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<br />~UNUjllUNb U~ ~~Kn!1 H~~!U~VAI
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Th. und~rsigned underst.~s th.t this perlit lay be subject to "deed restrictions" which lay be .ore restrictive th.n City
<br />r.gul.tlons. Th. undersigned .ssu.es responsibility for cOlplianee .ith any .pplic.ble deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner h.1 hired. contr.ctor Dr contractors to undert..e work, they I'y be required to be licensed in .ccord.nce .it.
<br />s~at. and Joc~J r.gulatio~s. ~f the contractor is not licensed as required by law, both the owner and contr.ctor .ay bt
<br />clte~ for. 'Isde.eanor vlolatl~n under st.te law. If the owner or intended contractor .re uncert.in .s to what licensing
<br />rrqulreaents .ay apply fDr the Intended .ark, they are .dvised to contact the City of Zephyrhills Building Dep.rtltnt 18131
<br />788-6611. '
<br />
<br />Further.ort, if the owner has hired a cDntractor or contractors, he is advised to have the contr.ctorls) lign portions of ~
<br />'Co.tractor SectiDns" of this application for which they will b~ responsible. If you, as the owner sign as the cDntractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes yDu to sign
<br />as contractor th.t .ay be an indication that he is not properly licensed .nd is not entitled to perlitting privileges in tbt
<br />City .f Zephyrbills.
<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 "Florid.'s Construction Lien l.w - Ho.eowner's ProtectiDn
<br />&uid." pr.pared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the .pplicant is so.eone other than the
<br />"o.ner" , I certify that I have obtained a copy of the abDve described dDcu.ent and prDlise in gDod f.ith tD deliver it to tbe
<br />"..lfr" priDr to cOaleneeltnt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify th.t .11 the inforl.tion in this .pplic.tion is .ccur.te .nd that .11 work will be done in cOlpli.nce with .11
<br />AP,licibl. 1.15 rftul.ting construction, zoning, and laRd developltnt.
<br />
<br />ApplicatiDn is hereby lade to obtain. perlit to do work .nd install.tion .5 indicated. I certify th.t no work or
<br />installation has co..enc.d prior tD issuance of a perlit and that all work will be perforled to .eet stand.rds of all laws
<br />regulating construction, City cDdes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the r.gulations of other governlental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I .ust take to be in cOlpliance. Such .gencies include but are not lilited to:
<br />. Depart.ent of Environlental ReQulation - Cypress Bayheads, Yetland Areas and Environlentally Sensitive lands,
<br />Mater/Masttwater Treatlent
<br />I Southwest Florida Water "anaQeltnt District - Utlls, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Ar.v Corps of Enaineers - Sta.alls, Docks, Navigable Uater.ays
<br />. DtDartlent of Health' Reh.bilitative Services. Environlental Health Unit - Wells, Wastewater Treataent, Septic T.nks
<br />. . US Environaental Protection AQency - Asbestos abattltnt
<br />I also certify that, if fill .aterial is to be used in Flood ZDne "A" Dr "A,etc,., it is understood that a drainage plan
<br />.ddressing a "cD.pensating vD1u,," .ill be sub.itted which is prepared by a professional engineer registered in the Stat, of
<br />Florida prior to p.rlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the work and not .5 authority to violate, cancel alter, .t
<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 corr.ctiDn of errors in plans, construction, or violations of any code. Every perait issued shall becole invalid
<br />unl.ss the work authorized by such per.it is cOI.enced within six lonths of issuance, or if work authorized by the perlit il
<br />suspended or abandoned for .a period of six IOnths after the ti.e the .ork is cOI.enced, One 90 day extension of ti.e, lay ~.
<br />allowed for the perlit with fee charge of tI5.00. The extension shall be requested in writing tD the Building Official. A.
<br />approved inspection .ust be logged during each six .onth period, or the project will be considered abandoned.
<br />MARlINS TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKMENCEKENT "AY RESULT IN YOUR PAYING TWICE FOR I"PROYE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FlNANCINS, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CDMENCE"ENT. JOBS UNDER $2,500 III VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COflJIENCE"ENT..
<br />
<br />~~~/V, ~~~ -1
<br />~ c?.LJar ~v{ tiJ~-,
<br />SI6NATURE: OWNER DR AGENT SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA n '
<br />aJIIITY OF ,Q~( 0
<br />The foregoing instL~~,..was acknowledged
<br />before me th is 6 ';j~, 19 q (P by
<br />
<br />~ \eQ~()r~ S>.~ {\ ~~ ~ U or
<br />who is.j)er ally kno~n m~ or who has
<br />produced~
<br />as identification and' who did/di not
<br />take an 0 th
<br />
<br />STATE OF ~
<br />COUNTY OF 0.. ~ G
<br />. The fOi""'9oin9 in~,=,~~nt was aclmowledged
<br />before me th i S :"t' l)\,\, 19,5k by
<br />
<br />~ 'DC-Q ~\.c~~
<br />who' __personally know ~to me or who has
<br />produced--
<br />as identificatio nd who did/did not
<br />t an "bath.
<br />
<br />
<br />(Signat6
<br />
<br />(Name Typed, Printed or Stamp
<br />NOTARY PUBLIC
<br />
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />i~:&~\j\~:rit4i-~. . SHONDA M. BOYD
<br />~.€ ':.~ MY COMMISSION fI CC 554673
<br />~~. ~:.: EXPIRES: May 14 2000
<br />" "P,f.,i':;'1.... Bonded Thtu NolaIy Pu,. Underwrll8nl
<br />
<br />~..*...
<br />/'~1 OFFICIAL SEAL
<br />11 GINGER ROGERS
<br />1 ~ My Commission E\>jres
<br />,~J March 16,1997
<br />..:!QI~. Comm. No. CC 266928
<br />.......
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