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<br />P~P/25/2~Q5/rR! 22 54 PM
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<br />Z:SP3YRHIL~S FU:~~:M~
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<br />PAX N0, 9~~-?3Q-~~2_
<br />
<br />"J .:"f
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<br />A.' NOTICE OF DE:ED RESTRICTIONS
<br />'n'le utldersign~d~~.<:!Qr~t".t,dS chat this permit n\ay be sUbjec,," 'to "deed reatri"Uon," which
<br />may be more r9strictivQ than City requlations. The undersigned assumes respon3ibllity for
<br />'Go~.plianoe wi ';eh any applicat,18 deed restriction5.
<br />B. C~L!CENSED CONTRACTORS ArlD CONTFACrOR RESPONSIBILITIES
<br />If che owner has hired a contract~r Dr contractor5 to undertake work,'they may be required
<br />to be licensed in acccrdance with state and lou.: reeJl.llations. Ift);)", contractor >.~ not
<br />licenSE-a as required by l!lw, both the owner an,i cuntt8.ctcr m"y be cited for a I\'.hdemeanor
<br />violation lOnder at"-t:!! law. If the cwneJ: or in.:endad contractor are uncertain as to what
<br />licensir:,g requirements may apply for the intended wor k, they a.r!! advised to contact th..
<br />C~ty of Zaphyrt:ills Buildir.g D!!p8.l:tmer.t, a13-780-0020.
<br />Futth9r~ore, if the owo..r ha~ hired a contractor or contractors, he is !ldvised to have the
<br />contraotor I a I sign pO'!'tions. of the "Corct.'::actor Sections" of th18 applioation for which they
<br />will be responsible. If you, &5 Lh" owner. signs as the contractor, YOJ ar~ indicating that
<br />you, rath"r than the. contractor, '.re responsible for the worl'. Ir the contractor I<is1186
<br />you tc sign as contractor that may b~ an indication that he 1. not properly licensed and 1s
<br />not entitled to permitting privileges In the City of Zepnyrhills.
<br />C. T~~SPQRTATION IMPACT FE~S A~D DTILTTY CONNECTION FEES
<br />D. CONSTRtlCTOIOM LIEN LAW (CHAPT~R 713, FLORIDA ST!\.TUTJi:S, I\.S ~lENDSD)
<br />I certify that I; the apf'lioant, naye been prc'i'idQd with ;1 copy.of "Florida's Cm:stX'Jction
<br />lien taw - Homeowner' a P~ot"otion Guide" prepared by the Florida Dllpllrtll\llnt of Agric111tllJ:e
<br />and Con.umer Affairs. If the applicant is SOID~one other that the "owner", I cerify that 1
<br />have obtaInsd a copy' c,f the above de..c:r1bed docun,snt and promise in goed fal.th to deliver
<br />it '1:0 !::he \'owne.rn prior to corranencemQnt.
<br />E. CONTRACTOR'S/OWNER'S AFflDAVIT
<br />I oertl!y that all the information in this application'is accurate and that all work will
<br />b~ done in compliance with all applicable laws regulating construc~ion, zoning, and land
<br />development.
<br />Applioation is hereby n~de to obtain a permit to do work and installation as indicat:ed. I
<br />certify that no work or installat~Qn h~a comrr~nce~ prior to iasu~ce of a permit !lnd that
<br />~ll work will be plllrformed to mee'c sh.ndards of all laws r!l9"ulat!,ng co~_struction, Cit.y
<br />codes, zoning requlations, and land developmerlt re~ulations in the jUIisdiction. J also
<br />certify that I understand that the regulations of other governmental agencies may apply to
<br />the intended work, and that it is my tesponsibillty to identify N::lac l!.ctl.ons I must take to
<br />be in co~pliance. Such agenci~s includQ but are not limited to: 'Department of
<br />Environm!!ntal Regulation-Cypress Bayheada, Wetland Ar!!l!.e and Envlronmentally Sen.itive
<br />Lands, Water/WastewatQr Treatment
<br />'Southwest Florida Water Management Distriot-Wells. Cypres~ Bayheada, Wetland Areaa,
<br />Altering Watercourses
<br />'Army Corps of Enqineers-BeawlIIll~, Decks. Navlgable Waterways
<br />'Department of Kealch . Rehabilitative Services, Environmental Health Unit-~ella,
<br />Wastewater Treatme~t, Septic Tanks
<br />*U.S, envirorlffient~l Protectio~ Agency-A~be$tos abateman,
<br />I also cex.tify th!lt, if fil: ffiat..rial is to be used in. nood ~one "A" or "A, etc.". it is
<br />understo.Dd tM.t a drain.ags pla~. addr!!,sinq a "COIDpensating volume" w~ll be SUbmitted which
<br />is prepared by a professional engineer register~d in the Stat a of Florida prior to permit
<br />.i S 3\.la:oce .
<br />lI. permi t iss'~Qd ahall bEl construed to be a license t.o proceed w;1th to-e work and not as
<br />authority to violate, cancel, !lIter, or aet aside any pro~isiona of the teohnical codes,
<br />nor shall is&uance of a permit prevent the Building Official from th~reafter requiring a
<br />correction of errors in plan~, cOl'lstruoticm, 01: Vlol!ltiol1s of any code. Every per'roi t
<br />ill5ued shall becom.e in\lalid unles~ the <<ork authorized by such pem.it i~ couuner.ced '<lithin
<br />six months of issuance, or if work author12ad by the pel:~it is suspended or abandoned for "
<br />period or six months after the time.the work is oommenoeci. Dna 90 day extension of time
<br />IlIaY b!l allowed for the'permit with fee char~.. of 915,00. The ..xtension shall be requested
<br />in writing <:0 'the Building Official. An approved inepection must be .lo9Qed durin\l each $1'
<br />month period, ot the project will be c~nsidered abandon.ed.
<br />WARNING 70 OWNER: YOIJR FAILURE 'IO RECORD A NOTICE or COHMEI:CEl:1ENT Ml\.'l RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEHJi:NTS ~O YOUR p~O?eRTY. Ir '100 INTEND TO OB~AIN FINANCING, CONSUL:
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR MOTieS OF COMMENCtMENT. JOSS ONDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "~OTICE OF COMMENCEMENT~.
<br />
<br />SIGNATURE: OWNER OR AGENT
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<br />SIGNATURE, CONTRACTOR
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<br />STATt OF FLORIDA
<br />COU~TY O~ '-------
<br />The foregoing instrument was acknowledged
<br />aefore me this _ day of , 2L.,
<br />by
<br />(namQ' of pe~san acknow~'ldged}
<br />Owno i. personally known to me, or
<br />
<br />o who has produced
<br />(tYPll
<br />and ~:hoO did 0 did not
<br />
<br />STATE OF rLORJDA
<br />COUNTY OF
<br />The foregoing instr~~nt was
<br />Before me this _____day of
<br />by
<br />
<br />!lckno\lledged
<br />20
<br />
<br />(name of per.on acknowled\ledl
<br />CNho is PQrsonBlly know~ to me, or
<br />
<br />of identification;
<br />take an eath.
<br />
<br />o who has prO'juoed
<br />(type of ide~tification
<br />and who [Jdid Odid not take an oath
<br />
<br />signature of person taking aok~owl..dgement
<br />
<br />Signat'~re Of person taking aoknowlE!dglll.mt
<br />
<br />Name typQdI plinted or 5t~&d
<br />
<br />Name typed, printed or atamped
<br />
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