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<br />CUNJJ1'l'lUNoS Uf!' J:'t;}{N.J.l' A.I:.,~ .~i)!\V-'-T
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be
<br />may. be more restrictive than City regulations. The
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they may be required.
<br />t~ be licensed in accordance with state and local regulations. If the contractor is not
<br />licensed as required by law, both the owner and contractor may be cited for a misdemeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to what
<br />licensing requirements may apply for the intended work, they are advised to contact the
<br />city of Zephyrhills Building Department, 813-788-6611.
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractor(s) sign portions of the "Contractor Sections" of this application for which they
<br />will be responsible. If you, as the owner signs as the contractor, you are indicating that
<br />you, rather than the contractor, are responsible for the work. If the contractor wishes
<br />you to sign as contractor that may be an indication that he is not properly licensed and is
<br />not entitled to permitting privileges in the City of Zephyrhills.
<br />C. TRANSPORTATION IMPACT FEES AND U'l'IIJI1'Y CONNECTION FEES
<br />D. CONS1'RUCTUION LIEN lAW (CHAPTER 713, FJ.ORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction
<br />lien Law - Homeowner's Protection Guide" prepared by the E'lorida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
<br />have obtained a copy of the above described document and promise in good faith to deliver
<br />it to the "owner" prior to commencement.
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVIT
<br />I certify that all the information in this application is accurate and that all work will
<br />be done in compliance with all applicable laws regulating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permit to do work and installation as indicated. I
<br />certify that no work or installation has commenced prior to issuance of a permit and that
<br />all work will be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies may apply to
<br />the intended work, and that it is my responsibiLity to identify what actions I must take to
<br />be in comp1iance. Such agencies 1nclude but are not limited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative Services, Env1ronmental Health Unit-Wells,
<br />Wastewater Treatment, Septic 'ranks
<br />*U.S. Envi.ronmental Protectlon Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is
<br />understood that a drainage plan addressing a "compensating volume" will be submitted which
<br />is prepared by a professional engineer registered 1n the State of Florida prior to permit
<br />issuance.
<br />A permit issued shall be construed to be a license to proceed with the work and not as
<br />authority to violate, cancel, alter, or set aside any provisions of the technical codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, construction, or violations of any code. Every permit
<br />issued shall become invalid unless the work authorized by such permit is commenced within
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned for a
<br />period of six months after the time the work is commenced. One 90 day extension of time
<br />may be allowed for the perm1t with fee charge of $15.00. The extension shall be requested
<br />in writing to the Building Official. An approved inspection must be logged during each six
<br />month period, or the project will be consldered abandoned.
<br />WARNING TO OWNER: YOUR E'ATI.URE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUI,T IN YOUR
<br />PAYING TWICg E'OR IMPROVgMEN'I'S '1'0 YOUR PROPERTY. IF' YOU INTEND '1'0 OBTAIN FINANCING, <:;ONSUL'l'
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCF.MENT".
<br />
<br />
<br />~ 3S:J ~.., -~~~
<br />~ - - ~
<br />-- - -- ,-- OR AGENT _ __nn nnn n nnn. nnnn.n f
<br />
<br />STATE OF FLORIDA t"'f')
<br />COUNTY OF raS60
<br />The foregoing 1nstrument was acknowledged
<br />Before ~ this ~"d~y of A v..S'" So1 , .;)..Ot)~
<br />by ~vJ. {o("rela.-
<br />(name of person acknowledged)
<br />~hO is personally known to me, or
<br />
<br />subject to "deed restrictions" which
<br />undersigned assumes responsibility for
<br />
<br />STATE OF FLORIDA 0
<br />COUNTY OF I-a. .sC 0
<br />The foregoing instrument was acknowledged
<br />Before me th~ I~'fl.day o~ A~$L< ~~, :wo'?-
<br />by . L-\..-I C.or r et a....
<br />AI' (name of pe,rson acknowledged)
<br />~ho is personally known to me, or
<br />
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o who has produced
<br />(type of identification)
<br />~id not take an oath
<br />
<br />o who has produced
<br />(type
<br />Ddid not
<br />
<br />5i
<br />
<br />
<br />Name typed,
<br />
<br />... \ ,_~' i -1 " .. ~,
<br />'~'rc:r.'
<br />~"q:ted or
<br />~1~:;".
<br />
<br />'\:"(;<'1 Bahr
<br />s difu~~& 790817
<br />. '. ,.), 2002
<br />THRU
<br />
<br />Name t yp~~~*[{t~1UJJ tl6i
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<br />f'.hr
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<br />'002
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<br />'.;0.. INC.
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