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<br />~. NOTI~E OF DEED RESTRICTIONS
<br />,The undersigned understands that thi~ permit may be eubject to "deed restrictions" which
<br />may be more restrictive than city reguh,tions. The undersigned assumes respongibllity tor
<br />compliance with any applicable deed reetriction~.
<br />B. ONLIC8NSED CONTRACTORS AND CONTRACTOR R~SPONSIBILITIES
<br />If the OHnQr has hired a contractor or contractor~ to undertake work, . they may be required
<br />to be 1iceneed in eccordance with state and looal regulations. If the contractor :_~ t\C.t
<br />licensed as required by law, both the owner and contractor may bQ citQd for a misdemeanor
<br />violation under s~ate ~aw. If the owner or intended contractor are uncertain as to what
<br />licensing requirements may apply tor the intende~ work, they are advised to contact the
<br />City of Zephyrhil!.s BuHdinq Department. 813-780-0020.
<br />F1.Jrthermore, if the owner hilS hired a contra.ctor or contraotors, he is advised to hS'9'6 the
<br />contractor(s) ~dqn po!:,tions or the "Contractor sections" of this application for which they
<br />will be responsible. If you/ as the ownex aigna as the contractor, you are indicating that
<br />}~u, rather than the contractor, are responsible for the work. If the contractor wiehes
<br />you to sign as contractor that may be an indica~i6n that he is not properly licensed and i$
<br />not entitled to permitting privileges in the City of zephyrhills.
<br />C; TRANSE'ORl'ATION IMPACT E'EES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCrUION LIEN LAW (CHAPTER 113, FLORIDA STATUTES, AS AMENDED)
<br />I certify th9t Ii the applicant, haya been provid~d with a copy'of "Florida's Construction
<br />lien taw - Homeowner's.~rotection Guide" prepared by the Florida Department or Agrioulture
<br />and Conswoer Affairs. I f the applicant l!! someone other that the "owner"" I cerify that I
<br />have obtained a oopy of the above described dooument and prorn1se in good faith to dellver
<br />1. t to the "owne:c" pri,~r to commencement.
<br />E. CONTRACTOR'8/OWNER/S.AFFIDAVIT
<br />:r; certify that an thl9 iriformation in. this application is accurate and that all work will
<br />be done in complianoe with ,all applicable laws regulatino constn\ction, zoning, and land
<br />dQv~lopmQnt.
<br />Appl.:i.qation is hereby made to obtain a permit to do work and instalLation as indicated. I
<br />certify that no wo~k or 1netallation h&$ commenced prio% to issuance of a permit and that
<br />~11 work will be perro~ed to meet standards ot all laws regulating con3truction, City
<br />code~, zoning regulations, and land development requlatione in the jurisdiction. I al~o
<br />certify that r .understand that the regulations of other gover.nmental agencies ffiay apply to
<br />the intended work, and that it is my reeponsibility to identify what actions I must take to
<br />be in compliance. Sllch agencies inolude but are not 111111ted to: *Dcapartment of
<br />Environmental R&gulation-Cypress Bayheads, Wetland Areae and Environmentally Sensitive
<br />Landa, Water/Wastewater Treatment
<br />*Southweat f10rida Water ManaQement District-Wells, Cypress Bayhead5, Wetland P.reas,
<br />Altering Wateroourses
<br />*Army Corps O! Engineers-Seawalls, Docks, Navigable Waterways
<br />"Department of Health << Rehabilitative Services, Environn\l~ntal Health Unit-Welli!l,
<br />Wastewater Treatment, Septic Tan~s
<br />*U.9. ~\vironmental Protection AQency-Asbestos abatement
<br />I also oertify that, if fill ma'buial is'to be used in Flood zon~ "A" or "A,Qtc.", it is
<br />understood that a dra.inaqe plan addressing a. "oompemusting volwne" will be submitted wnich
<br />if! prepared by a professional engineer registered in the Stata of Florida prior to pe:t'mit
<br />issuance.
<br />A permi.t issued shall be donstrued~o 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 issuance of a permit p~event ~he Building Official from thereafter requiring e
<br />correction of errors in plans, construotion, or violations of any ~ode. EVClry permit
<br />issued shall become invalid unless the work autho~ized by such permit is commenced within
<br />Bi~ months of issuance, or if work authorized by the permit is suspended or abandoned for 'a
<br />periC?d ot SiR months after the time ,the "'ark i9 commencCld. one 90 day extension of time
<br />n~y be allowed for the permit with fee charge of $15.00. The extension shall be requestad
<br />in writing to'the Buildir\Q Of.ficial. An approved 1n9pection must be IOQQed durinQ each six
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER, YOUR FAILURE TO RECORD A NOTICE OF OOMMENCEMtNTMAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO ANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE Q OMMENCE T. JOgS UNDER
<br />$2/500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOT! OHMiNC TH.
<br />
<br />S!GNATURE: OtiNER OR AGENT
<br />
<br />
<br />CONTRACTOR
<br />
<br />ST t O~ FLORIDA P U.J......
<br />C NTY or 0
<br />The forcaqoing ini;ru:ent wa~~OWledged
<br />:Before me, this ay of. ~ 20 Q..::i.
<br />by ::r - Td'c\{'\TH 'I ~ '. t 'c.-
<br />____ (name of person acknowledoed)
<br />~ho is oQrsonallv known to me, or
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledQed
<br />Befor!! me this _ day of , 2L
<br />by
<br />(name' of per~on acknowledoed)
<br />o who i8 1:>ersonallv known to me, or
<br />I
<br />
<br />o ""ho has produoed
<br />itype of identification)
<br />and whoO cUd Ddld not take an oat:h.
<br />
<br />o who has produced
<br />(type of identification)
<br />and who ~ OUd not take an oath
<br />
<br />S.iqnature of pI!lrson takino- l!lcl<nowled~ement
<br />
<br />,-~cL.. V-.. ~ ~ ~
<br />Big-natura of person taking aCknowledgment
<br />S. ALL~J
<br />printed or stamped
<br />
<br />.s~~1)(l.~
<br />Name typ.d,
<br />
<br />~ame typed, printed or st~ped
<br />
<br />,,~V';~ Sandra S. Allen
<br />{j'j;;:\), MY COMMISSION # 00067031 EXPIRES
<br />~:.~.~ff November 27, 2005
<br />"1,X;;.;....W~ BONDEO ll-t1lU TROY FAIN INSURANc~ INC
<br />'filnl"
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