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<br />A. "OTICE DF DEED RES'Y'RIC'2I;)PS
<br />'I'h,=- un,ier.slgrJed u;-.de:rstancl:! that tt~l~ (.;er;ld"C may be s~ject t(; 'I.;jeed t'~."tZ'ict.:~Qn.s" vl'hJ.(.:h
<br />ma.'{ be more rl!!~tLL,::::tive than City regu.l"ti.::m..s. The u:rJ.defsig(u~d ~8.al.J.mes.re~p(l.tH~ib::i.lity for
<br />C'O!TLp':'l.anCe h'.:th any applicii.ble dee-j Ie.B::rir.::tiorls.
<br />B. :JN~ICl!:l':S:o.) cotiTRi'-C':'CflS -"':;0 CONTRACTOP. ftE.sE'CNi"lBJ:Ll'~IES
<br />: ~ t!".e cwner lias h'="1:ea a cO:1traator or contractOl's to undel.t.a.kb1 work, 'l:.hey r,u~.~> be .tBqui.!.ed
<br />to be lioense,j in accc.rd..nce .,ith st'ite and local rllgul..c:..ons. If the cont".actor Is not
<br />..Lice!"+~ea as requil.'ed by law, both ':r.e OW'~e!' and cOJ)tr_ctcr .may be I~itecl for a .mi;!de~rle~ni.'\t.
<br />vicietior.;. under st:lte lav;. If the owner OL' intended. con"t,t"actor are uncerta:..n !5~ t..:: whClt
<br />!.icer,"ing !"egui:rerne:n'C" m"y ap~.ly for the intended ;.;ork, ,:hey o!:re 8.dvis,"d 1:0 com:act thQ
<br />Ci~y. ~f Zephyrhj~19 BUilding Dep~z.tment, 813-780-0020~
<br />Fu:t:~herrrlorel ,:.f th~ cwner h,~~ ~''..i:::ed a cont:.::actor Qr cont:ractors, he is~dv:.~e~j to have the
<br />ccr:trac'to:r (s; sign r,(""'rt i.ons ct the \\Ccr:tractor Se::tionsl' of thlS application for ~hich 1:hey
<br />w11~. be l'esponsjb2~. If you1 as tile owner signs as trie con~racto~, you o~e ind1~atlng ~h&t
<br />you, =ather than the contractcr; era responsible for the ~crk. If the con~r~c~or wish~~
<br />~'ou to ~ign as cont.cactor that inay be an ind1.ca't,ian that he :':"8 not pro~)et:.l.i licensed ace: i::s
<br />nc~ entitlad to permitting priv1leges in the City of Zephyrhills.
<br />C. l'R....NSFORTATION IMPACT n:ES AND :JTILITY CONNH:CTIO~ F'EES
<br />D. CONSTRUC'cUION LIEN LAW (CHJ\FTER 712. E'LORIDA S'fATCJTES, l>,S At.lEtlDIl:Dl
<br />1. certify tha.t:. I, the: ,appl~cant, t:.ave been pro."ided with a copy o~ \\~~(>r1c.a' ~ Con.stru.ct.ion
<br />lien L~w - Homeowner's Prote~t~or. Guid~'~ prepared by the Florida D$pa~trr_nt ot Agrioulture
<br />and '::onau::-ner Affairs. It ttl€ apl:=.licant 1.$ someone other that t1:e \~,c""n&J::", I c$Z'ity t.hat. I
<br />have obtained.. copy of t he above del9ct.iJ:oed dccu;n..nt and promise 1n gOCld fai ~h to deli ve~
<br />i"t. bo."J t:le "o'l.-iner" prior to cor.uner..(~ement.
<br />F. CQNTRACTOR'S/OW~8R'S AF,I~AVIT
<br />I certify th~t 011 the in5oZlnation in thia applicst1cn is ~ccur&ta and thAt all work ~~~ll
<br />tre dona in c::::mp.l.i.anc,e ",,'ith all applica.ble 1a"'-'$ rligula~l.:l'1 constr'.lctio':"1, zonin';J, l1:.l.d lan.j
<br />dt=:'velopment.
<br />;~P?li~at.lc'n is hereby made 'to obt,sin -:;\ P€CHlit to 00 vlork and instaJl.;t.tiolJ. a8 indicated
<br />certify -:::hat r:o ~'lork or installa"Cicn h3.~ commenced. pI'ior 'to ias,.H:Hlce of a pern11t and that::
<br />3il work "Ifill b'it p.r:torro.~d 'to m4i~t st:anc..a.rcls of all laws regulating c.:H!str'ucticl!, Ci\:y
<br /><,odee. 7,or,l.ng re;jula li'."'-"r 8!ld la.nct ct..velopn'lent :regulat.l.one in too;> j."ri Sdi.;tion. I .also
<br />O..l't1ty tr."t r .,mderfl':ar,d :hat .cr,a :::egulaCil;ne ::of other governm..ntal "9""ci..,. n:ay apply .'.:0
<br />t:t::.e i:ltended workl and that it is IJ1.Y r.eesponsibili~y ":0 identify Nhat ac:,:,of1P- I 1[:1JSt t3.ke ':'.c)
<br />be ir. ,~cmpliance. SrJch ager.cies include but are not limited to! *Depa:rtJ:leot ot
<br />E..nv1ronmental Regt:.l:ttion-Cypress 8ay:~'!a:i.9, ~-.:et:land Area9 and En'".iro:r:ment.s.lljl Sen.s:.tive
<br />Lands, Wat&r!W~s~ewater Tr~atrnent
<br />.Sou"t.h~'liest Flor1d.3. fN8te-Y.' Ma:nagenl@-f1it Dl.$trict-Wells, Cypress Bayheeds, "Jet:l.and AreaSI
<br />Altering Watercourses
<br />'"'~'i.rmy ':orp5 of E'~<J!..neer~-Sel!.\"i5l1.5, Dock~. Nav:..~able W~.te:cwajr~
<br />"Departm6nt of Health & Rehabi11tative 8ervices, Environmental HeBlt~ Dn:..t~Well~,
<br />Waste'rl8t€.i' 'lr:~i'1tmentf Sep!:":"c l'ank9
<br />.0. S. Er~vi_::8nmenta: Protection Agency-AsbBs~OS aba.tement
<br />I 61so certi fy that, if ti 11. matE!!: i al is to bQ uSSld .in Flood Ze.Hle ~'A" or "p-_. etc. .. lit. i..s
<br />.J.nderstcod that a d!:a.:nage plaT1::tddr':!ssin.;J a \\c.ompen.sating volume" '~il::' be submitted 'nihlch
<br />.:.s p::epared by .. profEls~icnal ..r.glr,....Qr register..ct in t.he Jtate of lfl.c:::ida pr:..o::: to per;n;.~
<br />issuance.
