<br />Ci .>ID I T IONS OF Pi F~:M I T ('.FF I D('.') I T
<br />A. NOTICE OF DEED RES1RICTIONS
<br />The undersigned understands'th-;t-t-~;js; ;I:-~itllay be ~lIbjed to "deed restrictions" ~Ihi[h lIlay be Itore restridive th?n City'
<br />regulations, The undersigned aSSU2es ,csponsibility for compliance with any applicable deed restrictions.
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<br />B. UNL I CENSED CONTR~~C_l :~~B.? P,ND CONTRACTOR RESF'Cil\IS I B I LIT IE:=';
<br />If the owner has hired a contractlJr or :{,ntradors to undertake t/lJrk, the'1-;~y"b;--;:-;;q;:;-i-;;d't~:-b~-1'i-censed in accordance wi th
<br />state and local regulations. If the (rntractor is not licensed as required by law, both the owner and contractor may be
<br />cited for a lisdeleanor violation unde, state law. If the owner or intended contractor are uncertain as to what licensino
<br />requirements lay apply for the intende work, they are advised to contact th~ City of Zephyrhills Building Departlllent, (813)
<br />788-6611.
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<br />Furthermore, if the owner has hired a Qntractor or contractors, he is advised to have the contractor(sJ sign portions of the
<br />"Contractor Sections" of this application for which they will be responsible. If youl as the owner sign as the contractor,
<br />you are indicating that you, rather th n the contractor, are responsible for the work. If the cDntractor wishes you to sign
<br />as contractor that may be an indicatiol that he is not properly licensed and is not entitled to permitting privileges in the
<br />City of Zephyrhills.
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<br />C. TRANSF'ORT A T I ON H1F'( C:::T FEES AND UT I 1_ I T''r' cm~ltECT lQJ::LFEE:~,
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<br />D. CONSTRUCT I ON L I EN I m~ (CHAF'TER 713, FLOR I Dr'. ST?'1 'lUTES, f:iS At'-1ENDED)
<br />I certify that I, the applicant, have fen provided with a copy of "Florida's Construction Lien Law - Homeowner's Protection
<br />Guide" prepared by the Florida Depart[. nt of Agriculture and Consumer Affairs. If the applicant is sOleone other than the
<br />"oNner", I certify that 1 have obtain0 a copy of the above described document and promise in good faith to deliver it to the
<br />'owner' prior to cOlmencement.
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<br />E. CONTRACTOR'S/OWNER'~ AFFIDAVII
<br />I certify that all the information in his application is accurate and that all Nork will be done in co~pliance with all
<br />applicable laws regulating constructi[' ~ zoning, and land development.
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<br />Application is hereby lade to obtain 2 perlit to do work and installation as indicated. I certify t~at no work or
<br />installation has cOlmenced prior to is uance of a permit and that all work will be performed to meet standards of all laws
<br />regulating construction, City codes, Z' Ding regulations, and lard development regulations in the jurisdiction. I also
<br />certify that I understand that the reg 'lations of other governmental agencies may apply to the intended work, and that it is
<br />IY responsibility to identify what act ons I must take to be in compliance. Such agencies include but are not limited to:
<br />I Department of Environ.ental Requlati,.~ - Cypress Bayheads, Wetland Areas and EnvirDnmentally SensitiVE Lands,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water Manaqement D,strict - Wells, Cypress Bayheads, Hetland Areas, Altering WatercourSES
<br />I ArlY Corps of Enqineers - Seawalls, 'Dcks, Navigable Waterways
<br />. Department of Health L Rehabilitati\ _ Services. Environmental Health Unit - Wel]sl Wastewater Treatment, Septic Tanks
<br />. US Environmental Protection Aoency - Asbestos abatement
<br />I also certify that, if fill material 5 to be used in Flood Zone "A" or "A,etc,', it is understood that a drainage plan
<br />addressing a 'compensating volume' Xli he submitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per~it issuance.
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<br />A perait issued shall be construed to Je a license to proceed with the work and nDt as authority to violate, cancel alter, Dr
<br />set aside any provisions of the techni.:al codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br />requiring a correction of errors in pl1ns, construction, or violations of any code, Every per~it issued shall be[o~e invalid
<br />unless the work authorized by such per1it is com~enced within six months of issuance, or if Hork authorized by the permit is
<br />suspended or abandoned for a period of six months after the time the work is cDru~enced. One 90 day extension of ti~e, lay be
<br />allowed for the permit with fee charge of $15.00, The extension shall be requested in writing to the Building Official, An
<br />approved inspection must be logged during each six ~onth period, Dr the project Hill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RElJRD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAVING THICE FOR IMPROVEMENTS TO VOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN Fit: ',HeINS, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECOF:DIHB YOUR NOTlCE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN vr ,UE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEHENT".
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<br />!Jt;~lqJ.dt~
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<br />SIGNATURE: OWNER OR AGENT
<br />
<br />~e' ~ ~, _
<br />,. / . ,r",
<br />~ ,~<:.A h'__:" /' dL.,---..o
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<br />SIGNA.TURE: CONTRACTOR
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<br />STATE OF FLOR~
<br />COUNTY OF rI $ 0
<br />The foregoing instrument
<br />before me this &C~ ~
<br />
<br />STATE OF FLORI~
<br />COUNTY OF t11s'c D
<br />The foreQoinq instrument was acknowledged
<br />befc<l-e m~ th i 5 11:T. ;Z6 , 19 ~ by
<br />
<br />w~s acknowledged
<br />I ''1!l1::- by
<br />
<br />
<br />or \<)ho has
<br />
<br />IRe w/I ;;/l~S
<br />
<br />who is ersonallv known to m or who has
<br />produced
<br />as identification and who lid/did not
<br />tak an oath.
<br />Q,
<br />
<br />\.,)ho did/did ne.t
<br />
<br />
<br />
<br />(Name Typed, Printed Dr St mped)
<br />NOTAF:Y PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />r~QJ ARLfJ!f:~U C
<br />
<br />JAMES A, STONE
<br />M Notary Public, State of Florida
<br />y comm, expires May 16 1 ,,,,L"
<br />CC 11 0274 ' ;7~v
<br />
<br />JAMES A. STONE
<br />Notary Public, State of Florida
<br />My comm. expires May 16, 1995
<br />CC110274
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