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<br />A. NOTIG~ Of DEED RESTRIC?IONS
<br />The \lnder~i<;ned unOeratandll that tl'l18 pern1t lIlllY be Bub:l~ct t:o "deed re~t"ictionll. ..hich
<br />may be n,,>re ~o"tric.H.o th"n C~ty regulaclOrlS. fhe uncle.rslgned assUlIJ?g responsibility for
<br />compliance ..ith any applicable deed relltrictlons.
<br />~. UNLICiWSiO CO~TRACTOa8 ~wo COWTRACTe~ ~E8POWel&ILITIeS
<br />It the owner has hired a contractoc or contractore to undertake I~rk, they May be required
<br />to be U.censed 1n acr.oxc1anr.e with ,o;:tate and. local regulations. If the eontractor J." not
<br />liccn,,&d "a requ~red by law, both the owner .no contractor may be cited for a m1edam~anor
<br />violation under state 1111<. If the owner or intended contractor are lln~",..tfun a. to "hat
<br />l1censinQ requlremAnts may apply for the intended "oxI, they are advised to contact the
<br />City of ZepbyrhiUs Rulldir\q O"p;artm"nt, e13~78(l-0020,
<br />Furthermore. it the OWOQr has hired a contractor or contractors, he i~ advisQd to hav., the
<br />contraet:C'r (3) sign pOrtions or eM "Contractor SecHens" of thia application tor W~.loh they
<br />..in be r".porlsib.l.e. 11' you, II. the owner .$igllS liS the contractor. yO\! are iodlcating that
<br />you, rAther than the contractor, sre re.pon~ible for the wOrk. If the car-tractor wi~he~
<br />you to ..illn as cont nclor that T1>OIy be ... 1nclication that he 1:0 net properly licen:sed and is
<br />not entltled to peclllHtinq prl ,,~leqes 1.n the City of 2ephyrhUls.
<br />c. T~ANSPORT~TION IMPACT TEtS ~ND OTrLIT~ CONNECTION FEE3
<br />0. CONSlIlOCTtIQtl LIJ:t-l LIIH ICJI1ll''I'U. 113, FLO"JD1I STATUTES. AS AMENDED)
<br />I ""rtlfy that 1, the "pplic~nt, hllv,", h"en I'rolfided with a copy of "Florida's Construct>.o"
<br />lien Law - Homeowner's Prot!\otion Guicl,," prepared I:ly the l"lorido!l Department of Aqricult:un!
<br />and Consulller IIffairs. It the applicant h BOIMon. ot.her that the ~own..r", I cerif}' th"t !
<br />have obtllln4d a copy ot the abOve q!\scribed doc~ent and proMJ.se in good faith to dellv.r
<br />it to the \lowner" prior to c:ownellceatent.
<br />Eo (:UNTRACTOR' 9/0WNi.ll! S Ai'rIO~VIT
<br />I certify that all the ~nforQation in thi8 application is occur..te and that all work will
<br />be t;!one in "o"",Uan".. with all i1ppllcabl. laws J:e'lUlOlting construction, ~oning, end land
<br />daveloplllent.
<br />AppUoation i" heroby mode to Obt"in a permIt to llo .won: ana InBt;allation as indicated. I
<br />certify that no work or inetallation hoe ~noed prior to issuance of a parmit and that
<br />ali work will b~ parformQd to mee~ .tend.rda or ,,11 lew.. requlatinq con.truction, City
<br />cocle., ZOlling regulations, and land devalopmont r~!I1l1atione in the jllrlsdlction, 1 al.o
<br />cartlry that r understand that the requlations of oth~r gOlfernmental &qencieem.y apply ~o
<br />the intended wcr~, and that it is my responsibility to ident~fy what actions I muat: take to
<br />b. in compliance. Suah aqencJ.es include but lire not. Ulnited te>: 'Department of
<br />Environmental Requlation-Cypresa Bayhe.cis, Wetland ~reo.. and Environmentally Senslt1v8
<br />Landa, Water/Wa.tewater Treiltmont
<br />'Bouthwa:st Flori~ w.ter ManaQement Di9tri~-W8l1.. Cypra.. Bayhaadc, Wetl;and ~r.;a8,
<br />Alterinq Watercourse.
