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<br />1\,. NOt'lCE OF OtiO Ri:STRICTIONS ,
<br />Thll W1ders1qned understan<1.s that this permit IlllIY be .ubject to "deed restrictionll" which
<br />ma~ b9 more re.triotive than City requlationll. The underaiqned a.sume. respone~bility for
<br />conpliance with any app11caole deed relltrictions,
<br />8, UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />It tn. owner has hired a contractor or contraotore to undertake work, 'they MaY be required
<br />to be liceneed in accordance with IItate and local requlation.. If the contractor i. not
<br />licenlled a. required by law, both the owner and oontractor may be cited for a misdemeanor
<br />violation under atate law, If the'owner or intended contractor are uncert.ln .. to whet
<br />licensin9 requirements may apply tor the intended work, they are advilled to contact the
<br />City ot Zephyrhill. Buildin9 Department, 813-780-0020,
<br />rurthemore, if the owner haa hired a cOntraotor or coneractoJ:8, he i. advised to have the
<br />contrector(:s) :sign po+tionll of the "ContractoJ: Seotion.N of this applioation to~ which they
<br />will be responsible. It you, a8 the owher siqna a. the oontractor, you are indicatinq thAt
<br />you, ratber than the contractor, are J:eeponsible tor the work. ,It the contractoJ: wishee
<br />you to .ign .. contractor that may be an indio.~ion that' he i. not properly licen.ed and is
<br />not entitled to permittinq privileges in the City or Zephyrhill..
<br />C, TRANSPORT~TION IHPACT fiES AND UTILITY CONNECTION FEES
<br />D. CONSTP.OCTUION LItN LAW (CliAP'1't!\ 713, FLORIDA STATUTES, AS NlENDED)
<br />I certify that I, the ~pplicant, haye been provided with a copy 'of ~rlorld." Con.truction
<br />lien Law - HOlleowner's,Protection Guide" prepared by the rloride Department of Aqrioulture
<br />and Cons_er Affairs, If the Applicant is aomeone other that the ~owner", I eerily that I
<br />have obt.ined a copy of the above de.oribed document and promi.e in qood taith to deliver
<br />it to the .owner" prior to cOlMlencement.
<br />E. COW'1'ItACTOR' SIOWNER' S ArFIDAVIT
<br />1 certify that all the information in this application is accurate and that all work w111
<br />be done in compliance with all applicable laws regulating conatruotion, zoninq, ana land
<br />developnent,
<br />Appli~ation 1. hereby made to obtain a permit to do work and instaliation aa 1ndloated. I
<br />Cert1fy ehat no work or installation ha. oamnenced prior to 1..uahoe ot a pe~it and th.t
<br />all worK w111 be performed to meet .tand&rd. of all laws requlatlng construction, City
<br />code., zoninQ requlations, and land' develo~rit r8qulations in the jurisdiotion. I 41so
<br />certity that I understand that the regulat1on. of other qovernmental aqencie, ~y apply to
<br />the intended work, and that it i. my respon.ibility to identify w~t aotion. I mu.t take to
<br />be in compliance. Such agencies include but are not limited to: .Department at
<br />Environmental ReqUlation-CyprQ$s Bayheads, Wetland ~reas and Environmentally Sensltive
<br />Landa, Water/Wastewater Treatment
<br />>Southwest Florida Water Management District-Welle, Cypress Bayheads, Wetland Area.,
<br />Altering Watercoureee
<br />'Army Corps of tn9ineers-Seawalla, DOCks, Navlqable Weterway.
<br />>Department or Health' Rehabilitative Servic.., Environmental Health Unit-Welle,
<br />Wa.tewater Treatment, Septic Tank.
<br />>U,9, ~nvironaent.l Protaction Ag.ncy-~bestos abatement
<br />I also certify that, if fill ID4terial ia to be u.ed in Flood Zone .~H or ~A,.tC.H, it is
<br />understood that a drainage plan addres.ing a "oo~enaatinq yolume" will ~ .ubmitted which
<br />i. prepared oy a pro!Qsaional engineer J:eglstered 1n the State ot Florida prior to pe~it
<br />188U&nce,
<br />A permit issued shall ,be conlltruedto be a license to proceed wlth the work and not 4S
<br />authority to violate, cancel, a.lter, or set alJide, any provisions or the technical codes,
<br />nor shall illsuance ot a permit prevent the Building O::ioiel tro~ thereatter J:vquirinq a
<br />correction of errors in plans, construotion, or violation. at any cod.. Every pernit
<br />ilJsued shall bec~ invalid unless the work author1zed by suoh peJ:mit is commenced within
<br />si~ nonth. of is.uance, or it WOrk authorized by the pemit i. suspended OJ: abandoned tor 'a
<br />period of six ~onths after the time,the work i. commenced, One 90 "day extension of tiMe
<br />may be allowad tor tha permit with fee charqe at $15.00. The exten.ion shall be requested
<br />1n writinQ to 'the Buildin9 Orfioial. An approved in.pection'mu.t be logqed durinq .ach six
<br />~onth period, or the project will ba cOnsidered abandoned.
<br />~ING TO OWNER: rOOR rAILORE TO AECoao A NOTICE or CONMENCtHENT HAY RESULT IN YOUR
<br />PAYING TWICE i"OR IHPROVEMENTS TO' YOUR PROPERTY. I F YOU INTEND TO OB'l'AIN rnlANCIllG, CONSULT
<br />WIT YOUR LENDER OR AN ATTORNEY BEi"ORE RECORDING YOUR NOTICE OF COMMENCEMENT. JO~S UNOER
<br />$2 00 IN V~UE NEED TO RECORDAHD POST A "NOTICE or COHMENCEMENTN,
<br />
<br />
<br />8IGN~TUREI CONTRACTOR
<br />
<br />c knc>wl edged
<br />2<Ulb
<br />
<br />ST~'1'E or FLOR.IDA
<br />COUNTy or
<br />The !oregoin9 instrument W48
<br />Before me this ----S1ay of
<br />by
<br />
<br />ac lcl\owl edged
<br />,20_
<br />
<br />acknowhdgQd)
<br />known to Rei or
<br />
<br />(n~ ot per.on aoknowledged)
<br />~ho i8 personally known to me, or
<br />
<br />o who has producecl
<br />(type ot identification)
<br />and who Odid Q:1id not take en oath
<br />
<br />Signature of person takinq aoknowledvnent
<br />
<br />Name typed, printed or etamped
<br />
<br />~ typed, printed or stamped
<br />
<br />MONICA L. WATSON
<br />NOTARV "*JC. STAn! OF FLORIDA
<br />COMMISSION # 00461917
<br />EXPIRES 9/1712009
<br />8ClIClIDTHRU WIIoNOTAIM
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