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<br />~ONDIT~O~~ O~ ?~~~~~ A~~~~AV:.~
<br />
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that Url:L:! pfll:mi. t inil.~' b,~ SJ.b:j ec:1: 1:0 "deed restrictions" wh'ich
<br />may be more restrictive than City I:I~q1JIClt:iCHIS. 1'h,~ lIn,j'~nl.iqlled assumes responsibility' for
<br />compliance with any applicable deE!d Ct~st:J:ic:tiolls.
<br />B. UNLICENSED CONTRACTORS AND Cml']'I~AC'l'OH HI!:Sp:nwnn.Ir[EB
<br />If the owner has hired a contractol: or: Gont:racl:Ol';:I to undE!r-c;!ke work" they may be required
<br />to be licensed in accordance with S"Cii':e and lor:al .r:eguVtttol1::I. If the contractor is not
<br />licensed &s required by law, both tJl'~ o~mer and (:c>Jltrac.t;oJ: Ill<:l.y be cited for a misdemeanor
<br />violation under state law. If the ,)1IfJleJ: or intend,ed COiltl:a.::.t:or are uncertain as to what
<br />licensing requirements may apply fo t' .thE! intended l.rork, they are advised to contact the
<br />City of Zephyrhills Building DepaJ:tJUleKlt, 813-188-'0611.
<br />Furthennore, if the owner has hin!d i! contractor ot' contrac.t':>rs, he is advised to have the
<br />contractor (s) sign portions of the '''CI:>J}t:;ractor SE!.:::.tions. 'of' this applieation for which they
<br />will be responsible. If you, as t:hle lowner signs .a.,s the contractor, you are indicating that
<br />you, rather than the contractor, nr,e renponsible f'or the work. If the contractor wishes
<br />you to sign as contractor that ma~{ b'a an indicatj.,o:n that he is not properly licensed and is
<br />not entitled to permitting privilE!g'l!,S in the City of Zephyrhills.
<br />C. TRANSPORTATION IMPACT FEES AND U'fU][TY CONNEG'rION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTJ~R '113,. FLORIDA ,S'fATUTES, AS AMENDBD)
<br />I certify that I, the applicant, Ita'",e bE!en provid,ed with a copy of "Florida's Construction
<br />lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applic,ant is sOIU.eone other that the "owner", I cerify that I
<br />have obtained a copy of the above de.scr;lbed aOCUlllent and. promise in good faith to deliver
<br />it to the "owner" prior to COlllJlenc:::em,ent.
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVI'l'
<br />I certify that all 'the 1nforui.a:tioJi i~ this applic:::ation is accurate and that all work will
<br />be done in compliance with all applicable laws rl!gulating construction, zoning, and land
<br />development.
<br />Application is hereby Jaade to obt.~in a peml1t to do ,,'o,rk: and installation as indicated. I
<br />certify that no work or installation ha,:s co-.e.ll.cled pt:jor to issuance of a permit and that
<br />all work will be performed to meeit staJJtdard,sg,f i~ll lawfil regulating construction, City
<br />codes, zoning regulations, and land devl!lopmen.t. regula.tions in the jurisdiction. I also
<br />certify that' I understand that th'B regulations; of othe,r governmental agencies may apply to
<br />the intended work, and that it is my rEtspoXllsibi.llty t:c. i.dentify what actions I must take to
<br />be in compliance. Such agencies .lnclude but a,re not lindted to: *Department of
<br />Environmental Regulation-Cypress :Bayhealds, Wet.lallld AI'e,al!!1 and Envirorllllentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Soutbwest Florida Water Managemelnt Disrtric:t-tiretlls, C~'PJ:ess Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, ~ravi.9ralble tilJllt.ElrwayS
<br />*Department of Health. Rehabilitative SenricElfl, !nvJI:olnmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U. S. Environmental Protection AgencY-1LSbestofl abateulfmt:
<br />I also certi fy that, if fill material 1s tel bEl u,sed in I~lood Zone "AN or "A, etc.", it is
<br />understood that a drainage plan addresfling a ~\(:olllfJllenl!lclt:ing volume" will be submitted which
<br />is prepared by a professional engineer registE!l:ed in t:lu, State of Florida prior to permit
<br />issuance.
<br />A permit issued shall be construed to he a li<:Emse: t() In:Q~ed with the work and not as
<br />authority to violate, cancel, alter, OJ:: set aflide any ~u::ovisions of the technical codes,
<br />nor shall issuance of a permit prevent the Bul1di.ng Official from thereafter requiring a
<br />correction of errors in plans, construc:::tioll, OJ:: viola1:i.c)ns of any code. Every permit
<br />issued shall become invalid unless the work au1:.horized by such permit is c~nced wi thin
<br />six months of issuance, or if wor'k authorized by t:he permit is suspended or abandoned for a
<br />period of six months after, the. time thl! work i:J CC:lnmenced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be requested
<br />in writinci to-the Building Official. JUt appr()ved inspection must be logged during each six
<br />month period, or the project will be cc:>nsidered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEN'l' MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN A'l"l'ORNEY BE!"ORE RECORDING, YOUR NOTICE OF COMMENCEM!'.HT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD iMfD POST ,A. "NOTICE OF COMMENCEMENT".
<br />
<br />A/1f;!Jo/
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SI!::!!' ~I:!i::!
<br />
<br />STATE OF ~RIDA
<br />COUNTY OF II ~ l. 0
<br />The foregoing instrument was acknowledged
<br />Before me ~~ day of MA.y . ~~. -
<br />by Nu.\ B. +V1
<br />,j (name of person ackno,.ledged)
<br />~who is personally known to me, or
<br />
<br />STATE OF FLORID~pA.
<br />COUNTY OF . ~U:>
<br />'J~he foregoing i~nt w"' acknowledged
<br />Ilefore me th~ y of a ~ ' M .-;looS
<br />by l\} 0 Q. \. '9
<br />/ (name of person acknowledged)
<br />~o is personally known to me, or
<br />
<br />
<br />owledgement
<br />
<br />
<br />-
<br />
<br />proD:~ a
<br />
<br />Name typed, printed or stamped
<br />
<br />S1
<br />
<br />, ~ Dana L Dudeck
<br />! J . My Commission 00243306
<br />",..1 Expires August 20 200-'
<br />
<br />,.~ Dana L Dudeck
<br />! ~ ~ My Commission 00243306
<br />"....o~ Expires August 20.2007
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