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<br />cm<D I T IONS OF PERI"1 I T AFF I D?4'-,J IT.
<br />- A. . NOTICE OF DEED RESTF]CTIONS
<br />The undersigned understands that this pei-aitllli.lY be !:Iubject to ae~d restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assules re5ponsiJ~ll:, fer cOlpliance ~;~h any applicable deed restrictions.
<br />
<br />B. UNL I CENSED CONTRACT(i.RS P.ND CONTRACTOR RESPONS I B I LIT I ES
<br />If the ollner has hired a contractor or C'_,ntractors to undertake work, they lay be required to be licensed in accDrdance with
<br />state and local regulations. If the'coni:Ttctor is nllt licensed as required by laM, both the. owner and contractDr lay be
<br />cited for a lisde.eanor violation under 5tate IaN. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended .Iork, they are advised to contact the City of 2ephyrhills Building Departlent, IBI3)
<br />788-6611.
<br />
<br />Further.ore, if the ollner has hired a co,tractDr or contractors, he is advised to have the contractorls) sign portions of the
<br />"Contractor Sections. of this applicativ,1 fDr Ilhich they Ilill be responsible. If you, as the owner sign as the contractDr,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor IIi shes YDU to sign
<br />as contractor that .ay be an indication ,hat he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPArT FEES AND UTILITY CONNECTION FEES.
<br />
<br />D. CONSTRUCT I ON L I EN Lr.Ji (CHAPTER 713, FLOR I DA ST 4 TUTES , AS AMENDED)
<br />I certify that I, the applicant, have be~n provided Ilith a copy of .Florida's Construction Lien Law - Ho.eollner's Protection
<br />Guide. prepared by the Florida Depart.ent of Agriculture and Cot;Uler Affairs. If the applicant is so.eone other than the
<br />.ollner., I certify that I have obtained 1 copy of the above described doculent and prolise in good faith to deliver it to the
<br />.ollner. prior to cO.lencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in thls application is accurate and that all Ilork Mill be done in co.pliance with all
<br />applicable lalls regulating construction, zoning, and land deveIQP.ent.
<br />
<br />Application is hereby lade to obtain a per.it to do 1I0rk and installation as indicated. I certify that no Ilork or
<br />installation has cOllenced prior to issu3nce of a perlit and that all Ilork Ilill be perforled to leet standards of all lalls
<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 governlental agencies .ay apply ~o the intended Mork, and that it is
<br />IY responsibility to identify Mhat actioiis I .ust take to be in roapliance. Such agencies include but are not lilited to:
<br />, Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and EnvirDnlentally Sensitive Lands,
<br />Water/Wastellater Treatlent
<br />, Southllest Florida Water KanaQelent District - WElls, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - SeaMalls, Docks, Navigable Waterllays
<br />, Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />, US EnvironlentaI Protection AQency - Asbestos abatelent
<br />I also certify that, if fill .Iaterial is to be used in Flood Zope "A. or .A,etc.", it is understoDd that a drainage plan
<br />addressing a .colpensating volule. will be sublitted which is prepare~ by a prDfessional engineer registered in the State of
<br />FIDrida prior to perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed Ilith the work and not as authority tD violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance )f a perlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plaD~, construrtion, or vio~'tions of any code. Every perlit issued shall becDle invalid
<br />unless the work authorized by such pertit is cotlenced Ilithin six lonths of issuance, Dr if Mork authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the Mork is cOltenced. One 90 day extension Df tile, lay be
<br />allowed for the perlit Mith fee charge of $15.00. The extension shall be requested in Mriting tD the Building Official. An
<br />approved inspection lust be IDgged durin] each six lonth period, or the project Mill be considered abandDned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCE~ENT "AY RESULT IN YOUR PAYING TWICE FOR IKPROVEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FIHAN~ING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COKKENCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CO"KENCEKENT".
<br />
<br />
<br />-~R~R~
<br />
<br />
<br />STATE OF FLORIDA n
<br />COUNTY OF t"C( oS Co
<br />The foregoing instrument was acknowledged
<br />before me this :::r - 10 , 19.9.2. by
<br />
<br />'J C\..neJ (3, I ctcK (,J~ l(
<br />who is persc,nally known to mt-! or who has
<br />produced
<br />as identification and who did/did not
<br />t a k e an 0 a th ~ CU\.J;-tf..JJ, !1 ill.Qu, t1:.--
<br />
<br />(SignatUl-e)
<br />~~ '-~al ~ f1. _-AllI.IO~
<br />(Name Typed, Pr i nted or Stam! !ed) ,
<br />NOTARY PU
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />befcol-e me this -:5 - (0
<br />
<br />Pc1 s CO
<br />
<br />was acknowledged
<br />, 19.-:Jl by
<br />
<br />3c).J'~+ ~b c/c lJe t(
<br />
<br />who is personally known to me or who has
<br />p,-,:.duced
<br />as identification and who did/did not
<br />
<br />-Cake an oath..4~ 0 ~?~
<br />(Signature)? __
<br />~ r-fJ<1 rOL A, A \/, S'cr)~
<br />,
<br />(N3me Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />
<br />Pf8!~@'. ~fM~'~~ :IWk'~~~flll'
<br />M~ ~~fhlJ" ~'.~, r~lHd., U.4
<br />t;,lfflfll. No. AA 71un
<br />
<br />, NelltV "jj!l~€1 IIlalo of Florid.
<br />JIM!!A "It" ^!.,,,,ISON
<br />M, llijlflllt, "_p, Mlr. ae, U94
<br />COWllft, No. AA 71lif1l37
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