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<br />COND I T IONS OF PEFt'1 T f':jFF TN,)') I T
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait~ay be subject to deed restriction5" which lay be lore restrictive than City
<br />regulations. The undersi~ned assuaes responsibility for coapliJnc~ with any ~pplicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONrRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertdkP wor~, they aay be required to be licensed in accordance with
<br />state and local regulations. If t~ tDntractor is,not licens~~ d~ required by law, both the owner and contractor aay be
<br />cited for a aisdeleanor violation under state law. If the owne~ or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, thtY are advised to contact the City of,Zephyrhills Building Departaent, IB13l
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, hp is advised to have the contractorlsl 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 aay 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 CONNECTI'ON FEES.
<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 Consu.er 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 cOllenceaent.
<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 cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
<br />
<br />Application is hereby lade to obtain a pErait to do work and installation 'as indicated. I certify that no work or
<br />installation has coa.enced prior to iS5udnce of a per.it and that all work will be performed to meet standards of all laws
<br />regulating construction, City codes, zoni .:g regulations, and :.c:nd ilevelop.ent 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 actiors I lust take to be in co.pliance. Such agencies include but are not liaited to:
<br />f Deoartlent of Environaental ReQulation - Cypress Bayheads, W~tland Areas and Environ.entally Sensitive lands,
<br />Water/Wastewater Treatment
<br />f Southwest Florida Water r1anaQelent District - wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Watp.r~~~s
<br />f Departlent of Health & Rehabilitative ~ervices. Environ.ental Heal;h Unit - Wells, Wastewater Treataent, Septic Tanks
<br />f US Environlental Protection AQency - AoDestos abatelent
<br />I also certify that, if fill aaterial is io be used in Flood Zone "A" or 'A,etc.", it is understood that a drainage plan
<br />addressing a .cotpensating voluae. Mill Ie sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perait 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 perait prevent the Building Official frot thereafter
<br />requiring a correction of errors in plan" construction, or violations of any code. Every perlit issued shall becoae invalid
<br />unless the work authorized by such perlit is coaleneed within six aonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of SiX lonths after the tile the work is com.enced. One 90 day extension of tile, lay be
<br />alloNed for the perait with fee charge oi $15.00, The extension shall be requested in .writing to the Building Official. An
<br />approved inspection lust be logged durin', eaeh six lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECOR; A NOH,'E OF COrlrlENCErlENT KAY RESULT IN YOUR PAYIN6 TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANIN6, CONSULT \lITH YOIIR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COrlrlENCErlENT. JOBS UNDER $2,500 IN VAlU, DO NOT NEED 10 RECORD AND POST A "NOTICE OF COMHENCEHENT".
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />SIGNATURE: OIlNER OR AGENT
<br />
<br />~~~~~VO~FF~.~ ________
<br />
<br />The foregc,ing ii"istrument was ackT1Ctwledged
<br />beYDre me, th i s~II6A.t- ' 19 ~ by
<br />~ ~~! ~ ,~
<br />........ WoO .. . '< ~
<br />
<br />i s pel-sD~ J y knDwn .te ~e Dr WhD has
<br />PrDduced ~ + ~ *J + ~
<br />.,.. 1 ... _
<br />as identific~~l and ~if~!id/did not
<br />take an oath. ".7~;--'( ._~.~'~, ~
<br />, .of 'f\.~ ~
<br />"",,,,,-
<br />
<br />~;~~~yO~/lORIDA p~___ __,_ _
<br />
<br />The foregoing instrument was cknowledg\:?d
<br />before me this . c? ~"~,F 9~ by
<br />
<br />~~.
<br />~ ... .
<br />
<br />whUs personally ~~.wn to m~ ,(fr\whO has
<br />produced i + \ * .+:t+,-.-
<br />as identificatic,n \nJl\~hc' dill./r4Ji not
<br />t I. th ~ '/' ", .,' ,~ ~
<br />at{e an oa. ~~I' ............... ~ ~~
<br />'q///// 0 f ~ \ \\~\'"
<br />
<br />
<br />(S' nature)
<br />
<br />(Si natLr.-e)
<br />
<br />
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