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<br />,~-_.. --~...~. ._--'-
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<br />._._..~. -- .~.----.,
<br />
<br />COND I T J. r-;8 :IF j"':'ERtlI T ('iFF I DA'Y' I T
<br />A. . NOT I CE OF DEED RESTR I C'i . .JNS
<br />The undersigned understa.lds tLat this perlit 1\,; bE! sul:jeL:t tl' "deed restrictirms. which lay be lore restrictive than City
<br />regulations. The ~ndersigned assules respofisit:"~~y f~r cb.pliance with any applicable deed restrictions.
<br />
<br />B. UNL I CENSED CONTRACTORS r- L~~", :::.~r",,-\j'=-~{",CTOR HESF'ONS I B I LIT I ES
<br />If the owner has hir2d ; contractor or cDntracto' '- .. bndert3k~ lort, they aiy be required to be licensed in accordance with
<br />state and local regulat~ons. If the contra[t~.' ';' iicens,; as rl!~uired by law, both the owner and contractor lay be
<br />cited for a lisdeleanor violatinn under statp 1./. i th~ ONnir or iniended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, th~i 'r2 adv~sp.~ to contact the City of Zephyrhills Building Departlent, (8131
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor ~r contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for which they will ~e 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 lay be an indication thai he is not properlv licensed and is not entitled to perlitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~
<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 cOltenCelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this applic~tion is accurate and that all work will be done in co.pliance with all
<br />applicable laws regulating construction, 20ning,'a~d land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to,dQ work and installation as indicated. I certify that no work or
<br />installation has cOltenced prior to issuance of.'a per~it and that all work Mill be perfor.ed to leet 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 govern.ental agencies lay 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 />I Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />I Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways '
<br />I Departlent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I US Environlental Protection AQencv - A~bestos abatetent
<br />I also certify that, if fill laterial is to be used in Flood lone "A" or "A,etc.', it is understood that a drainage plan
<br />~~~rp~~inq ~ .rDeppn~~tin~ vnlu,p. will hp ~~~i~torl ~h;~~ iv n~a~~rpd by ~ nrnf~~5innal enginppr TegiEtered in the State Df
<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 frol 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 perlit is cOllenced within six lonths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six lonths after the tile the work is comlenced. One 90 day extension of tiDe, 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 tonth 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 FOP. 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. J08S UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />
<br />was acknowledged
<br />, 19 bv
<br />
<br />STATE OF FLORID(l.-, ,
<br />COUNTY OF \- ')ri>!.('I()/11f--
<br />The foregoing instrument
<br />befc,re me th i s / /:;J/~
<br />,
<br />
<br />STATE OLFLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />befol-e me th i s
<br />
<br />was ac k)lc'IoJl edged
<br />, 19.:L.3- by
<br />
<br />At\.c,~) -l) l-\('\A0
<br />who is pEq-sonally knOlo1ll to me -en 10'1/10 lid!!!
<br />['\I-nTh .rpd
<br />~s identification nft
<br />ta, a)"'I oath.
<br />/ ./ /J/
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
<br />nature). , ~
<br />(,.41,,') ~E C:::::;, ~\~~U
<br />(Namp Typed, Pri n.t~d., CIT ,St~mped'>
<br />NOTARY PUBLIC '
<br />
<br />" ;. - '--'/~,
<br />
<br />:..~ ;:s.
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