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<br />COND I T I Gi'!S OF c'. t::F:I'i I T (~FF I D('~',) I T
<br />A. NOTICE OF DEED RESTRI~TICiJ2
<br />The undersigned understands that this pertit sa: ~~ subJect t~ 'deed restricti~ns. which may be ~ore restrictive than City
<br />regulations. The undersigned aS5Utes resp0nsibiiity f~r c~lpliance with any applicable deed restrictions.
<br />
<br />B. UNL I CENSED CONTRACTORS AND CONTP_I"\CTOR F:ESPDNS I B I LIT I ES
<br />If the o~ner has hired a contractor Dr contractors to undertak~ work, they may-be required t~icensed 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 tisdeteanor vio!ation und2f state law. If the ow~er nr intenden contract~r are ~ncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to ~ont~~, the City of Zephyrhill~ Buiiding Depart~ent, (813J
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractcrc, he is advised to have the contractor(sJ sign portions of the
<br />'Contractor Sections' of this application f~r which they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than th~ 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 prop'erly licensed and is not entitled to perlitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TF:Ar-JSPORTATION II'1PACT FEES AND UTILITY CONNEC1)OJ'J FE~2,
<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 Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />'oNner', I certify that I have ~btained a copy of the above described document and promise in good faith to deliver it to the
<br />'owner. prior to cOllencement.
<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 coapliance with all
<br />applicable laws regulating constructi~n, zoning! and land developlent.
<br />
<br />Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or
<br />installation has cOlmenced prior to issuance of a per.it and that all work will be perfor.ed to leet standards of all laws
<br />regulating construction, City codes, zoning regtlations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulati~ns of other governlental agencies lay apply to the intended wor~, and that it is
<br />IY responsibility to identify what acti~ns I must take to be in compliance. Such agencies include but are not limited to:
<br />t Department of Environlental ReQulation - Cypress Bayheads! Wetland Areas and Environ;entally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />t Southwest Florida ~ater ManaQelent District - Wells, Cypress Bayheads, Wetland Areas! Altering Watercourses
<br />t Army Corps of EnQineefs - Seawalls, Docks, Navigable Waterways .
<br />t Departtent of Health ~ Rehabilitative Services, Environ_ental Health Unit - Wells: Wastewater Treatlent, Septic Tanks
<br />t US Environmental Protection AQencv - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone 'A" or "A,ete,', it is understood that a drainage plan
<br />addressing a 'colpensating volule' will be subaitted wl'ich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A per.it 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 pertit issued shall beeote invalid
<br />unless the work authorized by such perlit is cO~lenced ~ithip. six Bonths of issuance, or if work authorized by the permit is
<br />suspended or abandoned f~r a period of six tonths after the tile the work is cOllenced. One 90 day extension of ti~e, lay be
<br />allowed ~or the perlit with fee charge of $15.00. The extensi~n shall be requested in writing to the Building Official, An
<br />approved' inspection lust be logged during each siy lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEWCEMENT 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 Te RECORD AND POST A "NOTICE OF COMMENCEMENT'.
<br />
<br />SIGNATURE: OWNER OR ~
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />t."fcl\-e me 1:11:"s
<br />
<br />was acknowledgea
<br />19 u,
<br />
<br />ae kno\'J 1 edged
<br />.i'-:)_~ by
<br />
<br />who is personally known to me or who 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 />prDdL~ced
<br />~s identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PLlBLIC
<br />
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