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<br />CONDITIONS OF PERMI~ R~~LUHV&'
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perMit May be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned asSUMes responsibility for COMpliance with a"y applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONS~ITIE2
<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 the contractor is not licensed as required by law, both the owner and contractor lay be
<br />cited for a lisdeMeanor ,vioiation under state law. If the owner or inten~ed contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, !8131
<br />788 -b611.
<br />
<br />"
<br />Furtherlore, 'if the owner has hiTed a contractor or contractors, he is advised to have, the contractor!sl sign portions of the
<br />"Contractor Sections" of 'this application for which they will be responsible. Ifyou"as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zephyrhills.
<br />
<br />c. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES.
<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 - HOleowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuler 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 cOI.enceMent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the 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 hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforled to aeet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not lilited to:
<br />, Departlent of Environlental Renulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />, Southwest Florida Water Mananelent District - Wells, Cypress 'Bayheads, Wetland Areas, Altering Watercourses
<br />, ArlY Corps of Ennineers - SeaMalls, Docks, Navigable Waterways
<br />, Depart.ent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />, US Environ_ental Protection AnencI - Asbestos abate.ent
<br />I also certify that, if fill laterial is to be used in Flood lone "A" or "A,eic.', it is understood that a drainage plan
<br />addressing a "colpensating volume" will be submitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to pertit issuance.
<br />
<br />A pertit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, Dr
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official froD thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such pertit is cOllenced within six lonths of issuance, or if work authorized by the pertit is
<br />suspended Dr abandoned for a period of six tonths after the tile the work is coslenced. One 90 day extension of tile, lay be
<br />allowed for the pertit with fee charge of tI5.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six tonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR, PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU TO IN NANCING, NSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT OBS UN t2,500 VALUE DO NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />d/N-~
<br />
<br />SI6NATU~: CONTRACTOR
<br />
<br />
<br />J,,: OWNER OR AGENT / .
<br />/(It 1 It D f}tJ itS ..s
<br />
<br />STATE OF FLO~A ft1 t\. /
<br />COUNTY OF AS C 0 '-I It I..;I);J, (}, ~
<br />The foregoing instrument was acknowledged
<br />before me this 11- ID I 19R by
<br />
<br />STATE OF FLORIDA~
<br />COUNTY OF IlS CO
<br />The foregoing instrument
<br />befcO\-e me t.h i s JI~ 10
<br />
<br />/1181[(<( SI (V)~
<br />
<br />was acknowledged
<br />, 19 qd.- by
<br />
<br />who is pel sonally known 0 m or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />take an tt.h"4 /J/J1~/
<br />
<br />(Signat&-;r . , I'
<br />-:\,..1(7 H. m Ot't-TcC :re..
<br />(Name Type , PrInted or Stamped)
<br />NOTARY PUBLIC
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<br />, ,}'oft' {y,i~ro\l;'",),~ 'j.:~ ~'c~~j ...>,,~l..:t 1",., -,L.'#:*,
<br />l:iOl'!t'oED '!HWJ ~&R:'J.. llii.i. \,ltU).
<br />
<br />who i personally known to m OT who has
<br />pl-oduce
<br />as identification and who did/did not
<br />
<br />tak~ oath:;:
<br />:AA.
<br />(Si atu e)
<br />-Se..e. "',J H YY1 OATE~ reo
<br />(Name Typ~d, Printed OT Stamped)
<br />NOTARY PUBLIC
<br />
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