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<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. <br /> <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. <br /> <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. <br /> <br />C. TRANSF'ORT A T I ON H1F'( C:::T FEES AND UT I 1_ I T''r' cm~ltECT lQJ::LFEE:~, <br /> <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. <br /> <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. <br /> <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. <br /> <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". <br /> <br />!Jt;~lqJ.dt~ <br /> <br />SIGNATURE: OWNER OR AGENT <br /> <br />~e' ~ ~, _ <br />,. / . ,r", <br />~ ,~<:.A h'__:" /' dL.,---..o <br /> <br />SIGNA.TURE: CONTRACTOR <br /> <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 <br />