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<br />B.:./2l/2C'~:/<'~~ r:S: 22 A~l Z:SPHYEHILLS BUr.~.WI(;
<br />
<br />PAl Ne" 8i3-7BO-ljD21
<br />
<br />P. 002
<br />
<br />A,' NO~ICE OF DEED iESTRICTIONS
<br />The undQ~siqned under6t~ that this permit may be subject to .~ed restrictionsn w~~ch
<br />may be :r.ore re$tdcIUve than' city requ!aticnil, The undersi..:l9C MSUllI9S ruponsibil1 ty tor
<br />complJ.anca with any applicable d'~ed nstricitions',
<br />'8. UNLICENSED CONTllACTORB AND C<)ll'rRACTOR RESPONSIBIl:o:::T!E:S
<br />It the owner hu hired" contract.or or contrl\,cton to undertai<e w.;rk, they may be required
<br />to be l~cens.d in !.cc'Jrdllnce w~tlo state and ,16cal requlations. 1= the CQntr"ctor is nO.t
<br />licensed a. requirsd by law, bot~ the o~er and ccntractor may be cited for e misd~eanor
<br />violation'under st~ta law. It the owner or intended contractor a=e ur.certain as to wr~t
<br />licensing requir~nts may apply for the intende? xork, they are ad7ised to contact the
<br />City of Zephyrhill!' BUi,lqinq DQPoutment, 813-780-002.0.
<br />Further:!l.6re,. if th.. o-.mer has hi::ed s' contraotor or contractors, he' is advised to have the
<br />contractor<sl, ei9~ po,t10ns of the "Contractor seotionsn of ~his 3pp:ic~tion for which they
<br />will be respon"lbl~, It you, u.the owner .siQIls as the contracto:, you are indioating that
<br />y'ou. rather than the contractor, are re'ponsillle 'for th~ werle. .It the. cOl:ltractor wishlas
<br />yeu to sign as contractor that ~!y be an indication that' he 19 no~ properry licensed sn~ ~s
<br />not entitled to permitting privUQqu in the. City of Zephyrhill:l.
<br />C: TRANSPORTATICN IMP!lCT E'EES A:~D OUL!T'l CONNEC'1'ICNFEES .
<br />C), COIlS'l'RtJC'!'T.lION LIEN !.Atl (CHAPTER 713, FLORIDA STATUTES, AS AMEliCEDJ
<br />I certity that I, the applicant, haye been provided with a oopy'of .Fl~rida'" Construction
<br />lien Law - HomeowMr' s .ProtQcdo:"\ Guiden prepared by the Fl.:::::ida )epartJr.ent of I'.qriculture
<br />and Consumer At!all's. It the a~~lioant is someone other that the .ownerR, :,cerify that r
<br />ha\-e obtained a co,yof the abov'. desorilled document and promise in good faith to deliver
<br />it to the "ownerh pri"r to C~:1CeI:'.ent.
<br />E, , CONTRACTOR' a/OWNER'S AEFIDAVLT
<br />I c..:rtHy that all the infonllllti'~n in this application' is accu.rat~ and that all <fork wl1:
<br />bll done in cOlllPliar:ce with ali applicable laws requlat!..'lq const:ru.~tion, 2on1.ng, e....,d lllr,d
<br />development.
