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<br />CONDITIGNi: OF :=<:C::.',::: ....r-FID(.~'vJIT
<br />A. NOT I CE OF DEED RESTR I CT I OI'I~;
<br />The und~rsigned understands that this perlit.ay be~lIbject tli "deed restrictions" which lay be lore restrictive than City
<br />regulatIons. The undersigned assules responsibility fo; cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTOSS AND CONTRACTOR RESPONSIBILITIES '
<br />If the owner has hired a contractor or contractG,': to underta:e ~ork, they may-'~ ;equired ~icensed in accordance with
<br />state and local regulations. If the contractor is not licensF1 as required by law, both the owner and contractor lay be
<br />cited for a lisdeleanor violation under state law. If the owr.ar 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.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractor., he is advised to have the contractorlsl sign portions of the
<br />"Contractor Sections" of this application for which they will Je responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are res?onsible 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 FEE2
<br />
<br />D. CONSTRUCTION LIEN LA~ (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 Departaent of Agriculture and Consuler Affairs. If the applicant is 50leone 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 />"oNner" prior to cOI.encelent.
<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 co.pliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby aade to obtain a perait to do worK and installation as indicated. I certify that no work or
<br />installation has cOlaenced prior to issuance of. a perait and that all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern.ental agencies aay apply to the intended work, 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 />f Departlent of Environaental Reoulation - Cypress Bayheads, Wetland Areas and Environ;entally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water Manaoelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of Enoineers - Seawalls, Docks, Navigable Waterways '
<br />f Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection Aoency - Asbestos abatelent
<br />I also certify that, if fill aaterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "colpensating volule" will be subaitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit 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 perlit prevent the Building Official fro. 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 perait is cOI.enced within six lonths of issuance, or if work authorized by the permit is
<br />suspended or abandoned for a period of six aonths after the tile the work is comienced. One 90 day extension of time, lay be
<br />allowed .for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six lonth 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 TWICE FOR IMPROVEMENTS TO YOUR
<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".
<br />
<br />
<br />"'
<br />
<br />
<br />~
<br />
<br />STATE OF,FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />befctie me this
<br />
<br />was acknowledged
<br />,19_ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />befeq-e me th i 5 19 _ by
<br />
<br />who is personally known to me or ~ho has
<br />prc,duced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />who is personally known to me or who has
<br />pl-oduced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(SignatLll-e)
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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