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<br />F-rK!U'iiLuu~:rl!U U4:34 F.'il
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<br />ZfPHYRHILLS BUILDING
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<br />FF-X Ne, 813-780-0021
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<br />r, 00'2
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<br />A. NOT.ICil OF DEED RESTRIC'J.'IONS
<br />'1'hl!l undersigned understands that thi~ perl1li-c inay be subject to "deed r~$t:r.1cti.ons" tll'J,i.C/l
<br />may be more rest:t'ict1 ve than City .regulolU.ons. The unde;ceigned &IlIlUllles. reapons1bil1 ty :for
<br />cOIT.pll.ancEo \~it h any applicable deed xe'Bl:rictiona.
<br />B. UNLIC~NS~~ CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />It "Che owner has h~T.'Q a contraotor or contractors to undert.k~ work, "Chey m~y be requt~ed
<br />to be lie.need 1n accordance ~1th state' and local regulations. If the contractor 18 not
<br />licensed ae required by law, both the owner and contractor may b. oited for a misdemeAnor
<br />violation under state law. If the owner or intended con~~Actor Aro unce~tain as ta wh&t
<br />licensing requiremen~~ may apply for the intenctad work, ~h.y ~re ad~i8ed to oontact the
<br />City of aephYL'hll19 Builcting Oepartm..nt, 813-780-0020'.
<br />Furthermore, i~ th.. owner has hired" contractor or contractors, he is advised to have the
<br />contraccor(a) sign r.oftions ct the "Contractor Sectione# of this applioation for whioh "Chey
<br />will be l'esponsibl... If you, as the owner signs as the contr"ctor, you !Ire ind1<;ating >;;h.s.t
<br />you, rath.er than the contractor, are responsible ror the work. It the con"rac"or wishee
<br />~ou to si~r. as contractor that may be an indica,ion that he i8 not proper.ly licensed and ia
<br />not entitled to pe>:ll'..Ltting pri....11.ges in the City of Zephyrhil16.
<br />C. TRANSPORTATION IMPACT ri~S AND UTILITY CONN~CTION F~ES
<br />D. CONSTROCTUION LI~N LAW (CHAPTER 713, FLORIDA STATUTES, AS AM~NDiOl
<br />I certiry "ha~ I, th. applicant, nave been providad With a copy or "FlQrida's Conatruction
<br />lien Law - HOllleowner'.. Protection Quid"," prepared by the Florida Oapaxtrnant ot Agrioulture
<br />and Consumer Atfairs. It tne ap~licant ~5 so~aon. other that the "owner", I cerity tna~ I
<br />have obteined a cOpy of the &Qove described dooUill~nt and promi.. in good faith to d.liv.~
<br />i 1:. t.o tnes "O\'lnerll pr~Qr to commencement.
<br />E. CONTRACTOR'S/O~~R'S Arrr~AVIT
<br />::: eer'!:if., that oU the ini'oLmatlon in chill applicaticn is
<br />b~ don.. in compl~ance with all applica~le law. regulatinq
<br />development.
<br />Application is hereby made "Co obtain a per~it to do .work and in$tallatio" 4S indioated_ J
<br />certify that no work or installation has oommenced prior to iaauance of a permit and that
<br />all work will be perl!or"'l;ld to ll\Qet lIlt&O~rdlll of all laws regulating constructicn, City
<br />codes, ZOning raqulatione, and land development regulatione in the j~riSdiotion. I also
<br />oert~ty th..t. I unGlerstand that "C~. re'llulaticne at! otller governlllental ilgeociO;>5111ay app~y ,to
<br />the intende.d wOl'k, a.nd thllt it is my r.edponeibili<:'y to identify what ac't:ione r must take "to
<br />be in compliance. g'.1ch aqenciea lnclu,je but are not. limited tOI *Dep&rtment ot
<br />Envirorllllental Reql;..lation-Cyprees 6ay!'l..ads, ~~etlllnd Areas and Environmentally Sens:..tive
<br />Lands, Wat&r!WastewAter Treatment
<br />.Southwest Florida Water Management O~$trict-Welle, Cypres5 eayhe.ds, Wo;>t!and Areas,
<br />Altering Watercoureell
<br />-Army Corps of Enqineers-Sea.walls, Docks, Navigable Wa.terways
<br />.DepArtment of Health & Rehabilitative Services, Environ~ntal Health Unit--Welle,
<br />Wastewater Treatment, Septio Tanks
<br />*0. S. Envi..t'onmenta~ Protection Agenoy-~-sba~to!l abatement
<br />! also certify that, if till material is to be us..d in Flood loo,,,,, "AU or "A, etc.", it is
<br />und&cstood that a drainage plan addr"3t'J8inQ a "compensating volUllle" will be sublllitted \.hich
<br />ill prepaced by a profElnicmal 4ilngir,4ilQl: reQisto::..d i,n tho Stat. of rlo.ida pr.l.or to pe:rlllit
<br />laeuance.
