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<br />Cm-iD I T IONS OF PER!'lI T {..WF I DIW IT,
<br />A. NOTICE OF DEED RESTRICTION~
<br />The undersigned understands that this per.it lay be subj~ct to "deed restrictions" which .ay be lore restrictive than City
<br />regulations, The undersigned assules re;p&nsibility for co.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACT[~S AND CONTRACTOR RESPQNS;BILITIES
<br />If the owner has hired a contractor or c~ntractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations. If thetontr~ctor is not licensed as required by law, both the OHner and contractor lay be
<br />cited for a .isde.eanor violation under ;tate law. If the owner or intended contractor are uncertain as to what licensing
<br />reQuirelents lay apply for the intended 1I0rk, they are advised to contact the City of Zephyrhills Building Departlent, IBI31
<br />7B8-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he 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 w~r*... If the contractor wishes you to sign
<br />. as contractor that aay be an indication that he is not pr)perly licensed and is not entitled to perlitting privileges in. the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~
<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 Depart.ent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />'owner', I certify that I have obtained a copy of the above described docu.ent and prolise in good faith to deliver it to the
<br />'owner" prior to cOI.encelent.
<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 co.pliance with all
<br />applicable laMS regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby tade to obtain a pertit to do work and installation as indicated. I certify that no Mork Dr
<br />installation has cOllenced prior to issuance of a pertit and that all work Mill be perfor.ed 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 govern.ental agencies lay apply to the intended Mork, and that it is
<br />IY responsibility to identify what actions I .ust take to be in co'pliance. Such agencies include but are not li.ited to:
<br />I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />I Southwest Florida Water ManaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, D~cks, Navigable Waterways
<br />I Depart.ent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I US Environ.ental Protection AQency - A=bestos abatetent
<br />I also certify that, if fill laterial is to be used in Flood lone "A' or "A,etc,", it is understood that a drainage plan
<br />addressing a 'colpensating volule' Mill be subtitted 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 Hork 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 is cOI.enced within six Bonths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six lonths after the ti.e the work is cO.lenced. One 90 day extension of tile, .ay be
<br />allowed for the per.it with fee charge of ~15,OO. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged durin] each six lonth period, or the project will be considered abandoned,
<br />WARNING TO OWNER: YOUR FAILURE TO RECORi\ A NOTICE OF COKMENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROVEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINAJJ::WG, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COKMENCEMENT. JOBS UNDER $2,500 IN VALU,: DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMMENCEMENT'.
<br />
<br />~~.Q .., f k."..,....Q,P
<br />SIG URE: OWNER OR AGENT
<br />
<br />~.:1: {J,p~"<~
<br />. A~WQE,:.,. CONTRACTOR ,
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Pasco
<br />The foregoing instrument
<br />before me this Feb. 3
<br />
<br />was acknowledged
<br />, 1 '-J...ii. by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Pasco
<br />The foregoing instrument
<br />before me this Feb. 3
<br />
<br />~Ias acknowledged
<br />, 19..2!.- by
<br />
<br />Janet Blackwell
<br />who is personally known to me or who has
<br />produced n/a
<br />as identi~ication and whc, did/did not
<br />
<br />ta~~e aq::~ fl ~
<br />
<br />(SlgnatUl-e)'iJ~ '.' . /).(.
<br />~ro.... A. n ( (S'd').-..
<br />
<br />, (Name Type Al,n e
<br />I'IOTARY PU . " :'ot~ry Public. State of Florida
<br />,J . ,tiARA A, ALLISON
<br />My Comm. Exp. Mar. 26. 19114
<br />Cumm. No. AA 159537
<br />
<br />Janet B 1 ac kwe 11
<br />~ho is personally known to me or who has
<br />produced n/a
<br />as identification and who did/did not
<br />
<br />take an~ ~q '(J~
<br />(Signature),
<br />1"Ja t-ba ra.. II: j) II,so"
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUB A
<br />.,
<br />
<br />
<br />
<br />Notary Publl
<br />I>M.HAR';.: ~t~'ClOf Florida
<br />My Comm, Exp, Mar. ~~?~99
<br />Comm. No. AA 759537 ...
<br />
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