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<br />LUlo,/Ul I lUH~J UI I L:.1\II.l I III r .l i.1I'" \ I
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />T~e und~rsigned understa~ds that this perlit lay be subject to 'deed restrictions' which lay be lore r~~ttictive than City
<br />regulations. {he underSigned assules responsibility for cDlpliance with any applicable deed res~rictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ONner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance Nith
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
<br />cite~ for a lisdeleanor violati~n under state IaN. If the ONner or intended contractor are uncertain as to "hat licensing
<br />requlrelents lay apply for the Intended Mork, th~y are advised to contact the City of Zephyrhills Building Departlent lB131
<br />7BB-6611. '
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorls) sign pDrtions of the
<br />'Contractor Sections" of this application for which they will be responsible. If you, as the OMner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the Mork. 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 />tity of lephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />, '
<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 L~w - HOleoNner'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 COllencelent.
<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 laMS regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no Mork or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laNS
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<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 lilited to:
<br />f Departlent of Environlental Requlation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />I Southwest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health L Rehabilitative Serv~ces. Environlental Health Unit - Wells, Wastewater Treatlent, Septic lanks
<br />f US Environlental Protection Aqency - Asbes~os abatelent
<br />I also certify that, if fill laterial is to ~e used in Flood lone 'A' or 'A,etc.', it is understood that a drainage plan
<br />addressing a "colpensating voluae" Nill be sublitted which is prepared by a professional engineer registered in the state of
<br />Florida prior to perlit issuance. '
<br />
<br />Ape . is d shall be construed to be a license to proceed Mith the work and not as authority to violate, cancel alter, or
<br />set aside any ~ovisions of the technical codes, not shall issuance of a perlit prevent the Building Official frol thereafter
<br />requiring a correc,tion of errors in plans, cpnstruction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the Mork au~horized by such perlit is cOllenced within six lonths of issuance, or if Mork authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, lay be
<br />alloMed for the pSTait 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 lonth period, or the project Mill be considered abandoned.
<br />HARKINS TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COK"ENCEKEKT KAY RESULT IN YOUR PAYING TWICE FOR IKPROYEKENTS TO YOUR
<br />PROPERTY. IF YOU ,INTEND TO OBTAIN FINANCIN~, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COKKENCE"ENT. JOB~ UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOIICE OF COKKENCE"ENT'.
<br />
<br />
<br />;{JAr?!
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<br />SIGNAtUREI ml"E~OR AGENT SIGNATURE: CONIRACTO
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was aqknowledged
<br />, 19 _ by
<br />
<br />SlAIE OF FlORI~
<br />COUNTY OF ;J. ~
<br />The foregoing instrument
<br />befc.re me this ...!.> ~ - /5
<br />
<br />was acknol>Iledged
<br />19~ by
<br />
<br />and who did/did not
<br />I
<br />
<br />
<br />who is personally
<br />produced ,
<br />as identification
<br />take an oath.
<br />
<br />known to me or who has
<br />
<br />(Signature)
<br />
<br />
<br />(Name Typed, Printed or Stampe~)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed
<br />NOTARY PUBLI C
<br />
<br />..1iii"~" HIney A. Moody
<br />{iitl'~\ MY COMMISSION , CC534806 EXPIRES
<br />\~'~iJ FebnJaIy 21.2000
<br />,.,?:iif.:r..~' BONDED THRIJ TROV FAIN INSURANCE, IfJC
<br />
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