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<br />~ONry:.T~0Y~ O~ ?E?~~~ ^~~~ryA\~~
<br />
<br />A,' NOTICE .oF DEED RESTRICTI.oNS
<br />The undersigned understands that th:Ls pm:ml t ma i' bl~ :u.b:l e, ::t: .1:0 "deed restrictions" which
<br />may be more restrictive than City D!91Jlclt:iC1rls. 'l'h.! lllld'U::llqned assumes responsibility for
<br />compliance with any applicable detd r.!st:J:ic:ti:>ns.
<br />B. UNLICENSED CON'I'RACT.oRS .AND COU],l~Gl'OH HI!:Sl?O~I~iI]3I 1.I'rH:~j
<br />If the owner has hired a contractot: ox {:(lntract~)r:3 t:) und~l:'r:iike work~ they lOay be required
<br />to be licensed in accordance with 5;1:a1:1:' c;md l,;}cotl .l:e"Uliit,i.olllh If the contractor is not
<br />J.J,censed, as required by law, both t.he c'~'ne:r: and Gontl:ac':.c,r- tllay be cited for a misdemeanor
<br />violation under state law. If tht~ ownl:!]: or intendl!d c:>lltra.::'cor are uncertain as to what
<br />licensing requirements may apply 1:0,1: 1:l-m intended l,rork, tney are advised to contact the
<br />City of Zephyrhills Building DepaJ:tl1lent, 813-788-'"oI01l.
<br />FurtheJ:1l\ore, if the owner has hired a c:ontractor <:u contrac1t:ors, he is advised to have the
<br />contractor (s) sign portions of tht~ "\Cl)nt:r~ctor Sl:l.;:1t:ions.... of this application for which they
<br />will be responsible. If you, as t:bl! .)wner siqns ill:S the con't.ractor, you are indicating that
<br />you, rather than the contractor, an! :reflponsiblef,)r the wo.rk. If the contractor wishes
<br />you to sign as contractor that may be an indicatl':>lll that he :1.s not properly licensed and is
<br />not entitled to permitting privileges in the Citl' ,)f Zephyrhills.
<br />C. TRANSP.oRTATI.oN IMPACT FEES AND UTILITY CONNEC'r:rON FEES
<br />D. CONSTRUC'l'UION LIEN LAW (CHAPTER 113, FLORIn~ S'rATUTEs, j'-S AMENDED)
<br />I certify that I, the applicant, have bElen :provided with a copy of "Florida's Construction
<br />lien Law - Homeowner's Protection Gllide" prepared by the Fl.)rida Department of Agriculture
<br />and Consumer Affairs. If the appli'::ant is someone other th.at the "owner", I cerify that I
<br />have obtained a copy of the above des4::ri.bed docUlllent andpr'omise in good fai th to deliver
<br />it to the "owner" prior to commenceJnent.
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVIT
<br />I certify that all the infor:mation tn this applic:ation is accurate and that all work will
<br />be done in compliance with all appl.lciilble laws rogulating c,onstruction, zoning, and land
<br />development.
<br />Application is hereby Illade to obtain ,Ii permit to do work and installation as indicated. I
<br />certify that no work or installation han co_enct~d prior to issuance of a permit and that
<br />all work will be performed to meet istilindards of illll laws re,~lating construction, City
<br />codes, zoning regulations, and land d,evtdopment J:egulations in the jurisdiction. I also
<br />certify that I understand that therel~JLations of other gov,ernmental agencies may apply to
<br />the intended work, and that it is my .responslbillty to identify what actions I must take to
<br />be in compliance. Such agencies includl! but are not limited to: *Department of
<br />Environmental Regulation-Cypress Bayh,eads,Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management D.l.sl:rict-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Arm.y Corps of Engineers-Seawalls, Do,cklJ, Navigable Waterways
<br />*Department of Health & Rehabilitativ,e l3ervices, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U. S. Environmental Protection AgencY'-~,bestos abatement
<br />I also certify that, if fill material il3 to be uued in Flood Zone "A" or "A, etc.", it is
<br />understood that a drainage plan addressing a "coJopensating volume" will be submitted which
<br />is prepared by a professional engineer Jregistered in the State of Florida prior to permit
<br />issuance.
<br />A permit issued shall be construed to b.a a licemse to proceed with the work tmd not as
<br />authority to violate, cancel, alter, or set asidl! any' provisions of the technical codes,
<br />nor shall issuance of a permit prevent 11:he Building Official from thereafter requiring a
<br />correction of errors in plans, construction, or 1r.Lolations of any code. Every permit
<br />issued shall become invalid unless the work authllrized by such pead.t is ~nced 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 I::Ollllllenced. 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 />in writing to the Building Official. An approved inspection must be logged during each six
<br />month period, or the project will be considered .abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTII~ OF COMMENCEMENT HAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS T.o YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR .AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMI!:HCEMEHT. JOBS UNDER
<br />$2,500 IN VALUE DO N.oT NEED TO RECORD AND POST A "NOTICE .oF COMMENCEMENT".
<br />
<br />IV d}/J4 . W t;{dh;
<br />
<br />SIGNATURE: .oWNER .oR AGENT SIGNATURE: CONTRACTOR
<br />
<br />STATE OF ~DA
<br />COUNTY .oF Cl~(O
<br />The foregoing in~~~ument was acknowledged
<br />Before me this J:t!2: day of Mo.'j , ~
<br />by NtA-' B. Hax~
<br />1 (name of person ackno,.ledged)
<br />M who is personally known to me, or
<br />
<br />STATE .oF FLORID~
<br />COUNTY OF ,US W
<br />The foregoing instrument was~cknowledged
<br />Before me this ~ay of NttJ !j , H)~ f)~
<br />by Nu..\ e - ~
<br />J (name of person acknowledged)
<br />~o is personally known to me, or
<br />
<br />o who has produced
<br />-1 (type of identification)
<br />and who Odid Iiilt:lid not take an oath
<br />
<br />ID~~ ~l(lJfY7~
<br />
<br />Signature of person taking acknowledgment
<br />
<br />~ll.- L,. DlLde~
<br />
<br />Name typed, printed or stamped
<br />
<br />.,.-,:.'\. Dana L Dudeck
<br />!J . My Commission 00243306
<br />'It '...1 Expires August 20. 2007
<br />
<br />Owho has produced
<br />-' (type of identification)
<br />an9\whoOdid ~did not take an oath.
<br />
<br />_~ UrtNt dLJDu clLJZ
<br />
<br />Signature of person taking acknowledgement
<br />
<br />DClfllL G. Dudeci\
<br />
<br />Name typed, printed or stamped
<br />.,.-,.~ Dana L Dudeck
<br />~ J .; My Commission 00243306
<br />.-) !_of Expires August 20. 2007
<br />
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