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<br />ZEPHYRHILLS BlIILDING
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<br />FAX Ne. 813-780-002l
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<br />r. 002
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<br />A. NOT.ICi: OF DEED R.ESTRIC'l'IOHS
<br />'rh.. undersigned undaratand5 that thi~ perlll!\: lday be subject to "deed J:E<olItr1cti.ons" +lllJ.oll
<br />may be 1Il0re r..~tz:ict1 ve than Ci ty .regul.~t:i.on5. 'I'h.. ur,d";rlllgned l!lIlIlUlll6B. responl!l1bili ty for
<br />cOlr.plianc& "ith any applicable d.."d Ia'''tl-ictions.
<br />B. ONLIC~NSE~ CONTRACTORS AND CONTRACTOR ~E~POMSleILITlE8
<br />It ~he owner fias h~J:ed a contractor or contractors to undert.k~ work, they mAY b~ requi.~ed
<br />to be l!o.ns$d 1n accordance with $t~hB and local requlati.ons. If the contractor is noc
<br />licen~ed ae required by law, both th.. owner and contr~otor may ba o~ted for a mi~dellleAno~
<br />violation under st~te law. if th.. owner or intended con,rA~tor are uncertain .. to what
<br />1ice~s1ng requiremen.~ m.y apply tor the intended work, ,hey 4re advised to oontact the
<br />City of aephyt'hilla Building Dep,,~.tmo!lnt, 813-780-0020-.
<br />Furthermore, if the owo..r haa hired a contractor or Qontr~otora, h.. ia adviaed to have the
<br />contrac~or (8;' sign f'ortions ct the "Contractor Se-=tions" ot t:his application for which they
<br />will. bEl l'e:spon:slb1o!1. If you, a~ the owner 15igns all the contrA~tor, you !:Ire ind1t.:at1ng 'Ch&t
<br />you, rather than the contractol., are responaible for the work. It the ccntractor wiahee
<br />~ou to si9n as cont~actor that may b. an indioation that he is not proper.ly licensed and ie
<br />not entitled to pe>:m.ittinq privlleges i.n the City at Zephyrhill".
<br />C. TRANSPORTATION IMPACT FillS AND UTILIT'! CONNltCTIOt'f FEES
<br />D. CQNSTROCTUION LIEN LAW (CHAFTER 713, FLORIDA STATUTES, AS A~NDiDl
<br />I certi.ry that I, tt\il applJ.oant, have blllen provided w1~h a copy ot "Florida's Conatruoti.on
<br />lien Law - iiomeownar'llI Protact:l.on Guid.." prepared by the Florida Oepartmant of Agrio..lture
<br />and Consumer Affairs. It tile aPl"11cant :l.lS llIolllaona other that tt_e "owner", I ceriCy tl1at". I
<br />have obtAined a oOPyof the ~ove described doo~n~nt and promise i.n good faith to deliv.~
<br />it:. to tne "o\'lner" prior to commencement.
<br />E. CONTRACTOR'S/OWN~R'S A&'rr~AVrT
<br />r certif~ th~t ~ll the infozlnation in thia applicat~on is ~OQurat. and that all work will
<br />be oone ~n compl~anoe with all applica~le law$ regulating oonstruotion, ~oning, end land
<br />d..v..lopment,
<br />Appliqatlon is hereby mad~ to obtain a permit to do .work and installation as indicated. J
<br />certlf~ that no work or installation has commenced prior to !8~u~nce of a Permit and that
<br />all work will be p.rtorllled to _et s1;llndards of all laws regulating construction, City
<br />code8. zoning requlationa, a~d land development re9ulat1cne in the juriSdi~t~on. I alao
<br />oel't.ity tn..c. I understand 1:[:",t tr.. re';Julat1cns of otnel:' 90veJ:nmental agenoi.UllI\ilY apply .t.o
<br />.he intend..d work, and that it is my r.esponsibility to identify what actions I must take to
<br />be in compliance. S'Jch a';Jencies include but are not. limited tor "Department ot
<br />E;nvlromllental Ragc.lation-Cypress BaY:''!Iad.., t.etland Areas and Environmentally Sen.s:ctlve
<br />Land5, Water/WQstewater Treatment
<br />'SOU~hW.8t Florida W.ter Managament D1striot-Wel18, Cypres8 aayn..ds, Wetland Areas,
<br />Altering Watercourses
<br />'Army Corps of Enqineers-Se~walls, Docks, Navi~able w~terway~
<br />*D.partment of Health & Rehabilitative Services, Environ~ntal Health Unit-Welle,
<br />Wastewater treatment, S..p~ic Tanka
<br />.0.5. Environmental Proteotion Ag..noy-1<.sb..,.to9 abatement
<br />I ..l~o o..rti1'y that, ~f fill material is to b.. uS!id in Flood ZOlle "1\," or "A, ..to.", .it is
<br />~nderllltood that a draillaqe plan addr~6s1nQ a "compensating volumefl will be submitted which
<br />i~ pr..pared by a prcfQssicnal en9in~r registered i~ the State of rlc~~Qa prior to pe~it
<br />l.ll8Uanca.
