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<br />AfK:U;!Luu~/rKU ~4'j4 y~
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<br />ZEPHYkHILLS BUILDING
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<br />FAX Ne, 8l3-780-002l
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<br />;:, iJ02
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<br />A. NOTICE OF DEEm RESTRIC'L'ION$
<br />Tha undersigned understands that thi~ perrui~ ruay bo subject to "deed ~est~!ction$~ wn~ch
<br />may be IllQrl!! r....b:ictive than City 'regulat:l.cnll. The! utlde;cs1qnl!ld flaaumes. respolls1bil1 ty tor
<br />cOIr.ph.ancEl H!.th any applicable deed r...'!!trictiona.
<br />B. ONLICENSEa CO~TRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />I: 'the cwner l.as h~r.ed /l. contraotor or contract orB to und'u.tllklil work, th..y may bel requb.ed'
<br />to be lic.nlled 1n accordance ",1 th !ltabe' and lOQal reg\>lat.1.ona. If the contractor is noc
<br />lic~~el!!d as reqUired by law, both the owner and contraotor May be Q~ted for A miedem..nor
<br />viclation under state law. If the owner or intended con,ra~tor are uncerta1n aa to wh~t
<br />11ce~81ng requiremen~~ may apply tor the intEnded work, ,h..y are ad~is.d to oontact the
<br />City of ~..phYJ:'hll19 Bui1r:!1ng o"p..,.-tm..nt, 813-780-0020'.
<br />Furthermore, i~ ~h~ owner ha~ hired a cont~actor or oon~r..ctore, h.. i. advie..d to have the
<br />contract:or (8 i sign r,ortions of' the "Contractor Sections" ot this application for which "hey
<br />I.ill be l'e:aponsibl... If you, ae the owner Signs as the contrltctor. you ..re ill.di"at1nll >;nat
<br />you, ratner than the contr&ctol:', are respone.1.ble tor the work. If the oon~r~ccor wi.h..~
<br />~ou to sign as cont~actor that may ba An indica,ion that he is noc pro?er.ly licene8d and ie
<br />not entitled to permitting prin.l..g.... i.n the City of Zephyrnil18.
<br />C. TRANSPORTATION IMPACT Fi~S AND UTILITY CONNECTION FEES
<br />O. CONSTROC?UION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, p~ A~NDiDl
<br />I Qe~ti:y that I, the appl~cant, have be.n provided With a copy 0: "~lor1da's Conatr~ctLon
<br />lien Law - HOllleowner' &I Proteot.l.on Guid,," prepared by the Florida DepeJ:tffi~mt or Agrioulture
<br />and Cons\Jn\er Affairs. It the ~pp11cesnc 3.11I SClllecne other that tt.e ",owner", I ceriry that: :I
<br />have obtained a oOPY ,of the &Qove described doo~.nt and premi.e Ln good faith to de11ve~
<br />i"C. to tne "o\"Inerll prior to commence.D\ent.
<br />E. CONTRACTOR'S/OWN~R'S Ar~r~VIT
<br />r certifv that all the infoxmation in this application 1s ~cour.te and chat all work will
<br />be aone in compl~ance with all app~ica~le law. regulating oonstruction, ~oning, end land
<br />development.
<br />Application is hereby mad.. to obtain a permit to do .~lork and in:stilllatioll .", 1ndicated. 1
<br />certify that no work or ins~allation has commenced prior to iaau~nce of a permit and that
<br />~ll work w~ll be pertormed to M.et standards of all lawa regulating construction, City
<br />codee, zoning r~~ulationa, and land development regulations in toe juri~diotion. I also
<br />oertj.ty tr...t I understand that tne regulations of otnal' govermllental IIg8noi... may i1PP~y .to
<br />the intended work, and that it is my r.e.poneibili~y to identify what ac~ions r must take '~o
<br />be in oompl.iance. g'Jch aqenoiea lnc.l.u'.ie but are not, lilllited t<:>r *Departlnent of
<br />Snvlromnental Req~lation-Cypr.sa Bay~~ade, Wetland Areas and En~ironmentallr SenE~tive
<br />Lands, Water/WQstewater Treatment
<br />.Southwe.t Florida Water Management D1striot-Walle, Cypress Bayheeds, Wet~and Areas,
<br />Alterinq Watercourses
<br />-Army Corps of Enqineer~-Seawal15, Dock., Naviqable waterways
<br />*Oepartment of Health & Rehabilitative Services, Enviro~ntel Health Unit--Welie,
<br />Wastewat~r ~xeatment, Septic Tank~
<br />.0. S. EnVironmental Protection Ag..noy-l.....besto" abatemellt
<br />I ,,1"0 c..rtify that, it till material is to b'.. us",d in Flood Zoro", "A" or "A, .,tc,.., it is
<br />understood that a drains,.e plan addreBsinQ a "compensating volume" will b", submitted I.hich
<br />is prepared by a prof&SSional ~ngineQr registered i,r. the State of rlc;z;iclA pX"1or to P.OII~t
<br />lssuanclil.
