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<br />NC:V/C-:/20i~5/TUE 02' 55 ?'M
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<br />ZEFflYRHILLS BULLD[NG
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<br />FAI No. 813-78J-002:
<br />
<br />f. 1]::2
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<br />A.'. NOTICE OF DEED RESTRICnONS
<br />The, under~igned \:nderstands that this p"~.ll\it lllay be subject to '..deed r~~tri"ti"ns" which
<br />may be mOre restrictive than City r~gulations. Tne undersiqned a88~~S raspo~sibility for
<br />co.,,~-'li.ana.. wi th any applicabl.. deed restrictions.,
<br />B. ONL:CENSED CO~T~CTOR3 AND CONTRACTOR RESPONSIBILIT:ES
<br />It the owner has hired & contr.ctor or contr~ctor~ to undertake work, they may be required
<br />to be licensed in a~cordance with state and iocal reQ~latj ons, If the contr:actor i. no.t
<br />l.icensed a. required by law, ::lOch the OW!ler and contractor may be cited for a misdem..ano~
<br />violation under state law. :f the owner or intended contractD~ are u~certain a. to what
<br />licensing requirements may apply for the intended wc~k, they are advised to contact che
<br />City of Zephyrhll.ls Building Depattllient, S13-1BO-0020.
<br />rurther~ore, if the owner has hired a contraotor or contractor9, he is advised tc have the
<br />contractor (.,) sign portions of the "Cohtractor Sections" of this app~ication for .rr.ieh they
<br />"1111 be responsible. If yea, .a5 the o.mer signs as the contractor, you are indicating that
<br />you, rather tr~n the.contractor, ar.. respon.ible for the work. .It the contrsctor wishee
<br />you to .ign as contractor cnat may be an indioation that he is not properly licen8~d and is
<br />not entitled to permitting prl'tilegM in the City of Zephyrl'.ills.
<br />':: TRANSPOF.!ATI,JN IHPACT FEE:S AND UTILITY CONN5:CTICN FEES
<br />J. CONS~ROCTUION LIE~ tAW (CHAPTER 113, FLORIDA STATOTES, AS AMENDED)
<br />1 certify that I, t!l$ applicant, ha?'e been provided with. a copy of "FLOrida' a construction
<br />liell taw - Hcmlilowr.er' S P~oter)tj.on Guide" prepated by the Florida Departlt'.ent of Agriculture
<br />and Consumer Affairs. If the applicant is s~~eone otner that the "owne~", I cerify that I
<br />have obtained a copy of tlle above desoribed document and promise in good faith to deliver
<br />it to the "ownertl prior to commencement.
<br />E. CONTRACTOR'S/OWNER'S AFrIDAVIT
<br />I cartify thet a~l the intor~ation in thie appLication is accurate ondthac all work will
<br />be done in compliance with all applicable laws regulating construction, 2oning, and land
<br />de:velopment_ ..
<br />Ap~li~ation is hereby ~ade to obtain II p4rm1c to do work and installation as indicated. I
<br />certlfy that no work or in.tallation has commenced prior to i.suance of a permit and that
<br />all work will be perfo~med to meet standards of all laws regulating construction, City
<br />codee, zoning requl.,ions, and land developmeri, rQgulation~ i~ the jurisd~ctlon, I also
<br />certify that I .understand that the regulations ot other goverr~nental agencies may apply to
<br />the lnt~nd.d work, and that it is my respcnsibilityto ldentify what actions I must take to
<br />be in compliance. Such agenci..s inclUde but a::e not limited to: "D..pa~tment of
<br />Environmental Regulation-CyprEtSe Baynead5, Wetland I\reas and Environmentally Sen.itive
<br />Lande, Water/Waetewatar Treatment
<br />"Southwest Florida Water Management Distriot-Wells, Cyp~ess Bayhead., Wetla~d Areas.
<br />Altering Watercourses
<br />"Army Corps of Engineer.-Seawalls, Docks, Navigable Waterways
<br />'Department of Heslth & RQhabilitatlve Services, Environmental H~alth Unit-WellS,
<br />Wasbi!watf:lr Treatmentr Septic Tanks
<br />'U.s. E~vironmental Protection Agency-Asbe.to. abatement
<br />I also c"rtif~' that, if fill material is to be used in Flood Zo~.e "A" or "A,Qtc.", i~ is
<br />uncerstood that a drai"age ;;>lan addressing a ~cOJnpetl.a.tini;l....olu..,,,,. will be subinitt..d which
<br />i. prepared by a professioual engineer registeTed in the State of ?lorida prior to permit
<br />issuance.
<br />A permit iSsued shall.ba donscrued.to be a licansa to proceed with the work and n<)t: as
<br />a~tnority to viol.te, ~ancel, alter, or set aside any provisione of the technica:" ,~odes,
<br />nor shall iss~anca cf a permit prevent the Building Official from thereal~.er rsquirin9 a
<br />co~rection of errors in plans, congtruct~on, or violations of any code. Every permit
<br />issued shall become invalid unless the work a~thorlzed by such permit is commenced within
<br />sIx months of i~5uance, or it work authorized by the permit is .u~pendsd or abando~ed for 'a
<br />period of 9i.1I months aft'!r the tiitte the. work is cOlM\enoed. One 90 day extension of tiitte
<br />may be allowed for the permit ~ith t~e oharge of $15.00. The exte~eion shall be requested
<br />in wro. ti~_g to .the Building Official. An app~oved inspection mu.t be logged during eOl.;11 $1>.:
<br />mor,th p~riod, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILUR~ TO RECORD A NOTIC~ OF COMMENCEMEN~ MAY RESULT IN YOOR
<br />PAYING TWICE FOR IMPROVEMENTS .TO YOUR PROPERTY. Ii YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE or COMMENCEMENT. JOBS UNDER
<br />$2,50C IN ~Lt1~ j NOT~NEED TO RECORD AND POS1' A ~NOTICE~F COMMENCO".
<br />
<br />P:/1.~. ./lr~~ ~~( VA~~
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<br />BIGNA'fURE, OWNER OR EN!. SIGNATURE: CONT!lACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY or
<br />Tne foregoing instrument wa. ac~,owledQad
<br />Before me this,--- day 01' ~_, 2L
<br />by
<br />(na~e of person acknowledqed)
<br />Dwhc is personally known to mo;, or
<br />
<br />o '~ho has produced
<br />(type
<br />and whoOdid Ddid not
<br />
<br />STATE or FLORIDA
<br />COUNTY OF
<br />The. foregoing instrument was
<br />Bato:!:e me this _day of
<br />by
<br />
<br />aCknowledged
<br />, 20_.
<br />
<br />(name of person aoknowledqedl
<br />Ckho ia per~onallY known to me, or
<br />
<br />of identif~cation)
<br />take an oath.
<br />
<br />o who hae produoed
<br />(type of identification!
<br />and who Octid O:lid net take an oath
<br />
<br />Signature of person taking a~knowledgellient
<br />
<br />Signature of person taking acknowledgmsnt
<br />
<br />Nar". typed, p~inted or etamped
<br />
<br />N~mR tYP~df printed or st4mpad
<br />
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