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<br />.A, NpTICE OF DEED RESTRICTIONS
<br />'1'11e unders.! gned understands that tins pe:nnJ: Inil Y 111, subJe:.:t to "deed restrictions" \-Ihleh
<br />may be more restr:icLive than City regnlctioils. 1'h" L1ndEH's.! qned assumes responsib:ll.ity for
<br />compliance Hith any appl.t.cable deed t:!~str.icdon3,
<br />B. UNLICENSED CON'rRp.CTORS AND CONTHl\.C'l'I)R R1:SPON5TBILI'l'IE;S
<br />I f the aHller has hil:ed a contractor OJ: ::ont.cact'JU3 to und,::rtake work, they may be reqni red
<br />I to be :U.c6nsed in accordance vJJth state and lnGi~l J:egu.LatJons. If the contractor :Is not
<br />l.icensed as requi.red by law, both the Oh'ne!: and contractor Illay be cited for a misdemeanor
<br />violat.ion ulldel.- state 1aH. If the OHne.r or illtE:nded oontractor are uncertain as to vlhat
<br />licensing requirements may apply for the I.ntendE:d Hork, they are advised to contact the
<br />City of Zephyrhills Building Department, 013-'11313-6611.
<br />l1'urthermore, if the O\'lller has hired a contn~cl:or or contractors, he is advised to bave the
<br />contractor(s) sign portions of the "Contractor Sections" of this application for Hh1ch they
<br />will be responsible. If you, as the aHner signs as the contractor, you are ind.tcating that
<br />you, rather than the contractor, are responsible for the Hork, If the contractor Hlshes
<br />you to sign as contractor that may be an indication that he is not properly Ucensed and is
<br />not enti tled to permitting privileges in tlu3 City of Zephyr:hills.
<br />c. 'l'RANSPOR'l'A'rION IMPAC'!' FEES AND U'l'ILITY CONHEc'nON FEES
<br />D. CONS'l'RI/C'rUION LIEN LAW (CHP.P'l'ER 713, FLORIDA S'l'A'I'UTES, AS AMENDE:D)
<br />I certjfy that I, the applicant, have been provided \lith a copy of "Florida's Construction
<br />:I ten La\! -- 1I0Illeo~/l1er' s Protection Guide" prEOpared by the E'lorida Department of Agriculture
<br />and Consumer Affairs, If the applicant is 130rneone other that the "oHner", I eerify that I
<br />have obtained a copy of the above descr1bed document and promise in good fa1th to deliver
<br />it to the "DWnel.-" priol.' to conunencelllent.
<br />E. CONTHAC'I'OH' a/OWNER'S AFE'IDAVIT
<br />I certify that all the information in this npplication is accurate and that all Hork Hill
<br />be done in compliance Hith all applicable Inws regulating construction, zoning, and land
<br />developmell \: ,
<br />Application is llereby made to obtain a permit to do work and installation as indiaated. I
<br />certify that no Hark or instaLlation has conunenced prior to issuance of a permit alld t.hat
<br />all Hark will be performed to meet standards of all laHs regulating construotion, City
<br />Godes, zonjng regulations, and land development regulations in the juriscUctjon, 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 responsib.ility to ident.lfy \'Ihat act.ions I must take 1:0
<br />be in compLiance, Such agencies include but are not limited to: *Department: of
<br />Envirollmental RegUlation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/WastewaLer 'rreatment
<br />*Southwest Florida Water Management District-Wells, Cypress Baylleads, Wetland Areas,
<br />Alterillg Watercourses
<br />*Army Corps of Engineers-BeaHalls, Docks, Navigable Waterways
<br />*IJepartmenL of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater 'rreatment:, Septic 'ranks
<br />*lJ,s. Environmental Protection Agency-Asbestos abatement
<br />I also cert1fy that, if fill material is to be used in Flood Zone "A" or "A, eta.", it is
<br />understood that a dra1nage plan addreSSing a "compensating volume" wi.11 be submltted Hh1ch
<br />is prepared by a professional eng:l.neer registered in the State of Florida prior to permit
<br />issllance.
<br />A permit issued shall be construed to be a license to proceed Hith the work and not as
<br />autllority to violate, cancel, alter, or set aside any provisions of the technical codes,
<br />nor shall 185\1ance of a permlt prevent the Building Official from thereafter requ1ring a
<br />correution of errors in plans, constructi.op, or violations of any oode. Every permit
<br />issued shall become invalid unleslS the work authorized by suah permit is commenced witld n
<br />SlK months of issuance, or If work authorl.zed by the permit is suspended or abandoned for a
<br />period of six months after the time the \'/ork is conunenced, One 90 day extension of t hne
<br />may be aLl oHed for the permlt Hith fee charge of $15,00, '1'he extension shaLl be req\1ested
<br />in Hriting to the Building Official. An approved inspection mllst be logged dud ng each sil[
<br />month period, or the project Hill be considered abandoned.
<br />WARNllIG '1'0 OWNERl YOUR FAII.1JRE '1'0 RECORD A NOTICE OF COMMENCEMEN'l' MAY RESlJIir HI YOUR
<br />PAYING TWICE H'OR IMPROVEMEN'rS TO YOUR PROPER'ry. IF YOU m'l'END '1'0 OB'rAIN FINAHCIIH3, CONSIJV1'
<br />WITH YOUR I.ENDER OR AN A'i"l'ORNEY BEFORE RECORDING YOUR NO'rICE OF COMMENCEMENT. ,JOBS llNI>ER
<br />
<br />
<br />I~A:;: ll~l';;;l{EC::D AND POB1' :~F ~<EN;:'~~_s _
<br />
<br />SIGNA'l'URE: OWNER OR AGENT SIGNA'I'URE: CON'I'R1\C'l'OR
<br />
<br />CO.N JJ ~ '.'.1}~ O,\T S ().~ ~? S~}~'~I!.' l\F~l~~ f)A '!~~ T
<br />
<br />S'1'P.'}'E Oli' InoRTIJA
<br />COUN'l'Y OF .____.__
<br />The foregoing instrument Has acknowledged
<br />Before me this _._____ day of._ , 1~_
<br />by
<br />(name of person ackno~'/ledged)
<br />[] Hho is personally kno\'/n to me, or
<br />
<br />Llwho has produoed___~____
<br />(type of identiflcation)
<br />and who[]clJd Ddid not take an oath.
<br />
<br />STA'l'E OF FLORIDA
<br />COUN'l'Y OF __.____________
<br />The foregoing instrument was acknowledged
<br />Before me this _J.iay of--.-- , 19_.:....
<br />by ______
<br />(name of person acknowledged)
<br />[kho is personally known to me, or
<br />
<br />[] Hho has produced ____..___
<br />(type of jdentificaLl.on)
<br />and Hho [Jdid [}:iid not take an oath
<br />
<br />Si.gnature of per-son tak1ng acknoHledgement
<br />
<br />-'_.'--~-'--'--"---'------_'_---_'._---'P--~
<br />
<br />Signature of person taking acknoH1edgmentf
<br />
<br />N~~-,~;-t-yp-~d~-- ~-i7~t-ed -~~--;-t;;j~~d-------'
<br />
<br />Name typed, printed or stamped
<br />
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