<br />A permit issusd shall ba oonstrued to be a li06ns8 to proceed. w~th to& wor~ ~nd not as
<br />authority to violat~, cancel, alter, or set ..aid.. any provisions of the teor~ica~ OOd.5,
<br />nor sn.ll issu~nce 0' a permit prevent the BUilding Official tr~ thereafter reqUiring a
<br />correctIon of errors in plana, construction, or violations of any oode.~very permit
<br />issued shall become invalid unlase the work authori%..d by such permit 1s commenced within
<br />six mon.hs of issuanCQ, or it work &uthori~ed by the permit is ~U8pended or abandoned for '8
<br />periOd of ..ix DIanthe after the time the work is commenced. One 90 day ..xtensior, of time
<br />may b.. allowed fOr the permit with fe. ch~rqQ or $lS,aO. The axt.nsion shall ba requested
<br />in wrlting to the Building Off~oial. An approvea inspection must be logged during each six
<br />mcnth period, or the proj~ot will be cvniidQ~ed abandon6d.
<br />WARNING TO OWNERI YOUR F~ILUR~ TO RECORD A NOTIC& or COHHENC~M1NT t~Y RiSOLT IN YOUR
<br />~AYING TWICZ iOR IMPROVgMENTS TO YOUR PROPERTY. IF YOU NTEND TO OBTA FINANCING, CONSULT
<br />WITH YOUR.LENDER OR TTORNEY BEEORa RECORDING YOUR ICE OF COHN' ~EMENT. Joas D~DER
<br />$2, 500 VALU~ 00 NEED '1'0 RE RD MD POBT A OF C N NT",
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<br />STATE OF rLORIDA ~~ A ~_
<br />COUNTY OF ~~
<br />.Th... fr)ragrJlog ln5trUlllElOt was aCkoo~adgeo _
<br />
<br />:;fo,rJ<trte~~~y ~~ ~ 201JJS
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<br />~ ln~w or person ~cknowl..d9..d)
<br />~ho :l.S personally known to me, or
<br />
<br />Owho has produced
<br />(type or identificationl
<br />an~. whoCl did Ddid not tak.. ,far oath.
<br />
<br />u3~~\JL~ fiL~
<br />9ign..tur~anara Jea r;of1eamr~f
<br />
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<br />STATE OF FLORIDA
<br />COUIilTY OF
<br />The toreqoing:l.nst
<br />a..fore m his
<br />by
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<br />r40
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<br />-
<br />
<br />Nam.. typed, printed 01.. "camped
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<br />t1-.
<br />SiqnaturSaridraJeanCHedlger
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<br />Name typed, printed or stamped
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<br />r
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<br />"'"'~~''''' SANDRA JEAN HEDIGER. ~
<br />"om oJ'! v"<:'<. Notary Public - State of FIOn(i..~..
<br />~~lt .. ('1-:.
<br />=. .. :MyCom:nission Expies JU 16 20' .
<br />~~: s~f Commission # 0023294"'1 r
<br />,,:t,'lf,f.\'t" Bonded By National Notary Assn j
<br />l
<br />
<br />"m'~~\:~'~~~'" SANDRA JEAN HEDIGER .:"
<br />i+o.. v.(",",":Notary Public - State of Florida.
<br />~.. . '~MyCom:nisslonExpiesJU16.2007
<br />~~~ f>!;fi Commission # 00232949
<br />"'"w'f,'f,'" Bonded By National Notary Assn.
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