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<br />CONDITIONS OF PERMll A~~lU~Vl I
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it.ay be subject to "deed restrictions. which lay bs .ore re$trictive than City
<br />regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has 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 lisdeleanor 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, (8131
<br />788-6611.
<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 />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 cOllencelent.
<br />
<br />.~
<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 develop.ent.
<br />
<br />J
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOlleneed prior to issuance of a perlit and that all work will 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 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 li.ited to:
<br />f Departlent of Environlental Reoulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water KanaQelent 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 Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection Aoency - Asbestos abatelent
<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 prep~red 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 8uilding Official froD thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code., Every pertit issued shall beco.e invalid
<br />unless the work authorized by such pertit is cOllenced within six Bonths of issuance, or if work authorized by the permit is
<br />suspended or abandoned for a period of six lonths after the tile the work is cOIDenced. One 90 day extension of tile, 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 COHMENCEMENT HAY 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 TO RECORD AND POST A "N COMMENCEMENT".
<br />
<br />
<br />
<br />STATE OF FLORID~
<br />COUNTY OF ICJ 5 e-e )
<br />The foregoing instrument was acknowledged
<br />before me thisflbV/!fJtfid..17 19~ by
<br />
<br />,STATE OF FLORIDA fj
<br />COUNTY OF n <;; c- 0
<br />, The foregoin~ instrument was acknowledged
<br />befol-e me this )J;Ie#M /7 19~ by
<br />
<br />who is personally knDwn to me el "he ha~
<br />.pn;.eluEee
<br />,..a-3 idl!ntific:at~ufl dllJ who ~did nc,t
<br />
<br />tak~Dat . ~;2
<br />1./..--1 . iLl1 Lh..t.h<..J
<br />(Signa ure) D... ...........1
<br />J.< fJT1-l L ~ J.J J: -:is ~
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />who is pel-s(.nally knnwn to me {;.r i!hE F,a:s
<br />p3rEH:luEed
<br />a:s idEmtifiE!.tio" and WhD~/did not
<br />ta~ D~}h il '~d..
<br />~;r/(CJ:_CJ~~ ' t..2/~#-'OJ-~
<br />(Signature) 7?.LJ.. AI
<br />If /I ~~ I.. i 'CT C2Ed21 L.J fJL
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~,
<br />
<br />~.~..--...::;....~
<br />
<br />KATHLEEN "
<br />St;'"~.G r:< .
<br />My Cc.nm, ~',
<br />
<br />~
<br />
<br />KATHLEEN ,t. I'lr'"
<br />Stale c'
<br />My COfllln. CX~, /
<br />Comm. , cc '. " . I
<br />
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