<br />'''rmy Corps of t"'lineera-lleaw..;Ue. QQcke, Navi\jable "alerways
<br />tDepartnent of Health' Rehabilitative Servic~s, ~nviron~~nta) Health Unit-Wells,
<br />Wa.tewater Treatment, Boptic Tanks
<br />.U S. !nv:i.i'onment.!ll Protection AgencY-ASbestos ab.et"",ant
<br />r ..loa c""tity that. if flil material j s to h& u.ed in Flood Zona "An or ...., ..te.". .1 t 1&
<br />uncieratoocl that a drainage plan addre"'in9 a "~omp"n5at;1ng volume" Ifill l:>e SllbAitted "'~ich
<br />is prepared by " prof"ssional enqineer regi.tered in the State of ~lo"1d. prior to per~it
<br />issuallCQ .
<br />A permit issued shall b" ~onscrued to be a lic9n8" to proceed with thE, work and n~t a.
<br />authority to vi6late, cancel, alter, or set isid. any provisions of tha technical codes,
<br />not snaIL issuance of s peruit prevent the Building Official from thereafter requirinq a
<br />corr8ctlon of errore in Flans, construction, or viOlations ot any code. !v8ry permi~
<br />issued ahall become invalid unless the work authorired by such permit 18 comnenced within
<br />six month~ of issuance. or it work au~hori.ed by the p"~it is sU~p8nded or abandoned for 'a
<br />period of six months after tha tifte the work is eaMmenegd. One 90 day eHten~ion of time
<br />!lay be ..llawo" for tile permit WIth ree Charoe of Sl~. 00, The extension ~hall bQ reqll~8ted
<br />ill wr1Ung tC) the e.uildi~ OfUoilll. J\n approvlld illspll'otlon must De lOQQed durinQ.each Bix
<br />mo~th ~.riod( or th. proj*Qt will ~. con&1de~.d abftndoned.
<br />WMNING TO OWNER: YOlJR nILURi: \'0 RECORD A IlO'l'ICt OF COHM~CEMENT MAY RESOLT IN YO:JR
<br />P~YING THIel! rOR IIolPROVt"lllN'I'S TO YOUIl 1i>1l0PllR'l'Y. U' '{Oil INnllo TO 08'l'AIN FINANCING, CONSOLT
<br />WI'l'1l YOUR I.l:llDBR OPo AN ATTORNEY B!rORE RECOIlDING YOUR NOTICE OF COMMENCli:WEltT. JOBS UNDER
<br />$2, SOO !N VALrJi 00 NO'!' NEED TO IIECOI\D AND POST A "None!: OJ' CCMolENCEMINT~.
<br />
<br />
<br />M..~~*,,~
<br />
<br />SIGNA'l'UIlE: OWNER ~.~ AJJEIfl' Je:::
<br />
<br />ST-'TE Of ~ ~--rv t{
<br />COUNTY OF /"")rP""\ e-.
<br />Tho forsgoing 1 8 ent wag ~~knowledge911
<br />SeEor lIIe i. ci l' nf ~y . 2~
<br />by r
<br />
<br />SIGNATURE:
<br />
<br />CONTRAC'l'OIl.
<br />
<br />
<br />STATE OF nOR J 01\
<br />COUIoI1'! OF
<br />The !oregoill9 in.tru..nC wae acknowledged
<br />Ilefo,'~ me thi." ---.J:Iay of ~ 20 _
<br />by
<br />
<br />(name of person llclmowh,dQ'edl
<br />~ho 111 personlllly known to ~e. or
<br />
<br />o W!\O !laB produced
<br />Itype ot i~~lltjficatlDnl
<br />~nd ..ho Ddld [Jiid not taka an oath
<br />
<br />Signature of person tAkin!l aCknokledgment
<br />
<br />N~Q ~~od, printed O~ $t6~ped
<br />
<br />p'd
<br />
<br />0000000000000
<br />
<br />0000000000000000000000000
<br />
<br />el.S=l.O YO EO unr
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