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<br />_ COND I T IONS O,=- F'El--:, IT (4FF I [I{'iJ I i
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait ~~y b~ subject to .deed restrictions' which may be more re~'rictive than City
<br />regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions,
<br />
<br />B. UNLICENSED CONTRACTORS AND CQNTRAC,TOR F:ESf::.lJN.5J:.r.UL_ITJEfl
<br />If the owner has hired a contractor or contractors to under~ake wDrk, 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 may be
<br />cited for a lisdeleanor violation under state 1aw. If the owner or intended contractDr are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (813)
<br />7BB-Mll.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for which they will be responsible. If you, 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 Day be an indication that he is not properly licensed and is not entitled to permitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE2,
<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 - Homeowner's Protection
<br />Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the
<br />"owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the
<br />.owner. prior to cOlmencelent.
<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 development.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated, I certify that no worK Dr
<br />installation has coemenced prior to issuance of a permit and that all work will be performed to meet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulat~ons of other governmental agencies may apply to the intended work, and that it is
<br />IY r1rsponsibility to identify what actions I lust take to be in co~pliance. Such agencies include but are not liaited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />f Southwest Florida Water ManaQement District - Wells, Cypress Bayheads, Hetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Department of Health ~ Rehabilitative Services, Environmental Health Unit - ~ells, ~a5tewat2r Treatlent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone "A" Dr "A,etc'"j it is understood that a drainage plan
<br />addressing a .compensating volume. will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit 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, or
<br />set aside any provisions of the technical codes, nor shall issuance of a per~it prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall become invalid
<br />unless the work authorized by such per.it is commenced within six months of issuance, or if work authorized by the permit is
<br />suspended or abandoned for a period of six lonths after the time the work is comaenced. One 90 day extension of time, lay be
<br />allow d for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official, An
<br />ap 0 ed inspection must be logged during each six lonth period, Dr the project will b2 considered abandoned.
<br />W HI 6 TO OWNER: Y R FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />ROP RTY. IF Y ND TO OBT FINANCING, CONSULT WITH YOUP LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COM NC T B UNDER $2 0 IN VI'iLUE DO NOT NEED TO RECORD AND POST I'i "NOTICE OF, COMMENCEMENT".
<br />
<br />
<br />,
<br />
<br />
<br />~~~
<br />6NATURE: CONTRACTOR r
<br />
<br />in?lrument vias aCknoWl.edged
<br />"" 2-~~1\..., L)~ tly
<br />
<br />1)N \ \ () ~o.l~,\ -
<br />who is personally known to me Dr who has
<br />pl-oduced ~C!lt"\o. "~'""''''tr'
<br />as identification and who Idid not
<br />take oath.
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Hillsborough
<br />The foregoing ~nstrument was acknowledged
<br />-- " ..' ~I.1d 1i~emb~I; l'7'2L- t,y
<br />
<br />James W. Mason - Sec./Treas.
<br />
<br />
<br />
<br />who 1 =, pel-sona 11 y kno,',m tCI me c'r ,,,ho has
<br />pro PERSONALLY KNOWN TO ME
<br />
<br />as d ~tific~ ~on an
<br />
<br />"~/Et_C~l .
<br />
<br />Sigr~atUfe )
<br />Laurene P. B
<br />(Name Typed, FY i'nted or
<br />NOT ARY .EJJBL I C
<br />
<br />
<br />~
<br />
<br />
<br />~:LY'~:'~."I"""~'::':";:;"" ~[~}'~~:~:.;~ JU}\'.~ ~7., \ ...}s
<br />." ,,~.... --,-,-, < . . _.' '.. . RAGIl
<br />80NDE;llhRU ,,0~,'n';; \~C1ARY "ROi<f
<br />
<br />Stamp~d)
<br />
<br />... tfotary Public, State of Ron"M
<br />My Commission E;:p;res July 6, 1994
<br />~acI~ INl!lmx fllll: 'Ilfuranc.t IlIfI
<br />
<br />(Name Typed, Printed
<br />NOTARY PUBLIC
<br />
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