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<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands tha.t t hj.:l p':rmi 1: may be
<br />JIlay be more restrictive than Ci1t:V .w~rulations. 'fhe
<br />compliance with any applicable dt:!l:d n~sl:ric1:ions.
<br />B. UNLICENSED CONTRACTORS AND C()I~~~Ft1I,CTOR Rl~SPONSIBILITIES
<br />If the owner has hired a contrad:c)j: C'l' contractors to undertake. work, they lIlay be required
<br />to be licensed in accordance wit:h fttate and local rfl9ulations. -tf th'e" ~ontractor is not
<br />licensed as required by law, both the ollmer and contractor JIlay be cited for a misdemeanor
<br />violation under state law. If Uw <:amer or intended contractor are uncertain as to what
<br />licensing requirements may apply fn thE~ intended work, they are advised to contact the
<br />City of Zephyrhills Building Departloent, 813-788-661l.
<br />Furthermore, if the owner has hire,d a ce.ntractor or contractors, he is advised to have the
<br />contractor(s} sign portions of the "Contractor Sections'" of this application for which they
<br />will be responsible. If you, as the Owner signs as the contractor, you a.re indicating that
<br />you, rather than the contractor, aJ:e responsible for the work. If the contractor wishes
<br />you to sign as contractor that JIlay b,e an indication that he is not properly licensed and is
<br />not entitled to peonitting privilege,s in the City of Zephyrhills.
<br />C. T!UUfSPORTATION IMPACT FEES AND lJ~nLITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTEH '713, FLORIDA STATUTES, AS .AMENDED)
<br />I certify that I, the applicant, h<:IVI:! been provided with a copy of "Florida's Construction
<br />lien Law - Homeowner's Protection (~uiden prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the appli.cimt is someone other that the "owner", I cerify that I
<br />have obtained a copy of the above C1lelscribed document and promise in good fai th to deliver
<br />it to the "owner" prior to coumence~D.Emt.
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVIT
<br />I certify that all the information :In this application is accurate and that all work will
<br />be done in compliance with all appl:l<:able laws regUlating construction,' zoning, and land
<br />developtJlent.
<br />Application is hereby made to obtain a permit to do work and installation as indicated. I
<br />certify that no work or installation has commenced prior to issuance of a permit and that
<br />all work will be performed to meet st:andard,s of all laws regulating construction, City
<br />codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies may apply to
<br />the intended work, and that it is my responsibility to identify what actions I must take to
<br />be in compliance. Such agencies include but are not limited to: .*Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and.Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses .
<br />*Axmy Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health ~ Rehabilitattve Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone uA" or "A,etc.H, it 1s
<br />understood that a drainage plan addressing a ucompensating volume'" will be submitted which
<br />is prepared by a professional engineer registered in th, State of Florida prior to permit
<br />issuance.
<br />A permit issued shall be construed to be a license ~~ Pf~~,~d'~tb the work and not as
<br />authority to violate, cancel, alter, or set aside 'any provisions of the technical codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, construction, or violations of any code. Every permit
<br />issued shall become invalid unle8,s the work authorized by such pe~t is commenced within
<br />si~ months of is,suance, or if work authorized by the permit is suspended or abandoned for a
<br />period of si~ months after the t~ the work is cODDenced. One 90 day e~tension of time
<br />may be allowed fo~.the permit with fee charge of $15.00. The. ext~sion shall be requested
<br />in writing to the Building Official. An approved inspection must be logged during each six
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMBNCEMEN'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 AT"l'ORNEY BE!'ORE RECORDING YOUR NOTICE OF COMMBNCEMI!'Jft'. JOBS UNDER
<br />$2,500 IN VALUE 00 NOT NEED 'l'O RECORD AND POST A "NOTICE OF COteIENCEMEN'l"".
<br />
<br />l<J i!S J/Jby IV Iff ~
<br />
<br />SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRA.CTOR
<br />
<br />~0~~l~lONS OF PERMIT AFFIDAVIT
<br />
<br />subject to "deed restrictions" which
<br />undersigned assumes responsib~lity for
<br />
<br />. ~
<br />
<br />STATE OF FL~IDA
<br />COUNTY OF . as L D
<br />The foregoing instrument wa~nOWledged "
<br />Befo.r(e ~ this JLJ-'1:!:L day of' .__t . ~c'"
<br />by NQ!l..\ B. MiI1.He"J
<br />/ (name of person ackno~ledged)
<br />ISl who is personally knowii to me, or
<br />
<br />STATE OF FLORIDA f)
<br />COUNTY OF . ~o...5(c
<br />The foregoing i!lst~nt wa~c~~OWledgec:i.., (
<br />Before... thg '~ay of HU4u."t , MJGC...i
<br />by Need J.rt i':J
<br />~' (name of person acknowledged)
<br />~o is personally known to me, or
<br />
<br />of identification)
<br />ill ,whOO~d take an oath.
<br />
<br />
<br />Signature of person taking cknowledgement
<br />
<br />f)'lfJt1 L l)ude{~'
<br />
<br />Name typed, printed or stamped
<br />
<br />
<br />
<br />o who has produced
<br />(type of identification)
<br />d not t~ke an oath
<br />
<br />,
<br />^ iG.
<br />taking a knowledgment
<br />
<br />l Du,dp(~
<br />
<br />printed or stamped
<br />
<br />Signature
<br />
<br />(YU I it
<br />
<br />Name typed,
<br />
<br />~;j) Clna L Dudeck
<br />. . My Commission 00243306
<br />'\ ~ "./ Expires August 20. 2007
<br />
<br />~~ Dana l Dudeck
<br />. 'i. . My Commission 00243306
<br />\~ "./ Expires August 20.2007
<br />
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