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<br />co~~!.)~.r!.lIONS O~ PEP..~lr:.l P.~FFI;)AVlr:-:
<br />
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'rhe undersigned understands thqt U1.li3 p~,nni t may bt3 :n(oj eel co "deed restriotions" which
<br />maY be more 1.estri eti ve than City 1:"39U1 cl tions. '1'11.= lll1j'".rsJ':1ned assumes responsl uill ty for
<br />compliance I"ith any applicable de",j ct:stTicti~n::;.
<br />B. UIUJICENSED. 'CON'I'AAC'I'ORS AND CON l'HAC'l'Of( RESP~)N~ili3rr.I l' IE:S
<br />If the OHner has hired a contractur or contractors to undertake Hork, they Illay be required
<br />to be licensed in accordance with sl:ate and local .cegulations. If the (J(mtractor is Iwt;
<br />licensed as requiLed by lav", both the ovlneL and contrac~or way be oi ted for a misdemeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to wllat
<br />licensing requirements may apply for the intended work, they are advised to contact the
<br />City of ZephY1Jlills Building Depal:tment, 613-788-6611.
<br />Furthermon., it the ovmer has hin::d a contractor or contractors, he 1.s advised to have the
<br />contractor{s) sign portions of the "Contractor SectionsU of this appl1.cation for which they
<br />"Jill be Lesponsible. If you, as the owner signs as the contractor, YQl,! are indipat1.ng that
<br />you, l:ather than the contractor, ar:e responsible for the work. If the contracto1.' wishes
<br />you to s1.gn as contractor that may be an indication that he is not properly licellsed and is
<br />llot ellUtled to permitting priv1.leges 1.n the City of Zephyrhi.lls.
<br />C. 'l'AANSPOR'l'ATION IMPAC'!' ~~EES AND U'l'ILl'I'Y CONNECTION E'EES
<br />D. CONS'l'RllC'l'UlON LIEN LAW (CHAprl'ER '713, FLORIDA S'rA'l'UTES, AS AMENDED)
<br />1 cert1.fy that I, the applicant, have been provided with a copy of "Florida's Construction
<br />11.en Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that: the "owneru, 1 cerify that I
<br />have obta1.ned a copy of the above described document and promise in good faith to deliver
<br />1 t to the "owner" prior to OOITUl1encement.
<br />E. CON'l'RAC'l'OR' S/OWNER' S AFE'IDAVI'I'
<br />I certify that all the information in this application is aCCurate and tllat all work will
<br />be dOlle in compliance with all applicable laws regulating constl'uction, zonillg, and land
<br />development.
<br />Applioation is hereby made to obta!.n a perm!.t to do work and installation as indioated. I
<br />certify that no work or installation has commenced prior to issuance of a permit and that
<br />all work 1'/111 be performed to meet standards of all laws regulati.ng construotion, City
<br />oodes, zoning regulations, and land development regulatJons in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies may apply to
<br />the intended wor;'k, and that it is my .t'esponsibility to Jdentify what actions I lllllst take to
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />Environnlental RegUlation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest E'lodda Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />'Anny Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*IJepu:tment of Health I< Rehabilitative Se1.'vices, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Environmental Frotection Agency-Asbestos abatement
<br />1 also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is
<br />ullderstood that a dra!.nage plan addressing a "compensating volume" 'will be subnli tted I'/hieh
<br />is prepared by a professional engineer registered in thE! State of H'lorida prior to peunit
<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 provislons of the technical codes,
<br />not shall issuance of a permit prevent the Building Official from thereafter requiring a
<br />cQr~ection of errors ill plans, oon~truction! or vio~ations of any code. Every pe~mit
<br />iSliued shall become invalid unless the work authorized by such permit is cOllullenced within
<br />six months of issuance, or if work authorized by the permit is suspended or abandoijed for a
<br />period of elx monthl3 after the time the work is conunenced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be requested
<br />ill writing to the BuildJ.ng Official. An approved inspection mlll~t be logged during each' 131 x
<br />month period, 01 the proj ect vlil1 be considered abandoned.
<br />WARNING 'fO OWNER: YOUR FAIWRE 'ro RECORD A NO'fICE OF COMMENCEMEWr MAY RESUL'I' IN YOUR
<br />I:'AYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. H' YOU IN'rEND TO OB'l'AIN b'INANqrw~, t:qN~UI/l'
<br />Wl'l'H YOUR LENDER OR AN A'l"!'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'!'. JOBS UNDER
<br />$2,500 IN VAI,UE DO Nor!' NEED TO RECORD AND POS'l' A "NOrl'lCE OF. COMMENCEMEN'l'" . .
<br />1-17'/?i "7 7 1-7/'0-1' 60
<br />~ ~- --/
<br />/'~ /~ //~..,., .-
<br />SIGNA'l'URE~ CONTRA, R -
<br />
<br />~J{ . <7~
<br />-.,-...../ . ~ /---
<br />SIG1~A'l'URE: OWNER OR AGEl .,
<br />
<br />S'I'A'I'f; OF FLORIDA
<br />COUNTY OF
<br />'l'he foregoing instrument was
<br />Before me this ___ day of
<br />by.
<br />
<br />o who has produced
<br />{type
<br />alld who[] did []did not
<br />
<br />STA'I'E OF nORIDA
<br />COUN'rY OF
<br />The foregoing instrument wa,s aoknovlledged
<br />Before me this _,----Slay af----, 19
<br />by
<br />(name of person acknowledged)
<br />C1ho is personally known to lIIe, or
<br />
<br />o who has produced _,__
<br />(type of identifioation)
<br />and Hha Ddid DUd not t.ake all oath
<br />
<br />acknowledged
<br />_, 19....-
<br />
<br />(name of person acknowledged)
<br />Owho is personally known to me, or
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Signature of person taking acknowledgewent
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Hame typed, tJriuted or stamped
<br />
<br />Name typed, printed or stamped
<br />
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