<br />A permit iSSUGd shall ~~ oonstrued to be a licsnsa to prooeed ~~~th tOG wor~ ana AO~ as
<br />a~thori~y to viol~t~. c~ncel, alta~, or 3Q~ asid~ any prvvi3ions or the tec~nica~ COd25.
<br />nn~ $hUll iS$I.l..~nce ct .g, ~et,':m1t prevent the B'-:..lild.ing Official fro:m therea.fter r@qu::..r:.ng a
<br />C~~Le~tlon of ~rror~ in plans, con~truc~i~r.~ a~ vi~lations of any c~de. Ev~=y p~rmit
<br />isslied shall become invalid unless the woO; authorized by such permit is C"oill'llenced with':'"
<br />six rr,on-r:.hs Gt iSilu,;.nc6, or if work Ci.~!thcr.i:zed by the pe..r;mit is aU8pended o;r Oilba.n.dcnfiild tor 161.
<br />ped.od cf "ix month" after the t1rr.e the work is commenced. O"e S,O dar' exten!lior. of tirr.e
<br />may be allowed for th~ permit with fQG chargQ or $15.00. The &x'.:ension shall b. teguas'.:~d
<br />~n writing to t~e Building O!f~aial. An approvea ic~pectiQn mus~ be _ogged during each s~x
<br />montor, p..riod, or th" pr~j..,>t wL.l be (:(:.ns.l.<i"l'ad o.bandonbd.
<br />~~ARNING TO OWNER, YOUR F1<ILUf'1l: TO RECOR[; A NO'trCi: 0.. COMMEF ~ii:l':' C4AY Ri:sr J...T ::N '(OOR
<br />PAYING TWIC- OR .IM?ROV. FITS TO YOuR :;'ROPERTY. IF 'lOt: T .f:~D TO OBTAI. INANCING, C::JloJSJL1'
<br />WIT? YOU . DEI'. OR A ~ORt,;;;Y 8ElrORE. RECORDING YOUR ~E OF COML'1E .M~':'. JOBS UL'iDER
<br />$2,500. 'ALU 4EED?COaD AND POS1' A "NO C F CO ENe
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<br />STATE 0,," fLOF:IDI\ ~
<br />::oumy OF __ ~ t!.t!!)
<br />The ffJx.ag::..,j r~g. in5tn\ment was~.a "kno ledge';I
<br />/leforH1 ~5"'~t.. of " L~
<br />DY . I..~__ _
<br />'" (nanulI of p. .son ;'.~knowl~ gad)
<br />~WhQ l~ personally known to me, or
<br />
<br />~W'nO !1as producElG
<br />. ::typ... Ot: id\lntiricat.ionl
<br />a~hQrf.d.id Odid ,lOt t~ke J,l:.8.th. ..
<br />
<br />t. ~11- ~~ ~ct..~
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<br />Signature of person taking acknowledge!~an~
<br />
<br />
<br />sn,n: OF .lOlUDH.
<br />COll"TY OF
<br />The foregoing instr
<br />Before this
<br />by
<br />
<br />~J
<br />
<br />
<br />~dg~ltJ __
<br />, 20~
<br />
<br />o who he,s produced
<br />-1 I:yp" or identificati,:)nl
<br />and who ~did ~id not take on oath
<br />
<br />d.~1':;;ao'l:~/:;:~k~~ ~
<br />Name ty~tl~ .}res~agiJtediger
<br />
<br />1",,",& tYPSandt.a-~~r
<br />
<br />"'~S'!W::::!'" SANDRA JEAN HEDIGER '1
<br />.:om"''. Nt
<br />t." ...~~ 0 ary Public - State of Florida
<br />;~ jMvCom:nI5SlonExpies.u 16, 2007
<br />--"-:tlf>>"'~':- Commission # 00232949
<br />",,,.... Sondec:I By National No
<br />tary Assn.
<br />
<br />"'~;J!~::~,,, SANDRA JEAN HEDIGER l.
<br />f.~~lNotary Public - State of Florida I
<br />\~~'jM(CommIssionExpies.u 16, 2007
<br />'.';!fI"",...~ Commission # 00232949
<br />'Iii..... Sondec:I By Na1Ional Notary Assn.
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