<br />Application is herbby made to obtain a permit to do work and inBt~iation as indicated, I
<br />oertity that no WOI!k or installation hila cOlllJllEtnced prior to i""ua;')(:e of ;0 permit and that
<br />all work will be performed to lIle'~t standards ot all laws regulad.::lg construction, City
<br />codes, zoning requlstions, and l..nc! developmQrit requlatione in th~ juris'diction,' I also
<br />certify that r .und..ntand that t'1e requlations ot other govermue:-.:;al aqencJ.es may apply to
<br />the intended work, and that it i3 my responsibility to identify w:~t actions I must take to
<br />be in oomplianoe, Such agencies inolude but are not li~tec! to: .Depar~nent ot
<br />Environmental Re~Jl~tion-Cypre9s Bayheads, ~"tland Areas and Enviro~ntally Sensitive
<br />Lar.ds, Water/Wast'water TreatmQnt
<br />*Southweat ~lorlda Water Manage~ant Dietrict-Wells, Cyprees Baybej~, W&tl~d ~x~as,
<br />Altering Watercourse~
<br />wArmy Corps of Engin....rs-Bea.wall,.. Docks, Naviqable Wat~J:Way"
<br />"'Department of Heal t:1 i i\.ehebilitati v.. SQrvicea, Environmental He jl:;h Unit -Wells,
<br />Wastewater Treatment, Septio Tanks
<br />.0 '.S' Environmental Protectiort A';renoy-Asbestos abatement;
<br />I also cartlty that, if fill matuial is'to be used in !flood Zona ~A" or "lI.,etc,", it 1s
<br />understood that a clrainaga plan~ddressing a "coJi!pensatinil '\'ol1.lZeew will be sul:mlltted whicll
<br />is trepared by ~ prOfessional enJineer reqisterad in the State of Florida prior to permit
<br />
<br />i!i,suance..
<br />
<br />A permit issued shall be cor,atrued to be a license to proceed wit." the work and not as
<br />authority to violate, cancel, alter, or SQt aside any p:ovieions ~~ the technicel codes,
<br />nor shall issuance of a pezmit prevent the Building Official fram thereafter rQquiring a
<br />correction of errors in plans, construction, or violatio~s ot any oode, !very permit
<br />is:lued shall bec0m6 invalid unle~s the work authorieed by suoh pecn1t is oo~menced within
<br />six months of issuance, or if work authorized by thQ permit is suspended or abandoned for 'a
<br />period ot six months ~ter the time,the wor~ ia commenced. O~e 9) day extension of time
<br />may be allowed tor the'permit with tee charge of $15.00, The exte~"j.on ~hall be requested
<br />in writing to 'the auilding Ot!icial, An approved inGpe~tion mU8t be logged during esch six
<br />.11l0ntt, period; or t~... project will be considered aband,one.d"
<br />WMNING TO OWNER: 'toca fAILURE TO RECORD A NOTICE or COHMENCEMENr MAY ro:SOLl' IN YOUR
<br />PAYING TWICE rOR n1PBO'l!MENTSTO YOUR P!'-OPEl\TY, IF YOU IIIlTEND TO OS:A!N rINANCING, CONSULT
<br />WITH YOUR LENDER OR ~'l ATTOP.NEY BEFORE RECORDING YOUR NOT!CE OF C:lMMENCEMENT. rOBS UNDER
<br />$2.500 IN ITlU.UE: 00 NOT Nun TO RECORD AND POST A ~NOT!CE OF COMl1E:iCEMENT".
<br />
<br />SIGNATOU: CONTRA:TOR
<br />
<br />SIGNATURE: OtINER OR P';;ENT
<br />
<br />acknowledged
<br />, 2lL-
<br />
<br />BTATE OF E'LORIPA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this ~y of
<br />by
<br />
<br />STATE OF li'LDRIDA
<br />COUN1'Y' or
<br />The foregoing instrumant was
<br />Before me this,",- day of
<br />by
<br />
<br />acknowle<1ge<1
<br />,20_
<br />
<br />(name of perGtm acknowledqe:l)
<br />Owho i.. perGonally known to me, or
<br />
<br />O'whO ha" produced
<br />(type of identiticationl
<br />and ",lioD did Dditl not taJca an oatIl.
<br />
<br />(nama ot pe~"on acknowledged)
<br />~ho is peraonally ~own to ~e, or
<br />
<br />o who h~.s produc~d
<br />(type of identific~tionj
<br />and who Ddid Q.:U.d 'not cake an oath
<br />
<br />Signature of person taking a.ckno>lledqement
<br />
<br />Signature of person taking acknowledqment
<br />
<br />Na... typed, printed or stamped
<br />
<br />NaIlle typed, printed or st~pe<l
<br />
<br />/
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