<br />A permit 1ssu&d shall PliI oonstrued to be a li06nse to proceed w~th the wor~ ~nd not A6
<br />authority to violat.., cancel, altar, or set aside ilny provisions of the t..cr~icai cod...,
<br />nor sqall iS$~~oce 0' a permit prevent the BUlldlng Ofticlal tr~ thereafter r&Qulr~ng a
<br />cor~ectlon of errora in plans, construction, or violations of any oode.tv..ry permit
<br />issued shall become invalid unlesa the work authorized by such permit 1s commenced w1th14
<br />six mon~h5 "f issuance, or if work ~uthori~ed by the permit is ~~spendQd or abandoned ior 'K
<br />period of eix month~ after the tLlr.e the work i~ commenced. O~e SO day extenaion of time
<br />may be allowed tor the permit witn tee 9h~rge of $lS.OO. The extenaion shall be requested
<br />1n wrLting to the 8u~lding O~t~oi.l. An approved inapection muat be logged during ..ach six
<br />month pEr10d, ortheprojeat will be cvneidQ~&d abKodoneq.
<br />WARNING TO OWNER, YOUR F~ILUF~ TO RECORD A NOTICa OV COKHENC~E~T MAY R~SO~T IN YOUR
<br />PAYING ~WIC~ FOR IMP VEMENTS TO YOU. R PROPERTY. IF YOU IN '0 TO~ BTA.IN .' ANCING, CONSULT
<br />~ITH Y UR LENDER 0 ATTORNEY BETOIU; RBCOROING YOUR NO Of' CCWMEl'i T. ,JOIfS /]~DER
<br />$2,5 . It. V [ NEED ~~~ICORD AND POST A "NOTI COb! OE ". ~ . A
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<br />. Z---. "~~ '----'
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<br />SlGNATO ONTRACTOR
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<br />STATE OF FLORIDA "., a...t..CLl STAT!: OF FLORItlA
<br />COUNTY OF ~ ____ COUNTY OF
<br />Th.. trnligoi ng in~ r llIent wa a 'koo ledger.!.. _ 'l'he foregoioo;j J.nst d'd'''~ r-
<br />Befor e thi AY of ,2<U::J.:) Before this . 20 """"
<br />oy by _
<br />t (nam.. ot son QcknOwl$ ged) ~ (name of v~son a~koowledged)
<br />ho is, personally known to me, or !rho i~ pe~8onQlly known to me, or
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<br />who has produced Dwhohas prOduced
<br />(type (typa ot identiticatioM
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<br />". Od'd , ~ 2~a-01~';;'::~'~~
<br />Si9naturS~ndr~ J;;~gnaOH;dig;;rt Signatu4sandraJearr~~lit
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<br />Name typ.d,' printed 0J:', ,n;amped Name typed, prin~ed or ~tamp..d
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<br />,,'~:.l:W::::;-'" SANDRA JEAN HEDIGER
<br />$"'m" ..V,<-Notary PU.bIlC - State of Florida
<br />~. * * .~MvCommlsslonExpiesJlJ16,2007
<br />~~~ 'i:J'.f',:'$ Commission # 00232949
<br />"",'ff.[.~"" Bonded By Naffonal Notary Assn,
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<br />I "~~\.'::::'" SANDRA JEAN HEDIGER
<br />!~m*" ~.[;'\Notary Public - State of Florida
<br />l ;~ "gMvCommlsslonExpiesJlJ16.2007
<br />. -:",:.~o o"~:'''' Commission # 00232949
<br />.. I, F"f\:"
<br />,'..".... Bonded By National Notary Assn.
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