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<br />APR-21-94 THU
<br />
<br />9:05 GENERAL HOME DEVE~QPMENT P.02
<br />
<br />cor'I))! T.I ONS OF PE:RI'1.l'T AFF 1 DfW I T I
<br />A. ~OT~CE OF DEED R~ST~~~CTION$.
<br />The under.lgnrd understands that this p~r.lt ~~y be sub,.,t to 'decd r~$trlctionl' Nhlch .~y bl .or. restrictlyt than City
<br />regulations. Theundrrslgned aS5U.cs r03ponsibility for coaplianc. Mith ~ny applic~hle deed rcst,lc\ions,
<br />
<br />g, UNL I C~NSE"O ~ONTF\ACTClr,S AND CO~TRACI.QR Rl:SPQt~t~UJV LIT I E:~
<br />If the OMner has hired a contractor or c~ntractor' to undortake work, they .ay b~ required to bl licensed In accordanc. with
<br />st~tt and lDC.l regulations. If th~ 'tontractor I~ not licensed as required by law, both the ONner and contractor IIY bf
<br />cited for I Ilsde.elnor violation undrr ~tatf law. If t~~ owner or intended contractor are uncerlaln as to what Jicenslng
<br />requlre.ents aay apply for the intended llork, they are advised to contact the Ci~y or Zephyrhills Building Depart.tnt, (813)
<br />789-6611. .
<br />
<br />Furtherlore, 11 thf o"n~r has hired i c~~tractor or contractorsl he is idvised tD h~ve tht contractor(s) sign portions of the
<br />'Contractor Sections' of this application for whlch they Mill be respo~sible. If you, as the owner siqn as the contractor,
<br />you .r. indicating that you, rather th~" the contractor, are responsible for the Mort. If the contractor _ish!, you to sign
<br />, as contractor that .~y be In indication th~t he is no~ pr~perly licensed and Is not entitled to per.itting privilege' In, the
<br />City of Zephyrhills,
<br />
<br />c. lRANSPORTATXON IMPACT FEES AND UTILITY CONNECTION FE~S
<br />
<br />D. CONSTRUCTION LIEN LA~ (CHAPTER 713, FLORIOA STATUTES, AS AMENDED)
<br />I certify that " thf ipplicant. have b~cn provided Nith . copy of .Florida's Construction lien LaN - H~.eoMner'l Protection
<br />Guide. prep~r~d by the Florida Depart.ent of Agriculture and Consu.rr Affairs. If the applicant 15 so.eone other than the
<br />'oNncr', I certify that I hive obtain~d a copy of th, iboYI described document and proiise in good faith tD deliy,r It t~ the
<br />.o~nlr' prlor~jo CDI.ence.ent.
<br />
<br />IE. CONTRACTOR I S/O"'Jt'J~~~LAF'F I OAV I T
<br />I certify th~t all the infor.ation in this applicatiDn is accurate and th,t 111 work "ill be dDne In cOlplianc' ~lt~ .11
<br />applicable laws re9ul.\in9 construction, ionin9, and land develop.ent.
<br />
<br />Application is hereby .ad, to obtain . p~rlit to do work and Installation as indicated. I certify that nD .ork or
<br />ln~tallatlon has cO'I~"ced prior to issuJn,. 01 a p,rlit and that all Nork Mill be perforled to .eet standards of all J~W5
<br />regulating construction, City codas, loning regulations, and land develDp.ent regul~tions in the jurisdiction. I IIso
<br />certify that I understand th,t the r~gulations of other govern.ental agencies lay apply to the intended work, and that It Is
<br />.y responsibility to identify Nhat acti~ils I lust take to bf in co.pliante, Such agencies Include but are not -Ji.lttd to:
<br />t DeDart'ent of Envir2nlent.1 RQQol~ti~n ~ Cypress Bayhaads, Wetland Are~s and Environaentally S~nsitlve Llnds,_
<br />, ~ater/Wa5teNater Tr~~t.tnt
<br />t SouthNest Florida W~ter K.n~Q~lcnt District - Uells, Cypress Bayhcads, Wetland Areas, Altering Watercourses
<br />t Ar.y eoru Df Enllin"T" . SuwalJs, Dele,h, Nilvig~blt Water..ays ,
<br />t Depart.ent of H~~lth & R~h~bilit~tlve ~~rYires. Enyiron.ental Health Unit. Wells, Wast!Nater Trcat.~nt, Septic Jinks
<br />t US Enyiron.ental Protection AQ~n'Y - A:bestos abate.ent
<br />I a15D certify that, if fill .atarial is to be used in Flood Zone "A' or 'A,ele.", it is underslood that a drainage pl~n
<br />~ddres51n9 I 'colpensatin9 volule' Nill be subtitled which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it issuance.
<br />
<br />A per.lt li5ued shall be conslrued to be a license to proceed Nith the "ork ,nd not as authority to violate, cancel alter, or
<br />set .sidt Iny provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official frOI 'hereafter
<br />requirln9 . correction of errors in plan,., construction, or yiolations of any code. Every per.it issued 5hall beco.e Invalid
<br />unless 'he Nork ,uthorized by such peroit is cOleenced within six Donths of issuance,' or if Hork aulhori:ed by the per.it is
<br />suspended or abandoned for i period of SIX tonths after the -tile the work is co..enced.' One 90 day extension of ti'I, .ay be
<br />allo~ed for thl perllt "ith fee ch,rge or ~15.00. The extension shall be requested in Hriting to the Building Official. An
<br />~pproved inspection lust be logged durin1 earh six lonth period, or the project Nill be considerrd Ibilndoned,
<br />WARNING TO O~~ER: YOUR fAILURE TO RECORll A NOTICE OF COHnENCEHEHT HAY RESULT IN YOUR PAYING TWICE fOR fnPROYEnEUTS TO YOUR
<br />PROPERTY. IF YOU INTENO TO OBTAIN F I UI1!JI:IIlG, COllSUL T WITH YOUR lENDER OR AN ATTORNEY DEFORE RECORDING YOUR IIOnCE OF
<br />CDMllENCEhENT. JOBS UNDER $2,500 IN VALU,: DO IIOT NEED TO RECORD fIND POST A -NOTICE OF COliltEHCEtlEHr..
<br />.
<br />
<br />SIGNATURE. OWNER OR AGENT
<br />
<br />- , -' _~h...Ai:l . V1J1
<br />SIGNATURE, COHT"ACTOR
<br />
<br />STATE OF FLORIDA
<br />COUHTY OF
<br />The for;;oin; instrumont
<br />before me this
<br />
<br />W~$ ~cknowledged
<br />, JI)_ by
<br />
<br />STATE OF FLORIDA
<br />COUtHY OF .
<br />The foreg~ino i"6trument
<br />befc"~. me this
<br />
<br />was ~cknowl.dg~d
<br />, 19_ by
<br />
<br />who is personally ~nown to me or who h~a
<br />produced
<br />.s ldontif1cation and who did/did not
<br />tal(e an oath.
<br />
<br />who 15 pGrse,n;a 11 y known to mQ or who hiS
<br />produced
<br />as identification and who did/did not
<br />tal{e an CIa th.
<br />
<br />(Signature)
<br />
<br />(Signature)
<br />
<br />,(Name Typed, Printed CI}. Stamped)
<br />NOTARV PUBLIq
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARV 'pUBLIC
<br />
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