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<br />COND I T I OI\IS OF PEnl"! I T (,)1'- 1- 11)1)\/.l I
<br />A. NO'fICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per/lit lIay b~ubject to 'deed restrictie,ns' which lay be lore restrictive 'than Ci~y
<br />regulations. The undersigned assules responsibility for cDapliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (8131
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl sign portions of the
<br />'Contractor Sections' of this application for which they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is .not entitled to perlitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - HOleowner's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is SOleone other than the
<br />'owner', I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />'owner' prior to cOllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />1 certify that all the inforlation in this application is accurate and that all work will be done in co.pliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has COllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liaited to:
<br />I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treataent
<br />I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I US Environlental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood that a drainage plan
<br />addressing a 'colpensating volule' will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frot thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such perlit is cOltenced within six looths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six tonths after the tile the work is cOllenced. One 90 day extension of tile, lay be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COHMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMMENCEMENT'.
<br />
<br />
<br />~~.
<br />SIGNA URE: OIlNER AGENT
<br />
<br />~.
<br />SIGNA UR. CONTRACTOR
<br />
<br />
<br />STATE OF FLORIDAC)
<br />COUNTY OF ~c..-O
<br />The fc.regoing i~ftl-ument was acknc'vlledged
<br />befol-e me this ~1-=1 ,194d, by
<br />"
<br />-e~ty
<br />w 0 is personally known to me or who has
<br />produced' - ~
<br />as identification and who did/did not
<br />
<br />take~~g. ~
<br />
<br />(Signatu\-e)
<br />
<br />BarbarQ ~lli~on Comm. # 759537
<br />(Name Typed, Printed or Stamped)
<br />
<br />NOTARY PUBLIC NOTARV PUBLIC. ~TATE or FLORIDA,
<br />MY COf,lMISSION EXFlf,!:.S: MAR 26 1994
<br />BONDED THRU NOTARy PIJElLIC UNO~RW~ITEFUl:.:
<br />
<br />-
<br />\flaS acknol'lledged
<br />, 19JsJ.- by
<br />
<br />
<br />to me c,r whc. has
<br />
<br />1I.i,/:.cI
<br />and who did/did not
<br />
<br />take an:#~ kJ CJ!p~~
<br />
<br />(Signa(u,.-e)
<br />
<br />Barbara AllisQR Cemm.# 7a95J7
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />NOTARY PUBLIC. STArE OF FLORIDA,
<br />MY COMMISSION EXPIRES: MAR. 26. 1994.,
<br />BONDED THRU NOTARY PUBL.IC UNDERWRITER'.
<br />
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