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<br />l'I\A I1V. OlrIOU-UULl
<br />
<br />r. UUL
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<br />A. NOtlCE O~ DEED RESTRICTIONS
<br />Thll Wldeuigned understanc\.8 th..t this permit IlIaY be subject to "deed rutriction~" which
<br />may be more restriotive than City requlation.. The undersigned a..ume. re.ponstbility for
<br />conplbnce wi th any applicable deed n~triction~.
<br />a. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />It the owner has hired e contractor or contraators to undertake work, . they may be required
<br />to be licensed 1n accordance with ~tate and local requlations. If the contractor is not
<br />lioensed as required by law, both the owner and aontractor may be cited for a a1sdemeanor
<br />viOl.tion under .ta~e law. If the 'owner or intended contractor are uncertain as to what
<br />licensing reqUirements may apply tor the intended work, they are advised to contsct the
<br />City ot ZephyrhillS Building Department, 813-780-0020.
<br />rurthermore, if the Owner has hirad a cOntraator or contractOrs, he is advised to have the
<br />contractor Is) sign POrtions of the "Contractor Seations. of this applioation tOr which they
<br />will be responsible. It you, as the owner .iqna a. the oontractor, you are indlcating tnet
<br />you, rather than the con~ractor, are responsible tor the work. .It the contractor wi~hea
<br />you to sign aa contractor th~t may bean ind1ca~ion that' he is not properly licQnsed and is
<br />not entitled to permittinq privileges in the City or Zephyrhilla,
<br />C. TRANSPORTATION IHPACT fEES AND UTILITr CONNECTION FEES
<br />D. CONSTIlOCTUION LI~ I.J>.W (CliAPTU 713, FLOll.IDA STATUns, AS AMENDED)
<br />I certify th.t I, the .pplicant, haye been provided with a copy'of "rlor1da'. Construction
<br />lien Law - Homeowner's Protection Guide" prepated by the FloridA Department ot Aoriculture
<br />and Consuner Affairs. I f the Applicant 1. .000one other that tlle -owner", I cerify that I
<br />have obtained a copy ot th" above deaaribed dOCUMent and promia. in qood faith to deliver
<br />it to the .owner" prior to cOll\l1lencement,
<br />E. COWTRACTOR'S/OWNER'S AfFIDAVIT
<br />I certify that all the information in thil application is accurate and that all work will
<br />be done in compliance with all applicable laws regulatinq construotion, zoninq, and land
<br />developnent.
<br />Appliqation is hereby made to obtain a pernit to do work and inataliation a8 indioated. I
<br />certify that no work or installation has oomqtnced prior to isauahae ot a pe~it and that
<br />all work will be pGrtorm9d to meet Itandards of all lawl requlatinq construction, City
<br />cod.., %onin9 regulations, and land deVeloPIMnt re9ulation~ in the :Iur1ecUation, I also
<br />certity that I understand that the regulatIons ot other qove~ntal aqenci., ~y apply to
<br />the intended work, and that it ia my re.ponsibility to identity w~t aations I mu.t take to
<br />be in compliance. Such agencies include but are not limited to: .Oepartment of
<br />Env1ro~ent..l Requl..tion-Cyprgss aayheada, Wetland Area. and EnvironRentally Sensitive
<br />Landa, Water/Wastewater Treatment
<br />'Southwest florida WAter Ma~gement District-Wells, Cypress Bayheads, Wetland ~eas,
<br />Altering Watercourses
<br />'Army Corps of tngineers-Seawalla, Docks, Nav1qable Waterways
<br />'Department or Health' Rehabilitative Services, Environmental Health Dnit-Wells,
<br />Wastewater Treatment, Septic Tankl
<br />'U.S. ~nvironaental Protection Aqency-~bestos abate~en~
<br />I also certify that, if fill meterial 18 to be used in Flood Zone 'A~ or ~A,etc,N, it i.
<br />understood that a drainage plan addres81nq a 'oompen'ating volumeu wll1 be submitted which
<br />18 prepared by a profg$s1onal engineer registered in the State ot florida prior to permit
<br />1ssuance.
<br />A perait issued shall.be construed to be a license to proceed with the work and not as
<br />authority to violate, cancel, a~ter, or set asida, any provisions ot the technical codes,
<br />nor shall issuance ot a permit prevent the BU11dinq O:fioial tro~ thereatter requiring a
<br />correction or errore in plans, construction, or, violations 0: any code. Every permit
<br />iss~ed shall bec~ invalid unless the work author1zed by suoh p.rmit i. commenced within
<br />s1x ~nths or issuance, or it ~ork authorized by the perait 1. suspended or abandoned tor 'a
<br />period ot six nonths after the t~e the work 1s commenced. One 90'day extension of time
<br />m.y be allowed for the parmit with fee charqe ot $15,00, The extension shall be requasted
<br />1n wr1t1nq to'the Building Ottiolal. An approved 1nspectlonmust be loqqad durlnq each six
<br />month period, or the project will be cOn.ldered abandoned,
<br />WARNING TO OWNER: YOUR fAILURE TO AECOaO A NOTICE or COMMENCEMENT HAY RESULT IN rOUR
<br />PAYINO TWICE roR IHPRQVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR ~ ATTORNEY BEFORE RECOIlDING YOUR WOTICE O~ COMMENCEHENT. J09.S UNDtR
<br />$2,500 IN VALUE DO NOT NEED TO RECOIlDANO POST A -NOTICE OF COHMENCENENTN.
<br />
<br />SIGAATIJRE i OWNER OR AGENT
<br />
<br />SIGNATURE I CONTRACTOR
<br />
<br />STArE Of FLORIDA
<br />COONT't Of
<br />The toreqoinq instruaent was acknowledged
<br />Sefon Ill. this _ day of . 2L
<br />by
<br />In4m8 or paraon acknowledglld)
<br />o who 18 IX'reonally known to I>e, or
<br />
<br />Owho hAS produced
<br />(type of identifiCAtiOn)
<br />and WhoO did 0 did not t a kg an 0& th.
<br />
<br />STATE OF rI.ORIDA
<br />COUNT\' or
<br />The foregoing instrument waa
<br />Before me this -----aay of
<br />by
<br />
<br />acknowledged
<br />,20_
<br />
<br />(n~ of person acknowledged)
<br />~ho il personally known to De, or
<br />
<br />Owho hAS produoed
<br />(type ot identification)
<br />and who Odid O1id not take en oeth
<br />
<br />SignAture of person ~~Kin9 aCKnowledge~ent
<br />
<br />Signature of person taking aoknowled~ent
<br />
<br />w~ typgd, printed or stamped
<br />
<br />Nama typed, printed or etamped
<br />
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