<br />A permit issu..d $hall be oonstrued to be a lioense to proceed with the wor~ and not as
<br />e~thority tc viol"tll, oancel, alter, or soot aside any provisions of the technical oodss,
<br />nor sh~il iss~~noe 0' a permit prevent ths BUildlng Off1cial tram thereafter requi~ing a
<br />cor~ectlon of errors in plans, construction. or violations of any oode. tvery perlllit
<br />issued shall become invalid unlesB the work authorized by such permit i~ commenced within
<br />six man"Chs of issuRnce, or if work authori~ed by the perm.l.t is ~uap..nded or abandoned ior 'a
<br />period cf I<lix months after the tu,e the work is ccmnenced. 0",,, 90 day extension of time
<br />may be allowed for the permit with ~ee oharge of ~15.00. The extoneion shall be requested
<br />in writing to the Building Oft~oi.l. An approved in~pection must be logged during eaoh ~ix
<br />month po;>riod, or the projeot will be cvniidQ~ed abandon6~.
<br />WARNING TO OWNER, YOOR FAltUR~ TO RECORD A NOTIC& or CONH&NC~M&NT MAY R.SO~T
<br />fAYING TWICZ rOR IMPROV~MENTS TO YOUR PROPERTY. IF YOU IN TO OBTAIN FIN
<br />WITH YOUR'. NDER OR AN RNEY BEB"ORll: RlCCOl'.DING YOUR NO CE F COHME.NCEME,N
<br />$a, 500' ALUE co NO 0 'fO RECORD AND POST A "NOTIC 0 CO~ll'lE ~NT"
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<br />. L ~
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<br />~CQurat. and "Chat all work will
<br />construction, ~oninq, and land
<br />
<br />IN YOUR
<br />ING, CONSOLT
<br />Joe l)l'iDEll
<br />
<br />
<br />STATE OF nORIDA
<br />COUNTY OF
<br />Tn.. fru"q'J.i ng instr
<br />Befol" me t[, s
<br />by
<br />~ (nam.. of arson ~cknowl..d9..dl
<br />ho ~~ Fersonally known to me, or
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<br />who has produced
<br />. (type or idllnt1r.icat1onl
<br />:i WhO~did Odid not take an oath..
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<br />. .~ 9-c-o-- Nu..A-y4:
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<br />Signature of pGrQon taking aok.nowledgement
<br />
<br />ledgeo
<br />, 2oJJr"
<br />
<br />STAT!!: OF FLORIDA
<br />COUNTY OF
<br />The foreqoJ.n'ilJ.nlltr
<br />Before this
<br />by
<br />
<br />
<br />d~~~~S-
<br />
<br />~o
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<br />Owhohaa produced
<br />(type ot ident1t1catiOn/
<br />and ....he ~d Oiid not take an eath
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<br />~~a.... 9~(1-#~~
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<br />SignatUre of person t~king acknOwledgment
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<br />Na..a tYP5~~r
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<br />Name typed, printed or stamped
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<br />r
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<br />....~~~~t;.-" SANDRA JEAN HEDIGER ..:
<br />/"m.' ..:i'\Notary Public - State of FIOri,;;
<br />~ . . ~MyCom:nlssbn Expies J.JI16. 2iX
<br />..~ ~:-
<br />"';:'1omO';~'" CommissIon # 00232949 l
<br />""""" Bonded By Notional Notary Assn :'
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<br />I "~~1:~::i:;-,, SANDRA JEAN HEDIGER
<br />I l"m" <<<'<% Notary.. Public - Slate of Florida
<br />~.: * .EMyCommtsbnExpres-U16,2007
<br />I ~~~ o,,<:,~ Commission # 00232949 ~
<br />"".?f.:,~"" Bonded By NotIonal Notary Assn. ~
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