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<br />~OY~~T~OYS O~ ~EPMIT ^~~~~~\~~
<br />
<br />A.. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that L~l:L:S pmmi t JOa~' b,'~ !ubJe,::t: 1:0 "'deed restrictions" which
<br />may be more restrictive than Cit}' [;.!qlll.clticUlS. Tho:~ lmd'H::llqlled assumes responsibility for
<br />compliance with any applicable deed .e.!,sit:ric:tLm:o.
<br />B. UNLICENSED CONTRACTORS AND COH'I'HAC'l'ClH RI!:SL>ONSIBII..I'fn::;
<br />If the owner has hired a contractot' o:c c:ontxa:::t:,rs to 11llderl:ilke work~ . th.,y Jll.ay be required
<br />to be licensed in accordance with s1:ill:e, a.nel l<:)cal re'~'J,lilti.oJl13. If the contractor is not
<br />..~,11censed -lis required by law~ both cJm C'.fner and cont r.i,C:l:.=. r llU1Y be c1 ted for a misdemeanor
<br />violation under state law. If the OHne,r or i:Cltended:::<:)nt:rao::l:or are uncertain as to what
<br />licensing requirements may apply f":;JJc l:he! inteJrld,ed worle, t.he~, are advised to contact the
<br />City of Zephyrhills Building DepartJlllmt., 813-18 B-6611.
<br />FurtheDllOre~ if the owner has hired Cl cc,ntr,ic-cor or c':)nl:t:,ic1:or~~ be, is.advised to have the
<br />contractor (s) sign portions of the! "Gontrac'to,c .SectiOltUI" of this application for which they
<br />will be responsible. If you~ as thl! owne!r ;si'P1,s as th,e e,ontractor, you are indicating that
<br />you, rather than the contractor, alCI! lcesponisilol,e forthl! '"olCk. If the contractor wishes
<br />you to sign as contractor that ma~' b~! an l.nd1.,eation tltHll: he is not properly licensed and is
<br />not entitled to permitting pri vile!l;Jc!l3 in th.e City of :2:.epl1yrhills.
<br />C. TRANSPORTATION IMPACT FEES AND mrILl1'Y COl'lNECTIONI!'I!::e:.5
<br />D. COHSTRUCTUION LIEN LAW (CHAPT~::R Tl3, FLORIDA STATU'f]!:,S, AS AMENDBD)
<br />I certify that I~ the applicant~ h.iVO be!en pr,:)v.ided wi'th .!l copy of "Florida's Construction
<br />lien Law - Homeowner's Protection I:;uide"' pr.ap.ilr,ed byth,! Florida Department of Agriculture
<br />and Consumer Affairs. If the appLiC::clllt is ,SOlne.one oth,e:c-that the "owner", I cerify that I
<br />have obtained a copy of the above .:ic!81::r1.bed a.ocument ,and promise in good faith to deliver
<br />it to the "owner" prior to coumenC:'eIlll!nt.
<br />E. CONTRACTOR~ S/OWNER' S AFFI~VI'I', ,
<br />I certify that all the infotmat10:CL :In this 'Iilppllcatioll :Ls accurtlte and' that all work will
<br />be done in compliance with all ap:p.l:lcable l,aw,s regulating construction; zoning, and land
<br />develop_nt.
<br />Application is hereby made to obtaLi,1l il pennlt t,o do work and installation as indicated. I
<br />certify that no work or installati10Jl haEI cOllmenced pr,h)J( to issuance of a permit and that
<br />all work will be performed to meet ,standard;s <of all la1i1S regulating construction, City
<br />codes, zoning regulations, and land dc!ve!loplnent regula'ti,ons in the jurisdiction. I also
<br />certify that I understand that thel Jre~JUlath)n.s .of other governmental agencies may apply to
<br />the intended work, and that it is m.~{ reElpon;s1bility to identify what actions I must take to
<br />be in compliance. Such agencies l:n(::ludel but ,are not ,l.imited to: *l)opartment of
<br />Environmental Regulation-CypressB'!l~{heads~ lire'tland Are,as and Bnvironmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Soutbwest Florida Water Management District-lilells~ CYlpr'ess Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls~ DockEI~ N,avigable Waterways
<br />*Department of Health' Rehabilitat:lve ~Iervic'es, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanke~
<br />*U. S. Environmental Protection Ag,enl::y-AElbes'to,s abatement
<br />I also certify that, if fill mater.1cll iEI to be used in Flood Zone "AN or "A,etc.", it is
<br />understood that a drainage plan addresstng ,a "compensati.ng volume" will be submitted which
<br />is prepared by a professional engiul!er J:egist,ered intb~ State of Florida prior to perm! t
<br />issuance.
<br />A permit issued shall be construed it-o bel a license to :proceed with the work and not as
<br />authority to violate, cancel, alter" or set a,side any iprovisions of the technical codes,
<br />nor shall issuance of a permit prevl!nt the Bullding Official from thereafter requiring a
<br />correction of errors in plans, construct:ion, or violations of any code. Every permit
<br />issued shall become invalid unless the trork authorized by such permit is ~nced within
<br />six months of issuance, or if work authc.rized by the permit is suspended or abandoned for a
<br />period of six months aft~r the _~~ the work is commenced. One 90 qay extension of time
<br />may be allowed, for thl!l peimit wlthfee c:harge of $15000. The extension shall be requested
<br />in writing to'the Building Official. JUl 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 NOTICE OF COMMBHCBMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPBRTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LEND~ OR AN ATTORNEY BSI'ORJ!: RECORDING YOURNOTICS OF COMMEHCI!'.MENT. JOBS UNDER
<br />$2,500 IN VALU$ '00, NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT"'.
<br />
<br />(fO, 1.(.. i ,~J '. ~//J~'I ILl
<br />~U u.... .~~ ~~
<br />SIGNATURE: J '. GNATURE: C NTRACTOR
<br />
<br />STATE OF FLO.2IDA
<br />COUNTY OF t'~S( 0
<br />The foregoing instrument was acknowledged
<br />Bef9.r~ me this Olo-i:b day ofOc..-to\?,fr , ~*
<br />by ~ber t i, Ji.l,.l~ St~pha...SOY\
<br />J (name of pe son ackno,.ledged)
<br />M who is personally known to me~ or
<br />
<br />
<br />STATE OF FLORIDA n
<br />COUNTY OF rClS(,o
<br />The for,pgoing in~~nt w~~ ap~P9~ledged
<br />Befort fMJ'thJ.sa~ay of.(~)(_;nr).eY_~ ~dD04-
<br />by -W1..! \ .12. Hn.r~
<br />J (name of person ackno}fledged)
<br />~o is personally known to me~ or
<br />
<br />Owho has produced
<br />(type of identification)
<br />}lliQn wboOdid ~~_not take an oath.
<br />
<br />_{J. 671- t:~lL{f 11 t f7
<br />...... '--
<br />Signature of person taking aC~Wledgement
<br />_[YltllL U. DlAd-eL~
<br />
<br />Name typed, printed or stamped
<br />
<br />
<br />R~ ~ Dana L Dudeck
<br />;, t. ,; My Commission 00243306
<br />"";01.'.1 ExpIre&Auguat20.2007
<br />
<br />R""'"i\. Dana L. Dudeck
<br />.\I.My~~
<br />\'1....1 ExplresAugult20,2007
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