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<br />A. NOTICE Of DEED RESTRICTIONS
<br />The undersigned underc"tandl9 that this p..rlq~t may bs sul:ljo'lct to "deect restrictions" Ifhich
<br />ma~ be more restrictive than City regulatione. The ~nder"igneQ assumes rc..sponsibility for
<br />compliance with any ~pplioable deed rcestrict1ons.
<br />B. UNLICENSED CO~TRACTORS ~D CONTRACTOR RESPONSIBILITIES
<br />If the owner ha" hired a contractor or contractors to undertake work, thoy may be req~ired
<br />to be 11cen"ed in acccrdanco;> with stste and local regulations. If the cont,ractor is not
<br />licensed as r..guired by law, ooth the owner ~nd contraotor may be cited for a misdemeanor
<br />violation ~nder state law. 'I! the owner or intend~d contractor .re uncertain as to what
<br />lic8nsing reguirernente may apply for the intended WOrcK, they are advised to COnt~ct the
<br />City of Zepnyrhi:ls Build1nq Department, 813-780-0020,
<br />rurth~rmore, if the owner has hired a contr~ctor or contractor", he is advised to nave the
<br />contractor(~) slqn po+tions or the UCCntractor Section8Q of this application tor which they
<br />will be responsible. If you, a5 the Owner signa 8S the contractor, you are indicating that
<br />you, rather than tha contractor, are responsible for the 'work. If the controctor ~iehe5
<br />YOu to sign as contracto~ that may be an indica~ion that he j"s not properly licensed anQ 19
<br />not entitled to permitting privileges ~n the C1ty of zephyrhills.
<br />C. TRANS~ORTATION lMPACT FgES AND UTILITY CONNECTION FeES
<br />D. CONS1'!1UCTUlOH LIEN LAW [CHAP1'ER 713, FLORIDA S'l'ATUT~S, AS AMENDED)
<br />I certify that r, the "ppl.icant, havQ l:lae.n provideQ with a copy of "Florida's Construction
<br />lien Law - Homeowner's Protection Guide" pr"pared. by th.. FlorIda Department of Agriculturce
<br />and Consumer Affairs. If tho;; appllcsnt i~ someone other that th", "owner", I carify that I
<br />have obtained a cOpy of the abov.. described document and promiee in good faith ~o doliv~r
<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 tion.. in compli~nc" with all applicable laws ~e~ulating construction, zoning, and land
<br />devlllopme.nt.
<br />Appli~ation is hereby made to obtain a percmit to do .work and in~t~llat1on as indicated. I
<br />cert~ry that no work Or installation has cOmmenced prior to is"u~nce of a ~armit and that
<br />all work will te perform~d to me..t standards of all laws regulating construction, City
<br />codes, zon1nQ regulat1on", and land developmgnt requlation6 in the jur1~diction. I al~o
<br />certlfy that ] undo;>ratand that the regulatio~9 of other governmental agencies may apply to
<br />thG intende~ work, and that it is my responSibility to identity what actions I must take to
<br />be in COmpliance. Such agencies includQ but are not limited to: *Depart~~nt of
<br />Environmental Regulation-CypreSs Bayh9ads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/W~~tewater 1rBatment
<br />'So~thwest Florida Water Mana~ement Di~trlct-Wells, Cypress 8ayheada, Wetland Areas,
<br />Altering Watercour$es
<br />'Army Corp~ of ~ng1neers~SQawalle, Docks, >>avi9abla Waterway~
<br />'Deparctment of Health & Rehabilitative. Services, Environmental Health Unit-Wells,
<br />WastQWater Treatment, Septic Tanka
<br />'U.S. Envi~Qnmental Protection Agency-ASbestos abatement
<br />I aiso "~rtify that, if fill m"t",rial is to be u8ed in Flood Zone "An Qr "A,eto,", it ie
<br />understood that a drainage pl"n addressing a "compensating volume" will be submitted which
<br />is p~eparQd by a profossional engineer registQred in the Stat~ of Florida prior to permit
<br />issuance.
<br />A permit issued "hall be COnstrued to be a license to procao;>d with the work and not as
<br />authority to violate, cancel, alter, or set aside ~ny prOVisions of the technical codes,
<br />!lor shall issuance of a permit prQvQnt the BuildinQ Official from thereafter requiring a
<br />correction of errors in plans, construction, or violatlon~ of any code. Every permit
<br />issued shall become invalid unless the work ~uthorized by such permit i~ commenced within
<br />six month~ of iseuance. or if work authorized by ths pgrm1t is susp~nded or ab~n~oned for 'a
<br />~eriod of siy. l,"onths "tter the ti"", the work i~ oOl1lll\enced. ODe 90 day e~tensioJ) of time
<br />may be allowed for the permit with fea ch~rge of ~15.00. The ..xtension 9ha1l bQ requfl.ted
<br />~n writing to tt'l" Building Oft"icial. An approved inspection mu!;t be lOlJ<;Jed dUli.nq each six
<br />month period, or th6 project will be COnsidered abandoned.
<br />WAANING '1:0 OWNER, YO OR fAILORE TO RECORD A NOnCE Of COMMENCEMENT MAY RESULT IN YOUR
<br />~AY!NG TWrCE FOR IMPROVEMENTS TO YOUR PROPERTY. If YOU INTEND TO 08~AIN fINANC~NG, CONSOLT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING ~OUR NOTICE OF C MMENCEMENT. JOBS UNDER
<br />S2,500 }i' VALUE DO NO WEED TO RD AN POst ~ "NOTICE CO NCEMEN'~
<br />
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<br />~~URE: " v
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<br />STATE OF FLORIDjI. .,. i
<br />COUNTY OF u. khl1rnt.l9"
<br />The foregoing instfument ..as acknowledged
<br />Bef'or<'j.,"''' this _ '1~ 4ay qt Ot ~1t1j"."C, 2o.L3
<br />b}' D6herd- --,.r-:- 51'11,1""11
<br />(name of pe~son acknowlQdged)
<br />Owho i~ personally known tD me, or
<br />
<br />1p who h.." produced fL./ 0 L -e '(f /J. ',) '1-tllf
<br />" (type of iden iEi~tion)
<br />
<br />an;:a~i;~~))Ot take an oath,
<br />
<br />Signat~r; of perS~king acknowledgement
<br />
<br />!.V. I} I ,'(4 M /7, 5ftn+-">-
<br />NAme t~ped, printed or ~tamp~d
<br />
<br />STATE: OF fLOf\IDlI /f,"/sJ. h
<br />CODNTY OF !'()I"Ch.~
<br />The forcegoing instrument wab aCkn~~edgQd
<br />Beior.. mo;l..j:hh i{;;.,diilY of~~, 20 "'3
<br />by 0!2{,lY+ '::>/'?l,1-17
<br />{narnQ 0' person acknOWledged)
<br />Ckho is personally known to me, or
<br />
<br />rl who has produced. FL /01_ e 117 J.J ',J-14 ~ot.;
<br />Itype or identif~cation)
<br />and wr,o, Odid D!bid not take an oath
<br />Ilr/ii'//n /}IJ (;;a
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<br />Signature 0' peT" taking aCknowledgmQnt
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<br />{/V, ',1,1(1 /'VI n. s,J..t. fl0J
<br />Name tYPQd, printed or "tamped
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