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<br />COND I T IONS UF F'EH/'lI T (\F F I D{W IT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to 'deed restrictions' which lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner hiS hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
<br />cited for a lisdl!leanor violation under state law. If the owner 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, IBI3)
<br />7B8-66JJ .
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) 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 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 FEES
<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 />6uide' 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 obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />'oNner' prior to cOllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this aRplication is accurate and that all Mork Mill be done in cOlpliance with all
<br />applicable laMS regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perli\ to do work and installation as indicated. I certify that no Mork or
<br />installation has cOllenced prior to issuance of a perlit and that all Mork Mill be perforled 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 governlental agencies lay apply to the intended Mork, 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 DePirtlent of Environlental Reaulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of Enqineers - Seawalls, Docks,:Navigable Waterways
<br />f Departlent of Health L Rehabilitative Serv~ces. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environ.ental Protection Aaency - Asbestos abate.ent
<br />I also certify that, if fill laterial 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 sublitted 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 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 i~ cOllenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six aonths after the tile the work is cOllenced. One 90 day extension of tile, lay be
<br />alloNed for the perlit with fee charge of $15.00. The extension shall be requested in Mriting 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 CO""ENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR
<br />PROPERTY. IF YOU JNTEND TO OBTAIN FINANCINa, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CO""ENCE"ENT. JOBS UNDER $2,500 IN VAlUE D~ NOT NEED TO RECORD AND POST A 'NO I E OF CO""ENCE ENT'.
<br />
<br />
<br />
<br />STATE OF FLORIDA Il 0 n .
<br />COUNTY OF f-11/'~
<br />The foregccing i~trume}).t was ackno~lledged
<br />before me this ~'t, , 199~ by
<br />
<br />~.~'uJ, .x~
<br />
<br />who is per~nally ~nown to me or who has
<br />produced }{.el ~y; 'P:: D ~
<br />as identification and who did/did not
<br />
<br />ta~a(Utj~f~ ~ 0 ~.,~
<br />
<br />(~nature) "--;J c -{ ~((
<br />..J;;;2CF1'Qtt-<J'd-- ("'" D ~ D
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBI,.IC
<br />
<br />STATE OF FLORIDA, n. 0 J ._
<br />COUNTY OF ~
<br />The foregoing in~:u~ent was a~knowledged
<br />before me this ~ q:. , 19r~ by
<br />
<br />~.d (;} v~~ .
<br />
<br />who is person, all Y,' _ k~~w~,j;~ JIIe or _~ho has
<br />produced ~ ~W1r-
<br />as identification and who 'dTd/~id not
<br />
<br />ta~;A-~~~' {!~&
<br />
<br />(~nature ) ..---,-,
<br />. fSAP-rJ r't-f-v::\-- 1-(_ Cc>:, fe (( '=> ,
<br />
<br />(Nam~ Typed, Printed or Stampe~)
<br />NOTARY PUBLIC
<br />
<br />"-;;;'*~~'\ OFFICIAL SEAL
<br />.. ~ Barbara R. Costello
<br />! . 1 My commIssIon Expires
<br />\ : Nov. 2. 1994
<br />...~,."OFf\.~.. Comm. No. CC 054525
<br />..............
<br />
<br />.......,. ""'f".
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<br />(~~i )
<br />'. ;~G:;.";- ..dt..
<br />..I;J,." Of f\.dt'';..
<br />...........
<br />
<br />OFFICIAL SEAL
<br />Barbara R. Costello
<br />My commission Expires
<br />NoV. 2. 1994
<br />Comm, No. CC 054525
<br />
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