevent the Building Official frol thereaft.r
<br />requiring a correction of errors in plans, construction, or violations of any cDde. Every perlit issued shall becole invalid
<br />unless the work authorized by such perlit is cOllenced within six .onths of issuance, Dr if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the ti.e the work is cD..enced. One 90 day extension of tile, lay be
<br />allowed for the perlit with fee charge of 115.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust 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 ftAY RESULT IN YOUR PAYING TWICE FOR IftPROVEftENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CDKlENCEftENT. JOBS UNDER 12,500 IN VAlUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COftftENCE"ENT".
<br />
<br />
<br />~&/u;...,--)~J~/c;-L. .s~ OOJUl
<br />SIGNATURE: CONT CTOR I
<br />
<br />J5tJ- kt(, ~
<br />
<br />SIGNATURE: OWN~R AGENT,
<br />
<br />STATE OF FLDRI~ .
<br />COUNTY OF ~ oS C t::J
<br />The foregoing ~strument was acknowledged
<br />before me thisr!b. iJ-.:L , 19~ by
<br />
<br />SHIf{Le.-l-a A. LaAleR..
<br />who is perso ally known to me or who has
<br />produced pel{ <'o,.IatLv k"'''u-IAI
<br />as identification an~who did/did not
<br />take an tho
<br />
<br />
<br />STATE OF FLORI~
<br />COWlTY OF I' ,:t8~o
<br />. The foregoing instrument was aC~~Wledged
<br />before me this~~ to ~ 19 by
<br />
<br />U .bw ~-
<br />
<br />~odiS personally~to me or who has
<br />pro uced
<br />as identification and who did/did not
<br />
<br />take a~L Q ~
<br />L 1CB_.1~ig!:l~Ure)~,. G ~ '"
<br />. fIH LANE \ n ~~ . n-€--::>
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed
<br />NOTARY PUBLI C
<br />
<br />~~~Y PUll OFFICIAL NOTARY SEAL
<br />o ~ L KErrH LANE
<br />~ . ~ COMMISSION NUMBER
<br />;..< < CC399683
<br />..,./'~ ~ MY COMMISSION EXP.
<br />OF f\.O SEPT 18 1998
<br />
<br />
<br />BONITA G. JONES
<br />MY COMMISSION * CC 858355
<br />EXPIRES: March 22. 1998
<br />Bonded Thru No1aly PubIlc UnderwrltelS
<br />
<br />"',
<br />
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