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<br />A. NOTICE OF DEED RESTRICTIONS .
<br />T~e undersigned understands that this perlit lay b~ subSect to 'deed restrictions' which lay be lor. restrictive than Citr ,-
<br />regulations. The undersigned assules responsibility for cOlpliance with any applicable d~ed 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 />requirelenb lay apply fDr the intended work, they are advised to contact the City of 2ephyrhil1s Building Departlent, (8m
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(~) 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 wish~s 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 />I'
<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 la. ~ HOleowner's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />'olner', I certify that I have obtained a copy of the above described doculent and prolis~ in good faith to deliver it to. the
<br />'owner' prior to cOllencelent.
<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 developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no lork or
<br />installation has cOltenced 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 lilited to:
<br />I Departlent of Environlental Requlation - Cypress Bayheads, Wetland Areas and Environlentally Sensitiv~ lands,
<br />Water/Wastewater Treatlent
<br />I Southwest Florida Nater "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of Enqineers - Seawalls, Docks, Navigable Naterways '
<br />I Departlent of Health & Rehabilitative Services. Environlental Health Unit - Neils, Wastewater Treatl~nt, Septic Tanks
<br />I US Environlental Protection Aqency - 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 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 is cOllenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended Dr abandoned. for a period of six lonths after the tite the Mork is cOllenced. One 90 day extension of tile, lay be
<br />allowed for the perlit with fee charge of tI5.00. The extension shall be requested in writing 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 COK~NC8KENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROYE~NTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT NITH YOUR LENDER OR AN ATTORNEY BEFORE IN YOUR NOTICE OF
<br />COK NCE"ENT. JOBS UNDER $2,50 E DO NOT NEED TO RECORD A D POST A 'NOTICE OF COK"E CE"ENT'.
<br />
<br />
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF \-'a..~~ D
<br />The foregoing instrument was acknowledged
<br />before me this ~~ \ ,19.:11. by
<br />
<br />tr,-,
<br />who is pe e or who has
<br />produced
<br />as identification and who . Idid n
<br />
<br />take a~~"\F~~ _
<br />(Signat~~ '-S~ \-'\ i\-c~
<br />
<br />(Name Typed, ~nted or stampe~
<br />NOTARY PUBLIC' .
<br />
<br />
<br />STATE OF FLORIDA (\
<br />CDUHTY OF V c.....5. ~ ~
<br />The foregoing i~t!ument was ac~.npwledged
<br />before me this ~ \ , 19~ by
<br />
<br />who i. ~~~~ ~;}~';'~ha.
<br />
<br />produced
<br />as identification and who ld not
<br />take an th
<br />
<br />-s
<br />(Signatur~~\:\:. 'SEo..~ <\-~ fO~ \
<br />(Name Typed, pri~ed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />.........., BETTY JEAN TIPTON
<br />~.~
<br />(.!rA}.:i MY COMMIS8ION' CC 23lI547
<br />~ . EXPIAE8: 0aIDber 8. 1.
<br />"" IIandId 11lIu NaIIry PuIlIc IblIlWIIn
<br />
<br />
<br />BETTY JEAN TIPTON
<br />MY COMMIS8ION , CC 23lI547
<br />EXPIIB: 0ctaIIIr 8. 1.
<br />80ndId 11lIlI NlIllIY PuIlIc tbIIIWI\IIII
<br />
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