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<br />l.;i..Il-IU.l.I.l.Ur-l~ ut- t--\;.K"111 HrrJ.l.h1V.I.'
<br />A. . NOT I CE OF DEED RESTR I CT IONS
<br />Tne undersigned understi~s thit this perlit liY be subject to "deed restrictions" which liY be lore re5t~ictive tbi~ City
<br />regulitlons. The underSigned iSSuteS responsibility for cOlplii",e with iny ipplicible deed restrictions. '
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner his hired i contrictor or contrictors to undertike IOrt, they liY be required to be licensed in iccordince with
<br />st.te .nd loc.l regulations. If the contractor is not licensed as required by law, both the owner ind contractor liY be
<br />cited for i lisdeleanor violition under stite liw. If the owner or intended contrictor ire uncertiin is to whit licensint
<br />requirelents liY apply for the intended work, they ire idvised to contict the City of Zephyrhills Building Depirtlent, 18131
<br />788-6611.
<br />
<br />Furtherlore, if the owner hiS hired i contrictor or contrictors, he is idvised to have the contractor!s) lign portionl of ~
<br />'c..tract.r Sections" of this application for .hich th,y .ill be responsible. If you, as the owner sign as th, contractor,
<br />you ire indiciting that you, rither thin the contrictor, ire responsible for the work. If the contractDr wishes you to sit.
<br />IS contrictor that lay be in indicition that he is not properly licensed and is not entitled tD perlitting privileges in t~
<br />City .f Zepbyrbills.
<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 CDPY of .Florida's ConstructiDn Lien Law - HOleowner's Protecti..
<br />6uid," prepared by the Florida Departlent of Agriculture ind Consu.er Affairs. If the applicant is sOleone other than thl
<br />"o.ner", I certify that I have obtained a copy of the above described doculent and prDlise in good faith to deliver it to tbe
<br />"..lIfr" prior to couenulent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I c.rtify that all the inforlation in this application is accurate and thit ill work will be dDne in cOlpliance with all
<br />AP,licable la.s regulating construction, zoning, and land dlvelo,lent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and instillation as indicated. I certify thit no work Dr
<br />installation has cOllenced prior to issuance of a perlit and that all .ork will be perforled to leet standards of all la.s
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies liY apply to the intended work, and that it is
<br />Iy responsibility to identify Mhat actions I lUSt take to be in cOlpliance. Such agencies include but are not lilited to:
<br />I DeDartlent of Environlental ReQulation - Cypress Bayheads, Metland Ar!3s and Environ.entally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />I Southwest Floridi Water "anaQe.ent District - Mells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />. 'r.v CorDS of Enaineers - Stawalls, Docks, Navigable MaterNays
<br />I DeD.rtlent of Health l Rehabilitative Services. Environlentil Health Unit - Wells, Wastewater Treit.ent, Septic Tinks
<br />. . US Environa.ntal Protection AQency - Asblltos ab.t..,nt
<br />I also certify th.t, if fill laterial is to be us.d in Flood Zone "A" Dr "A,etc,", it is understood that a drainage plan
<br />.ddressing a "colpensating yolu.e" .ill be sub.itted which is prepared by i professional engineer registered in the St.te .f
<br />Fl.ri.. prior to perlit issu.nce.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, canc.1 alter, Ir
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereaftlr
<br />requiring a correction of errors in plans, construction, Dr violations of any code, Every perlit issued shall becole invllid
<br />unless the work authorized by such perlit is cOllenced within six lonths of issuance, Dr if Mork authorized by the perlit it
<br />suspended Dr abandoned for i period of six lonths after the tile the work is cot.enced. One 90 day extension of tile, lay ~,
<br />Illowed for the pertit with fee chirge of tI5.00. The extension shall be requested in writing to the Building Official. AI
<br />approved inspection lust be logged during each six lonth period, or the project .ill be considered abindoned.
<br />WARNIN6 TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COINENCE~NT "AY RESULT IN YOUR PAYIN6 TWICE FOR I"PROYE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCIN&, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDIN6 YOUR NOTICE OF
<br />CIIIIlDCEIOT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF ClIMENCUENT".
<br />
<br />~----/ ...............~
<br />
<br />~~.
<br />
<br />Q6-Ju- vI- ~);. L.-.Sr~ C!.Oj]S-
<br />SIGNATURE: CONTRACmR
<br />
<br />fJ'
<br />
<br />
<br />was acknowledged
<br />, 19.!l....k by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF PASCO
<br />. The foregoing instrument was acknowledged
<br />before me this 6TH OF JUN~ 19.29.- by
<br />
<br />STATE OF FLORIDA n
<br />aun OF V~
<br />The foregoing.'nstrument
<br />before me thi ~
<br />
<br />who is personally
<br />produced t:/..-
<br />as identification
<br />take lith.
<br />
<br />CSignat ~
<br />
<br />~v'
<br />known to me or who has
<br />O~
<br />and'who di~~
<br />
<br />~7/
<br />
<br />DEBRA W. STEVE
<br />who is personally known to me or who has
<br />produced
<br />as identification d who did/did not
<br />tak n oath.
<br />
<br />
<br />re)
<br />NGER ROGERS
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />I..~~~ OFFICIAL SEAL
<br />~ GINGER ROGERS
<br />1 .. My Commission Expires
<br />\~ t March 16, 1997
<br />...,,!OFf\..~.. Comm. No. CC 266928
<br />.......
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~.,.v ,,,-,.
<br />.~B 'VI:-
<br />*iI*
<br />01'1;..4>""
<br />'f,/'t OFl\.lI"'-
<br />
<br />NANCY LORENZ
<br />My Comlnis,;;"n CC413411
<br />Expire:;; Oct. 23, 1998
<br />Bonded by ANB ....
<br />800-852-5878 A
<br />
<br />....
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