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<br />A. NO'I'ICE OE' DEED REB'l'RIC'rIONS
<br />'l'he undersigned understands that tills permit m,!;\y be i'lub}ect to "deed restrictions" \.'Ihi.ch
<br />llIay be llIor'e restrictive than City r.egulations. '1'he undersigned assumes responsib.11ity for
<br />compliance uith any applicable c.;eedt:estr.1.ctions.
<br />B. UlnICENSED CON'l'R1\CTORS AND SON'l'RAC'I'OR RESPONSIBILI'l'LIr.S
<br />11; the OHner has hired a contractor 01: contractors to undertake wor!{, they may be reqqired
<br />I to be licensed in accordance \-lith state and local regulaUons. If the contractor 1s not
<br />licensed aa required by law, both tIle owner and contractor may be aited for a misdemeanor
<br />violation under state law. If the OHne:: or intended contractor are uncertaln as to Ylhat
<br />licensing reqtliremellts may apply for the intended Hark, they are advised to contact: the
<br />City of Zephyrhills BUilding Department, 013-788-6611.
<br />Furthermore, if the o\.mer has hired a contractor or contractors, he is advlsed to have the
<br />oontractor(s) sign portions of the "Contractor Sections" of this application for Hh.ich they
<br />will be responsible, If you, as the owner signs as the contractor, you are indicating tllat
<br />you, rather than the contractor, are respollsible for the work. Il the contraotor wishes
<br />YOll to s1gn as contractor that may be an indication that he 1s not properly licensed and is
<br />lIot enti tIed to permi tting privileges in t!le C1 ty of Zephyrhills.
<br />C. 'I'RANSPOR'l'A'rION I MPAC'l' FEEi3 AND U'l'ILITY CONNEC'I'ION FEES
<br />D. CONS'l'RIlC'l'lJION MEN LAW (CllAP'l'ER 713, FLORIDA S'l'A'l'UTmS, AS AM.1:NDE:D)
<br />I ce1:t1fy that I, the applicant, have been provic\ed Hith a copy of "Florida's Construction
<br />Iiem l,aw -- Homeowner's Protection Guide" prepared by thel E'lorida Department of Agriculture
<br />and COllstlmer Affairs. If the applJcant it, someone othex that the "0\'l11er", I ced.fy t;hat I
<br />have obtained a copy of the above describ;}d (Jocument and ptomise .l.n good faith to deliver
<br />it to the "ownerll prior to L:on~llenCell\ellt.
<br />E:. CON'l'RAC'l'OH' a/OWNER' Sl\FFIDAVl'r
<br />I certify that ail the informati.an in this applicatJon .:.s accurate and that all Hark Hill
<br />be dOlle .i!~ compliance Hith all applical~le laws regulating construction, zonlngf and land
<br />development.
<br />Application is hereby m..de to obtain a permit to do Hork: and installation as lnd:l cated. I
<br />certJfy that no work or installation has commer-ced pripr to issHance of a permit alld that
<br />all \-lark will be performed to ~eet standards of all laws regul~ting construction, City
<br />codes, zordnQ regulations, and lalld ,developrri'ent reglllationa in the jurisdtctjon. I also
<br />certify that I understand that thure'gulatiorl8 "of other governmental ag'mcies may apply to
<br />the Jntended work, and that it is my r~sponFj.bility to identify what actions I 1I\1Ist takE; to
<br />be in compliance. SUch agencies 'lC~.ude but are not limited to: *Department of
<br />Environmental RegulatJon-Cypress Barheads, Wetland Areas and Envi:.:onrnentally Sensitive
<br />I,ands, Water/Wastewater 'freatment
<br />*BouthHest Florida Wate': Management Distr:!ct-i'lells, Cypress Bayheads, t<]etland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-SeaHalls, Docks, Navigable Waterways
<br />*llepartment of Health & Rehabilitative Services, Environmental Health Hlllt-Wells,
<br />Wastewater 'l'reatment, Septic 'ranks
<br />*U.8. EllvJrol1lnental Protection Agency-Asbestos abatement
<br />I also cer.tify that, if fill material is to be used in E'lood Zone "AU or "A, titc.", Jr. is
<br />understood that a drainage plan addreSSing a "compensat.ing volume" w.1.11 be submitted VlhJch
<br />is prepared by a professional eng.1neer reg.istered in the State of Florida prior' to permit
<br />issuance.
