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<br />NOV/29/2005/TUE 09:34 AM
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<br />ZEPHYRHILLS BUILDING
<br />
<br />FAX No, 813-780-0021
<br />
<br />P. 002
<br />
<br />A.' NOT.ICE OF DEED RESTRICTIONS
<br />'Th~ undersigned understands that this perm.it may be subject to "deed re5trictions" which
<br />may be more restrictive thah City regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions~
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR'R~SPONSIBILITIES
<br />If tne owner. has hired a contractor or contr~ctors to undertake work, . they may be required
<br />to be ~:Lcenaed in accordance with state and l'ocal regUlations _ If the contractor is no.t
<br />lieen5ed as required by law, both the owner and contractor may be cited for a misdemeanor
<br />viOlation under state law. If the owner or intended contractor are uncertain as to what
<br />licensing requirements may apply for the intended work, they are advised to contact the
<br />City of Zephyrhills auildlng Department, 8~3-780-0020.
<br />Furthermore,. if the owner has hired a contractor. or contractors, he is advised to have the
<br />contractor(s) sign po~tions' of the. "Contractor Sections" 0:1; this application for which they
<br />w;i.L~ be responsible. If you, .a~ the owner signs as.the contractor, you are indicating that
<br />you, rather than the contractor, are responsible for the work. .If the contractor wishes
<br />you to sign as contractor that may be an indica~i6n that he is not properly licensed and is
<br />not entitled to permitting privileges in the City of Zephyrhills.
<br />C.' TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION .FEES
<br />D. CONSTRUCTUION ~IEN LAW (CHAPTER 7~3, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, haye been provided with a copy'of "Florida's Construction
<br />lien ~aw - Homeowner's.protection Guide" prepared by the Florida Dep~rtrnent of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that t~e "owner", I.cerify that I
<br />have obtained a copy of the above. described document and promise in good faith to deliver
<br />it .to the "owner" prior to t;:'ommencement.
<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 .ali applicable laws regulating constr~ctiori, zoning, and land
<br />development. _
<br />Appliqation is hereby made to obtain a permit to do work and instaliation as indicated. I
<br />certify that no ,work or installation has commenced prior to issuance of a permit and that
<br />all work wiil be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regUlations, and ~an~ 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 id9ntify what actions I must take to
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />Env:irohmental Regulation-Cypress Bayheads, Wetiand Areas and Environmentally SensitiVe
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Weils, Cypress Bayheads, Wetland Areas,
<br />Altering Watercou~ses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable'Waterways
<br />*Department of Health & Rehabilitative Services, Environmental Health Unit-Weils,
<br />Wastewater Treatment, Septic Tanks
<br />*U:8. Environmental Protection Agency-Asbestos abatement;
<br />I a;Lso certify that, if fill matgr.:lal ;La to be used in F~oC?d Zone "A" or "A, ete.", i.t is
<br />understood that a drainage plan addressing a ~compen5~ting volume" wi~~ be submitted which
<br />is prepared by a professional eng.:lneer registered in the State of Florida prior to permit
<br />issuance.
<br />A permit issued shall ,be construed.to be a license to proceed w~th 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 pre~ent the Building Official from thereafter requiring a
<br />correction of errors in plans, construction, or violations of any code. Every permit
<br />is~ued shall become invalid unless the work authorized by such permit is commenced within
<br />six months o~ issuance, or if work authorized by the permit is suspended or abandoned for 'a
<br />period of six months after the time . the.: work is coni:menc~d. One 90' day extsns.:lon of time
<br />may be allowed for the'permit with fee charge o~ $25.00. The extension sha~~ be requested
<br />in ~/riting to'the Building Official. An approved inspection must be logged during each six
<br />mont:h period; or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FA~LURE TO RECORD A NOTICE O~ COMMENCEMENT MAY RESULT IN YOUR
<br />PAY1:NG TWICE FOR' IMPB,OVEMENTSTO . YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH UR LENDE AN TTORNEY BEFORE RECORDING YOUR NICE . CE T. JOBS UNDER
<br />$2,' I 0 NEED 1'0 RECORD AND I?OST A "NOT E OF
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<br />.sba-YW.gh
<br />'pment wa'-1lJf)jnoStledged.. r-
<br />"day of 'hi IS 20 J:lSl
<br />
<br />STATE OF FLOij.;tD~-b h .
<br />COUNTY OF HIllS. /)ro/~ . .
<br />The foregoing instrume twas acknqwledged
<br />Befc>r~me this ~~<L.hday,of l1D'!!.,mar, 2~
<br />by ~t'LJ-rr r1!llfMl2..50AJ . -'--
<br />~/(name of person acknowledged)
<br />~who ispersona~~y known to me, or
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<br />Dwho has prodUced
<br />~ (type of identification)
<br />and whoDdid~~id not take an oath.
<br />
<br />~LLJ().''-I8~. .
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<br />Signatu e of pafson taking acknowledgement
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<br />: PHYLLIS A. BALDREE ..-t
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<br />(name of person acknowledged)
<br />is personally known to me, Or
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<br />o who has produced
<br />~t~e of identification)
<br />and ~~d~not take an oath
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<br />Name
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<br />: ~:,~,~} Bonded lhru (800)432-4254:
<br />i .,<: ~>~ F IOfida Notary Alan.. Inc :
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