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<br />Cm-iD I T IONS OF F'Ef(I'1 I T (:'FF I D(:".j I T
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it lay be subject to r~ee~ restrictions" which may be more restrictive than City
<br />regulations, The undersigned assules responsibility for cOlpliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACT[~S AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or c~ntractors to undertake work, they may-'be-~~uir~ to be-licensed in accordance with
<br />state and local regulations. If the contractor is opt licensed as required by law, both the owner and contractor lay be
<br />cited for a lisdeleanor violation under state IaN. If the ONner or intended 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 />788-6611.
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<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions of the
<br />"Contractor Sections" of this application for which they will be respo~~ible. 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 lay be an indication that he is not properly licensed and is not entitled to permitting privileges in the
<br />City of 2ephyrhills,
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D. CONSTRUCTION LIEN L~~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have be~n provided with a copy of "Florida's Construction Lien Law - Ho.eowner's Protection
<br />6uide" 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 d copy of the above described document and promise in good faith to deliver it to the
<br />"owner' prior to cOllencelent.
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<br />E. CONTRACTOR'S/OWNER'~ AFFIDAVIT
<br />I certify that all the inforlation in this application is accur;te and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, ~oning, and land developlent.
<br />I
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<br />Application is hereby lade to obtain a p~rlit to do work and installation as indicated, I certify that nc work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforsed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developsent regulations in the jurisdiction, I also
<br />certify that I understand that the regulations of other governlental agencies lay apply to the intended Mork, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water ~anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Deparhent of Health!. Rehabilitative Services. Environlental fJealth Unit - Wells, Wa'steMater Treahent, Septic Tanks
<br />f US Environ.ental Protection AQencv - Asbestos abatelent
<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 "compensating volule" Mill be sublitted which is prepared by a professional engineer registered in the state of
<br />Florida prior to perlit issuance.
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<br />A perlit issued shall be construed to be a license to proceed with the Hork and not as authority to Yiolate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOI thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code, Every perlit issued shall becote invalid
<br />unless the work authori~ed by such perlit is co..enced within six months of issuance, or if work authorized by the perait is
<br />suspended or abandoned for a period of six lonths after the tile the work is co&~enced, One 90 day extensie,n of ti~e, lay be
<br />alloued for the perlit Hith fee charge of $15.00. The extension shall be requested in Hriting to the Building Official. An
<br />approved inspection must be logged during each six month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING THICE FOR iMPROVEMENTS TO 'lOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTiCE OF
<br />COMMENCEMENT, JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT",
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<br />516 ATURE: OWNER OR A6ENT
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<br />~__.::. cr' /?~5&--
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<br />SI6NATURE: CONTRACTOR
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<br />vias acknc,wledged
<br />19~ by
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<br />STATE OF FLORiDA
<br />COUNTY OF Pasco
<br />The foregoing instrument
<br />befcl\-e me th i s Nav, 1 g
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF. Pasco
<br />The foregoing instrument
<br />before me this Nov. 19
<br />
<br />~'Jas ackno~.l1edged
<br />, 19-9..2- bv
<br />
<br />Kevi n T. Roberts
<br />who is personally known to me or who has
<br />produced N/A
<br />as idantification and who did/did not
<br />take an oath.
<br />-,~ ,,-,,- ~h.t..~
<br />(Signatu'l e)
<br />_JaneJ R 1;1(' kwp 11
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI'C
<br />
<br />Kevin T. Roberts
<br />who is personally known to me Dr who has
<br />pl-oduced N/A
<br />as identification and who did/did not
<br />~ake an oath. .
<br />"=-----~ ~'-UW
<br />(Si natLu-e)
<br />,l;1npt Rlrlrkwpll
<br />(Name Typed, Pi- i nted or Stamped)
<br />NOTARY PUBLIC
<br />
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<br />Notary Public. State of Florida
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