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<br />CONUIT1,ONS OF PEIUU'l' l\FFID1\VI'l'
<br />1\. NOTICE OF DEED HES'l'HIC'l'lONS
<br />The undersigned understands that lIlis per!1liL-;;YGesuoject to "deed rc!;trictIon8" which lay be lore restrictive than City
<br />regulations, The undersigned ilSSUles respons i bi I ity [or cOilpl i ance with ilny applicable deed restrictions,
<br />
<br />B. UNLICENSED CONTHl\C'l'OHS I\NlJ CON'l'Hl\CTOH HESPONSIBILI'l'IES
<br />If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations, If the contractor is not licenseu as requireil by law, both the owner and contractor lay be
<br />cited for a lIisdeleanor violation ulHJer stilte lilW. If the owner or intended contractor are uncertain as to what licensing
<br />requireJents !lay apply [or the intenued work, they llre advised Lo contilcL the City of Zephyrhills Building DepartIent, (813)
<br />788-5511.
<br />
<br />Furthenore, if the owner has hireil a contracLor or cOlltracLors, lie is ailvised to have the contractor(s) sign portions of the
<br />'Contractor Sections" of this ilpplicalion. for \Ihich they will be responsible. If you, as tbe OlIner sign as the contractor,
<br />you are indicating that you, rather than the conlrilclor, ilre responsible for the work, If the contract.or wishes you to sign
<br />as contractor that lilY be an intJicatioll that lie is not properly licensed and is not entitled to peuitting privileges in tbe
<br />City of Zephyrhiils,
<br />
<br />C. THl\NSPOH'l'l\'l'ION IMPl\CT FEES l\ND UTI LI'l'Y CONNECTION FEES <,'
<br />--~--------,-------
<br />
<br />D. CONS'l'HUC'l'ION LIEN Li\i<J (ClIl\PTEH '113, FLOHIDl\ S'f1\'rUTES, 1\S AMENDED)
<br />I certify that I, the applicilnt, have been provideuliith a copy of "Florida's Construction Lien Law - HOleowner's Protection
<br />Guide" prepared by the Floriua Uepartment of Agriculture anu Con8uliler tI[[airs. If the applicant is sOleone other than the
<br />'owner", I certify tllat I have obtained il copy o[ the above describet] doculIcnL ilno prolise in good faWI to oeliverrH to tbe
<br />"owner" prior to COlllJenCesent,
<br />
<br />E. CONTRl\CTOH ' S /OWNEH 'S l\FFIDIW IT
<br />I certify that all the inforliltion in this application is accurate and L1lill all work will be done in co~pliance with all
<br />applicable laws regulating construction, zoning, anu lalH] develop~ent,
<br />I
<br />
<br />Application is hereby ;ilde to obtain a perllit to do worK llnu installotion as indicated. I certify that no work or
<br />installation has couenced prior to issuance of a per~it llllll that all work will be perfoncd to aeet standards of all laws
<br />regulating construction, City coues, y,oning regulations, uiJU land developilent regulations in the jurisdiction. I also
<br />certify that I unuerstilnu thilt the regulations o[ oLher goverrwcntlll aljencies lay apply to the intended work, and that it is
<br />IY responsibility to identify whilt actions I must tar,e to be in co~pliance. Such agencies include but are not Hlited to:
<br />I Deparl.Jent o[ Envirollllentll~aLion - Cypress l111ylieads, \ietlilnil Areos ond EnvirolUlentally Sensitive Lunds,
<br />Wllter/Wastewaler Treatment
<br />I Southwest Floriuo >lilter Hanag~g!!.t [JiS~!i5.~ - liells, Cypress DiJylieaus, \ietlonu Areas, J\ltering Watercourses
<br />* I\rlY Corps of Engineers - Seawa}}s, [Jocks, Havigilble Wilterways
<br />I Depart.lent of Health & Hehabilitative Service.~L Envir~~u,ent~lelllth Unit - 'Kells, Wastewater TreatJlent, Septic Tanks
<br />* US Environ2ent!ll..Ri.glg,l:.tioIL~.genCl' - rlsbestos ilbille~elll
<br />I also certify t/Jilt, if fill .aterial is to be used in Flood Zone "1\" or "A,etc, K, it is understood that a drainage plan
<br />addressing il "collpensating voluue" will be sulJ~ilLe(] \Ihich is prepared by a professional engineer registered in the State of
<br />Floriua prior to pertit issuonce.
<br />
<br />r, partit issued sholl be construeu to be a license Lo proceed with the 'Kork and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technicul codes, !lor sllilll issuilnce of a permit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pauit issued shall becOIB invalid
<br />unless the )lork authorized by such peraU is cot!llenced within si~ l'.1onths of issuance, or if work authorhed by the per.it is
<br />suspended or abandoned [or a period of six Illonths after tile ti>Je the \lork is couenced, One 90 day extension of tUB, lay be
<br />allowed for the permit 'Aith fee cllllrge of $15.00. Tlie extelHiion shilll be requested in writing to the Building Official. An
<br />approved inspection lust be loggeu uur ir:g eociJ si~ t!onth periou, or the project will be considered abandoned.
<br />IIARHIHG TO OIlHER: YOUH PI~ lLUnE TO I1ECOIIIl ^ fiOT ICE OF COK}1EIiCEHEHT f(IW HESUL T IN YOUR PAYlHG TWICE FOR IHPROVIlliElfTS TO YOUI!
<br />PROPERTY. II' YOU lHTEHIl TO OUrAlH FiHlIHCIHG, COHSULT \ilTlI YOUn LEHIlEn on AH J\TTORNEY BEFORE RECOlillING YOUR 1l00ICE OF
<br />COIOlEHCEHEHT. JOGS UHIlEn $2,500 IH VM,UE 00 HOT HEW 1'0 IIECOllll Mill POST I~ "HOTICE OF COMMENCEMENT",,'
<br />
<br />SIGHATlIHE: COHTMCTOH
<br />
<br />SIGHAIUHE: O~HEn UII AGENT
<br />
<br />wa s (] cKnow 1 e[19 ed
<br />19 by
<br />
<br />STATE OF FLOHIDA
<br />CUUlITY OF
<br />The foregoing instrument
<br />IJofore me this
<br />
<br />STrITE OF FLOHlDrl
<br />COUN1Y OF
<br />TIle foregoing ins trumen t
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />elll U who u i u / u i [1 no L
<br />
<br />wli-o is p-ersonally Known to me or who has
<br />prouuced
<br />uS iuen lification and who did/did not
<br />luke un oath.
<br />
<br />who is personully
<br />produced
<br />as identification
<br />ta~e an oath,
<br />
<br />Known to me or 1'1110 lli.l~;
<br />
<br />(Signature)
<br />
<br />(Si~Jnu lure)
<br />
<br />(Name Typed, Printed or SLumped)
<br />NOTIIRY PUBLIC
<br />
<br />plume Typed, Printed or Stamped)
<br />HOTIIHY PUBLIC
<br />
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