<br />A permit lflsued 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 isouance of a permit prevent the Building Official from thereafter requirillg a
<br />correction of errors in plaus, construction, or violations of any code. I!lV&!:y permit
<br />issued shall hecome invalid unlasa the worJc authorized by' such permit is COlllill6w;ed withj n
<br />aiK inonths of issuance, or if work author1.zed by Lhe pe!::mJ L is s\lspenderd or &bnndoned for a
<br />period of slx months after the time the Hod, is cOllunanced. One 90 day extensioll of t lllle
<br />may be alloHed for the permit with fee charge of $15.00. '1'he extens10n shall be 1:eqaested
<br />in \-lritillg to the Building Official, An approved inspection mllst be logged dud I1g each 9i)(
<br />mond: period, or the pn,ject will be considered abandoned.
<br />WARNnW '1'0 OWNERI YOUR Ii'AII,uRE TO RECORD A NO'I'ICE OF COMMENCEMEN'l' MAY REBIJT,'I' IN YOlJR
<br />PAYING 'rWICE Jj'OR IMPROVEMEN'fS TO YOUR PROPER'fY. IF YOlJ HI'I'END '1'0 OB'I'ATN FINANCING, CONSULT
<br />Wl'l'1I YOUR 1,I!:NDER OR AN A'f'l'ORNEY BEFORE RECORDING YOUR NO'l'ICE OF COM:vtENCEMEH'l'. ,JOBS UNDER
<br />~2, 500 IN VJ\I.UE no NO'I' NEED '1'0 RECORD AND POS'l' A "NOTICE Oil' COMMENCEMI!:N'I"'.
<br />
<br />'>'.'-;/1'1. '- J.UJ!i:' OJ!: !:'t;},HIT j\l!'fi'IJJAVIT
<br />
<br />_J~_~~d-u... Er~ ___,
<br />SIGHA'1'lJREI OWNER OR AGEN't'
<br />
<br />jLJ~.~ f ~____.____________.______
<br />
<br />SIciNA'l'IJRE: CON'l'RAC'l'OR
<br />
<br />S'l'A'l'E OF Il'J,uRlllA n
<br />COUN'!'Y OF it ~C_J)
<br />'J'he forego1n9 instrument was acknOWledged
<br />Before lIIe this -!t-- day of __~ ' ~
<br />by
<br />(name of person aoknoWledged)
<br />.J<~>-Iho is personally known to me, or
<br />
<br />BTA'l'E OF FI.OP.IIJA (i)
<br />COUN'l'Y OF ~.(.{) _____________
<br />'1'he foregoing instrlllnent \oIas ackpo\'lledged
<br />Before me this _~J.iay of ~\..,. p-+- ,~.Q@A
<br />by
<br />. (nume of person acknowledged)
<br />~o is personally known to me, or
<br />
<br />Llwho has produced
<br />(type of identification)
<br />aud who(] did .Q);did !lot take, an oath.
<br />
<br />~trUS\(\O.) t . If)L 1 (\ C--o Q[
<br />- .
<br />Signature of pe~son taking acknowledgement
<br />.,P ~"" Frances C Mitchell
<br />--___.LJ.~.>>.v_CO~00069797
<br />Name tYP~!Jp1;A~~t1'~ce~hell
<br />
<br />!"J . My Commission 00069797
<br />"),.~ol Expires November 04 2005
<br />~o.'"
<br />
<br />o who has produced _._______._
<br />(type of lrtentificaLion)
<br />and who Odid \sii\l not take an oath
<br />
<br />..--~_0-~______
<br />
<br />Signature of person taking acknowledgmentl
<br />
<br />~~ . =006,"&7 ._.________
<br />
<br />- Ham~ (&piW~O'QOQftalllped
<br />~.,.P ~~ Frances C
<br />. ~ . My CommiSSIon 00069797
<br />\;0,,...;1 Explfes November 04 2005
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