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<br />I n
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<br />~. NOTICE OF DEED RES~RICTIONS
<br />The. undersigned unders~an~s that this permit may be subject to "deed restrictions" which
<br />may'be more restrictive. than City regulations. The undersigned assumes responsibility for
<br />compliance with any' ap iicable deed restrictions;
<br />B. UNLICENSED CONTRAC oas AND CONTRACTOR RESPONSIBILITIES
<br />It the owner has hired a :contractor or contractors to undertake work, 'they may be required
<br />to be ~icensed in acco nce with state and local regulations. If the contractor is no~
<br />licensed as required b ~aw, 'both the owner and contractor may' be cited for a misdemeanor
<br />violation under state 1 w. If the owner or intended contractor are uncertain as to'what
<br />licensing requirements ~y apply for the intende~ work, they are adviaed to contact the
<br />City of Zephyrhills Bui ~ing Department, 813-780-0020.
<br />Furthermore, if the own t' has hired a contractor or oontractors, he is advised to have the
<br />contractor(s) sign ~oft ns' of the "Contractor Seotions" of this apPlioation. for which they
<br />will be responsible. I you, ,as the owner signe ae,the contractor, you are indioating that
<br />you, rather than the co rector, are responsible for the work. ,If the contractor wishes
<br />you to sigh as contract that may be an indica~ion that' he is not properly licensed and ie
<br />not entitled to permitt privileges in the, City of Zephyrhil1s.
<br />c: TRANSPOR'1'~TION IMJ?.A . FEES AND UTILITY CONNECTION mES '
<br />p. CONSTRUCTUION L!EN (CHAPTER'7l3, FLORIDA STATUTES, AS AMENDED)
<br />I ce~tity that I, t~e a ~icant, haye been provided with a copy 'of ~Florida's Construction
<br />lien Law - Homeowner's, rptection Guide" prepated by the Florida Department of Agriculture
<br />and Consumer Affaire. f! the applicant is someone other that the "owner", I,cerify that I
<br />have obtained a copy' of t~e above described document and promise in good ~aith to deliver
<br />it to the "owner" prior ~ commencement.
<br />E'. CONTRACTOR'S/OWNER' FFIDAVIT
<br />I certity that all the n ormation in this ap~lication'is accurate and that all work will
<br />b~ done in compliance wall applicable laws ~egulating construction, zoning, and land
<br />development.
<br />Appliqation is hereby to obtain Q' permit to do work and installation as indicated. I
<br />certify that no work or stallation has commenoed prior to issuance of a permit and that
<br />all work will be perfo to meet standards of all laws regUlating construction, City
<br />codes, zoning regulatio and land development regulatiohs in the jurisdiction. I also
<br />certify that I,underst' that the regUlations of other governmental agencies may appiy to
<br />the intended work, and t it is my responsibility to identify what actions I must take to
<br />be in compliance. Such encies include but are not limited to: *Department of
<br />Environmental Regulatio - ypr8ss Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Tteatment ' ,
<br />*Southwest Florida Wate Mana9ement Distriot-Wells, Cypress Bayheads, Wetla~d Areas,
<br />Altering Watercourses
<br />*~y Corps Of Engineer
<br />*Department of aealth &
<br />Wastewater Treatment, S
<br />*U.S. Environmental Pro
<br />I also certify that, if
<br />understood that a drai
<br />is prepa~ed by a prdfes
<br />issuance.
<br />A permit issued ehall,b jonstrued'to be a license to proceed with the work and not aa
<br />authority to violate, c el, alter, or set aside any provisions of the technical oodes, ,
<br />nor shall issuance of a rmdt prevent the Building Official trom thereafter r~quirin9 a
<br />correction of errors in ans, construction, or violations of any code. Every permit
<br />issued shall become inv'l d unless the work authorized by such permit is commenced within
<br />si~ months of issuance, 0 if' work authorized by the permit ,is suspended or abandoned for'a
<br />period of six months af Jt the time ,:the', worle iIj c6nimenced. One 90 clay extension of time
<br />,may be allowed for the' iroit with fee charge of $15.00. The extension shall be requested
<br />in writing to:the Buil' of~icial. An approved inspection muet be ,~ogged during each six
<br />month period, or the pr ,ct will be considered abandoned. ,
<br />WARNING T0 OWNER: YOUR LURE TO RECORD ~ NOTIc!;: OF COMMENCEMENT MAY RESULT IN YOUR '
<br />PAYING TWICE FOR IMJ:'RO NTS 'to 'YOUR PROPERTY. U' YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ORNEY BEFORE RECORDING YOUR 'E OF COMMENCEMENT. JOB'S UNDER
<br />$2,500 IN VALUE 00 NOT N 0 TO RECORD 'AND POST.A u' IC COMME~CEMENT"~
<br />
<br />-Ieawalla, Docks, Navigable Waterwaye
<br />R habilitati~e Services, Environmental Health Unit-Weils,
<br />p ic Tank15 "
<br />e tion Agency-Asbestos abatement
<br />f 11 ma~erial is to be used in Flood Zone "A" or "A,etc.", it is
<br />g plan addressing a "oompensating'volume" will be submitted which
<br />i nal engineer registered in the State of Florida prior to permit
<br />
<br />~
<br />~
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<br />
<br />PAULA M. PRESTON
<br />COMMISSION' 0005513.-
<br />EXPIRES' NOV OS 2005
<br />8Oti~ ,lttROOOH
<br />ADV~ NOTARY
<br />
<br />
<br />e~t oL5C;0d~~b~
<br />
<br />nt~o (name of person acknowledged)
<br />~ is personally known ,to me, or
<br />
<br />o who h~s produced /IJ /
<br />( e of :iiie:~cation)
<br />d not ta e oath
<br />
<br />
<br />Name
<br />
<br />ham
<br />.~ KWC€t~ # DD188869 EXPIRES
<br />~;. .~~....j' May 25, 2007
<br />"'1.:r.iif.;f,.1f.:" BONDED THRU TROY FAIN INSURANCf,1NC.
<br />
<br />
<br />~IalIng Sl1IHaAHd3Z WV 5!:!! Iatl/~OOZ/9r/daS
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