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<br />CONDI~IONS DC p~S~=~ Acc=~0VI~
<br />A. NOTICE OF DEED RESTRICTIQ~~
<br />The undersigned understands that this perait lay be subject tn 'G~!d restrict:oDS" Mhich may be ~ore restrictive than City
<br />regulations. The undersigned assuaes responsibility for com~li~nL~ with any applicable deed restrictiDns.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSi8ILITIES
<br />----....-.~----------_...._...._.._'-_.__..-.-_......__._---.--
<br />If the owlier ha;;.. hired a fontrattor or contriltto;'s ~l) undertai:.:! work, they iIlay be requiTl.~d to be lic~nsp.d in accordance wi th
<br />state and local regulations. If the"contr..c-~c;r is,~ot 1 icens ~d .:IS required by lali, 'both -the oliner and contractor laY be
<br />cited for a lisdueanor violation under stat.! :&i~. If the Ollll~r or intendect',r.ootrador ar~ uncertail): a~ to what 1 icensing
<br />requirelents lay apply for the intended work, ~blY are advised to contact th~'eity of'7ephyrhills Building Depart.ent, (813)
<br />788-6611.
<br />
<br />Further.ore, if the owner has hired a contractor or contrJLtor~, ~~ .s advised to have the contractor(s) sign portions of the
<br />'Contractor Sections. of this application for which they w~ll he I~s~oll~ible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are respansible for the work,' If the contractor wishes you to sign
<br />as contractor that lay b~ an indication that he is not properly lic~nsed and is not entitled to perlitting privileges in' the
<br />City of Zephyrhills.
<br />
<br />C. TF:ANSPORTATION IMPACT FEES AND UTILITY CONj\JECTI[~N FEE?_
<br />
<br />D. CONSTRUCTION LIEN LA~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, th~ applicant, have been_provided with a copy l: 'Florida's Construction Lien Law - HOleowner's Protection
<br />Guide" prepared by the Florida Department of Agriculture and Consuler Affairs. If the ,applicant is sOleon~ other than the
<br />'owner', I certify that I hav~ obtained a copy of the above described document and promise in good faith to deliver it to the
<br />'oNner. prior to comlencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVTI
<br />I c~rtify that all th~ inforlation in this application is accurate and that all worK will be done in compliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hHeby lade to obtain a perlit to do work and installation -as indicated. I certify that no work (Ir
<br />installation has cOII~nced prior to issuance of a pertit and that all work Hill be perfor~ed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land dev~lopment regulations in the jurisdiction. I also
<br />c~rtify that I understand that th~ regulations of oth~r gov~~nmental agencies may apply to the intended work, and that it is
<br />IY responsibility to identify what actions I .~st take to bE in cOlpliance. Such agencies include but are not liaited to:
<br />t Departl~nt of EnvironDental ReQulation - Cypress Bayheads, Wetland Areas and Environ;entally Sensitive Lands,
<br />Water/Wastewater TreatMent
<br />t Southwest Florida Wat~r ManaQelent District - Hells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Aray Corps of EnQineers - Seawalls, Docks, Nav;gabl~ Waterw~Y5
<br />t Departeent of Health ~ Rehabilitative Services, Environlent ' ,Health Unit - Hells, Wastewater Treateent, Septic Tanks
<br />f US Environaental Protection AQ~ncy - Asbestos abatement
<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 volume' Mill be sublitted which is plepared 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 wort and not a~ authority tD violate, canCEl alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a pErmit prevent the Building Official from thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every periit issued shall beeole invalid
<br />unless the work authorized by such permit is commenced within six months of issuanCE, or if ~Grk authorized by the permit is
<br />suspended Dr abandoned for a period of six months after the tile the HDrk is cOffigenced. One 90 day extension of ti&e, .ay be
<br />allowed for the per.it Hith fee charge of $15.00. The extension shail be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six month period, Dr the project Nillbe consideted abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR I ENDER OR AN ATTORI1EY BEFORE RECORDING YOUR HOTlCE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />,/~..
<br />
<br />-~-
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />was acknc,wledged
<br />, 19_ by
<br />
<br />STATE OF FLORIDA
<br />COUl-HY OF
<br />The foregoing instrument was acknowledged
<br />befc,,-e me th i 5' 19_ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />I,.;t-.!. 15 ~'2;-~:~~.i-'.~;11,~{ t.:IILH"~n 'CO iTl2 or ~\IrlO has
<br />
<br />pl-oduced
<br />as identification and who did/did not
<br />
<br />take an oath.
<br />
<br />who is personally knowrito me Dr who has
<br />
<br />fJlUuLlcea
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signatul-e)
<br />
<br />(Signature)
<br />
<br />.
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUPLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY F'UBLIC
<br />
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