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<br />COND I T IONS OF PE -'t, I T lCiFF I Dr'l') I T.
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned under~tands that this perait .ay be subject to "deed restrictions' which lay be lore restrictive than City
<br />regulations. The undersigned assuaes responsibility for cOlpliance wit" any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RE~PONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they say be required to be licensed in accordance with
<br />state and local regulations. If the'~onttactDr is not licensed as required by law, both the owner and contractor aay be
<br />cited for a aisdeaeanor violation under state iaw. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtheraore, if the owner has hired a contractor or contractor~! hp. is advised to have the contractor!s) sign portions of the
<br />"Contractor Sections" of this application for which they wili be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are re~ponsible for the work. ,If the contractor wishes you t) sign
<br />as contractor that aay be an indication that he is not properly licensed and is not entitled to peraitting privileges in "the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~
<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 - Hoaeowner's Protection
<br />Guide" prepared by the Florida Depart.ent of Agriculture and Consuaer 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 promise in good faith to deliver it to the
<br />"owner" prior to cOllenceaent.
<br />
<br />E. CONTRACTOR'S/DWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is h~reby lade to obtain a per.it to do w~rk and installation as indicated. r certify that no wor~ or
<br />installation has cOlaenced prior to issuance of a per.it and that all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in coepliance. Such agencies include but are not liaited to:
<br />I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water "anaQelent District - Wells, Cypress Blyheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health ~ Rehabilitative Services. Enviro~lental Health Unit - Wells: Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abatele. t
<br />I also certify tnat, 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" Mill be sublitted whic~ is prepared by a professional engineer registered in the State of
<br />Florida prior to perait issuance.
<br />
<br />A perlit issued shall be construed to be a license to proce~d 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 permit prevent the Building Official frot thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall becole invalid
<br />unless the work authorized by such perlit is coalenced within six aonths of issuance, or if work authorized by the permit is
<br />suspended or abandoned for a period of six aonths after the tiDe the work is cOlienced. One 90 day extension of tile, lay be
<br />allowed for the perlit with fee charge of $15.00. The extensi~fi shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during Poach ~ix lonth perioo, Dr the project Mill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A MOiILE OF COHMENCt~ENT MAV RESULT IN YOUR PAVING THICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YGUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />~CO""El""ENT' ,.M U":' ;',500 IN VAlUE Dll NO: '!EE' TD 'ErO,," ,,~p~. . 'NOTICE OF;"E~"ENT"(:)..,
<br />
<br />
<br />-", / I a. ~ v~ ~~df::::i.i:::;;:~
<br />G TURE: OWNER OR AGENT SIGNATURE: CONTRACTOR ~
<br />
<br />STATE OF FLORID~LJ-r- .
<br />COUNTY OF r I{ 0 C cJ
<br />The foregoing in~trument was acknowledged
<br />befol-e me this 7 -.;l Z- , 191~ by
<br />
<br />STATE OF FLORIDA ;;:In...-C' A
<br />COUNTY OF / 'T~ v
<br />The foregoing instrument
<br />before me th i s 7-~-0
<br />
<br />vJas ac knovJ I edged
<br />, 19 <J~ by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />ta~~1 oath. W. ~'~
<br />(")Jnat~ '
<br />1=t/<.t;'4RcTh J.v GRIFF//V
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />who is personally known to me or who has
<br />procuced
<br />?s identification and who did/did not
<br />ta~':e an oath. . - q' .PJ~ .
<br />f1 (;l/l1Cl~ W. f7- ~ LC'Vl./
<br />(Sigpature) . ·
<br />/71T/:Zt::R-/2&T~ v.v. G;2/r'F//)./'
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />/tJ.-3o'-~3
<br />
<br />Ex {:J.
<br />
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