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<br />cm,l) I T I OI'lS OF PERI'11 T /~FF I DI-)'Vl T \
<br />A. NOTICE OF DEED REST~ICTION~
<br />The undersigned understands that this permit 'uay be subject to 'deed restrictions' which lay be lore restrictive than City'
<br />regulations, The undersigned assuaes re;ponsibility for cOlpliance with any applicable deed restrictions,
<br />
<br />B. , UNLICENSED CONTRACTqRS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or c~ntractors to undertake work, they Jay be required to be licensed in accordance with
<br />state and local regulations. If the.ton~r~ctor 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 :Iork, they are advised to contact the City of Zephyrhills Building Departlent, 18131
<br />788-6611.
<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 work, 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 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 Consuaer, 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 />"oNner" 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 laNs 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 work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforled to .eet standards of all laws
<br />regulating construction, City codes, zon1ng regulations, and land developlent regulations in the jurisdiction, I also
<br />certify that I understand that the regulations of other governmental 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 />t Departlent of Environlental Reoulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />t Southwest Florida Water Manaoelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />+ ArlY Corps of Enoineers - Seawalls, Docks, Navigable Waterways ,
<br />t Departlent of Health ~ Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US Environlental Protection AQency - A:bestos abateaent
<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 'coapensating volule" will be subaitted 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, Dr
<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 plan~, construction, or violations of any code, Every per1it issued shall becole invalid
<br />unless the work authorized by such perlit is COlaenced within six aonths of issuance,' or if work authorized by the perlit is
<br />suspended Dr abandoned for a period of six lonths after the'tiae the work is cOllenced, . 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 durin~ each six lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORI\ A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINAl{~ING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUI: DO NOT NEED TO RECORD AHD POST A 'NOTICE OF COMMENCEMENT".
<br />
<br />
<br />~ '
<br />....~~~L~
<br />S ATURE: CONTRACTOR
<br />
<br />
<br />, \
<br />
<br />was acknowledged
<br />, 19..:1L by
<br />
<br />STATE OF FLORl)A
<br />COUNTY OF Pasco
<br />The foregoing instrument
<br />befc.re me this Feb. 28
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Pasco
<br />The foregoing instrument
<br />before me this Feb. 28
<br />
<br />I'laS acknowledged
<br />, 19-94- by
<br />
<br />
<br />Janet B 1 ac kwe 11
<br />~ho is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />takean~~ 9-'. ~~
<br />
<br />(SignatJre)
<br />Ra rba ra All i "on
<br />(Name Typed, Pri nted 01- Stamped)
<br />NOTARY PUBLI
<br />
<br />Janet Blackwell
<br />who is personally ~:no\'m to me or who has
<br />produced
<br />as identification and whct did/did not
<br />ta~(e an ~ R . QjlJl~
<br />
<br />(Signature)
<br />Ba rbaril fill i i OR
<br />, (Name Typed,
<br />NOTARY PUBLI
<br />
<br />r Sta.mped)
<br />
<br />NotlrY PUblic, State of Flor'da
<br />aAhBARA A, ALLISON
<br />My (;011I11I. Exp. M." 26, UI4
<br />COnllll, No. All 7119U'
<br />
<br />
<br />Hilt. fl, PUbll'11 Stata of florida
<br />IiIMIJAR~ At Ald.lao"
<br />My C.",;,., bp,M". 21.1".
<br />Co"'''', No, M ,.t."
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