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<br />CONDITIONS OF F'E~::',iT ("FFID{.'j'.)IT
<br />A . NOT I CE OF DEED RESTR I CT I Ol'~f~
<br />The undersigned understands that this perlit.ay be 5~bject to "dJed restrictions' which lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility f3r cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESF~(JNSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with
<br />state and local regulations. If thp contractor i~ not licensed as required by law, both the owner and contractor tay be
<br />cited for a .isde.eanor violation under stlte l~w. If the owner or intended contractor are uncertain as to what licensing
<br />require.ents lay apply for the intended K, h, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />78B-6611.
<br />
<br />Furthertore, if the owner has hired a con
<br />"Contractor Sections" of this application
<br />you are indicating that you, rather than
<br />as contractor that aay be an indication t
<br />City of Zephyrhills.
<br />
<br />actor or contractor~, he is advised to have the contractor(s) sign portions of the
<br />'or which they lIill be responsible. If you, as the ollner sign as the contractor,
<br />,~ contractor, are responsible for the work. If the contractor lIishes you to sign
<br />t he is not properly licensed and is not entitled to perlitting privileges in'the
<br />
<br />C. TRANSPORTATION IMPAcr FEES AND UTILITY CONNECTION FEE~
<br />
<br />D. CONSTRUCTION LIEN LA;; (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I tertify that I, the applicant, have bee : provide~ lIith a copy of "Florida's Construction Lien Law - HOleowner's Protection
<br />Guide" prepared by the Florida Departaent of Agriculture and Consuaer Affairs. if the applicant is sOleone other than the
<br />"ollner" , I certify that I have obtained copy of the above described doculent and proli'se in good faith to deliver it to the
<br />"owner" prior to cotlencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in thi i application is acclrate and that all work lIill be done in co.pliance lIith all
<br />applicable laws regulating construction, ioning, and Idnd developlent.
<br />
<br />Application is hereby aade to obtain a pL,'tit to do work and installation 'as indicated. I certify that no work or
<br />installation has coalenced prior to issuc,iee of a perlit and that all work will be perforted to teet standards of all laws
<br />regulating construction, City codes, zoni"g regulations, and l~nd developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regul, 'ions of other governDental agencies lay apply to the intended work, and that it is
<br />ay responsibility to identify what actic, i I lust take to be in cOlpliance. Such agencies include but are not litited to:
<br />f Departtent of Environ.ental ReQulatioo . Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />f Southwest Florida Water ManaQe.ent Dis' ,ict - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Any Corps of EnQineers - Seawalls, Dcq,s, Navigable WateTltays
<br />f Departaent Df Health L Rehabilitative: ",vices. Environaenh? Health Unit - Wells, Wastewater Treahent, Septic Tanks
<br />f US Environlental Protection AQency - A,nestos 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 voluae" will i 2 subtitted 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 technicai codes, nor shall issuance of a perlit prev~nt the Building Official frol thereafter
<br />requiring a correction of errors in plan,~ construction, or violatiGns of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such perli' is coalenced within six lonths of issuance, or if work authorized by the permit is
<br />suspended or abandoned for a period of 5 , aonths after the tile the Nork is com.enced. One 90 day extension of tile, lay be
<br />allowed for the pertit with fee charge ( $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged duril. each six lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECOL ' A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINA: ,'lNG, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALl DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />was acknowledged
<br />, F___ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregc,ing i,nstrument
<br />befo\-e me this
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />19_ by
<br />
<br />who is personally known to me, Dr who has
<br />produced
<br />as identification and whD did/did nc.t
<br />take an oath.
<br />
<br />whD is personally known tD me Dr who has
<br />prDduced
<br />as identification and whD did/did not
<br />t.Olke an (lath.
<br />
<br />.
<br />
<br />(Signature)
<br />
<br />(Signatw-e)
<br />
<br />(Name Typed, Printed
<br />NOTARY PUBLIC
<br />
<br />Dr Stamped)
<br />
<br />(Name Typed, Pr i nted Dr Starrli ied)
<br />NOTARY PUBLIC
<br />
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