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<br />cmiD I T IONS OF PER!'U T .{~r 1- 1 DP\'v I T \
<br />A. NOTICE OF DEED RESTRICTIONS
<br />T~e undersigned understands that this p~rlit 'aay be -~ubiect to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for cb.pliance Kith any applicable deed restrictions,
<br />
<br />B. UNLICENSED CONTRACT(~S AND CONTRACTOR RESPONSIBILITIES
<br />If the ONner has hired a contractor or c~ntractors to undertake Nork, they may be required to be licensed in accordance Nith
<br />state and local regulations, If the'tontr~ctor is not licensed as required by laK, both the ONner and contractor lay be
<br />cited for a lisdeleanor violation under state law. If the ONner Dr intended contractor are uncertain as to Khat licensing
<br />require.ents lay apply for the intended :Iork, they are advised to contact the City of Zephyrhills Building Departlent, 19131
<br />799-6611.
<br />
<br />Furtherlore, if the OKner has hired a contractor Dr contractors, he is advised to have the contractorlsl sign portions of the
<br />'Contractor Sections' of this application for Nhich they Mill be responsible. If you, as the ONner sign as the contractor,
<br />you are indicating that you, rather. than the contractor, are responsible for the Nork. If the contractor Nishes you to sign
<br />, as contractor that lay 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 Kith a copy of "Florida's Construction Lien LaN - HOleoNner's Protection
<br />Guide' 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 proiise 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 Hork will be done in cOlpliance Nith all
<br />applicable laMS regulating construction, .oning, and land developlent,
<br />
<br />Application is hereby lade to obtain a perlit to do Mork and installation as indicated. I certify that no Mork or
<br />installation has cOllenced prior to issuance of a per.it and that all Nork Nill be perforled to leet standards of all laNs
<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 Nork, and that it is
<br />IY responsibility to identify what actioils I lust take to be in cOlpliance. Such agencies include but are not li.ited to:
<br />. Depart.ent of Environlental Reoulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
<br />Water/WasteNater Treataent
<br />. Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />. ArlY Corps of Enoineers - Seawalls, Docks, Navigable WaterMays
<br />. Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Hells, Wastewater Treatlent, Septic Tanks
<br />. US Environ.ental Protection AQency - A:bestos abatelent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc,", it is understood that a drainage plan
<br />addressing a 'colpensating volule" Mill be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance. '
<br />
<br />A per.it issued shall be construed to be a license to proceed Nith 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 per.it prevent the Building Official frol thereafter
<br />requiring a correction of errors in plan~1 construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the Nork authorized by such permit is co.menced Hithin six months of issuance, or if work authorized by the perlit is
<br />suspended Dr abandoned for a period of six lonths after the'tile the work is cOIDenced, . One 90 day extension of ti.e, lay be
<br />alloNed for the perlit Hith 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 Kill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORll A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FIHAllW16, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMKENCEI1ENT. JOBS UNDER $2,500 IN VALUI: DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMEllCEMEIH",
<br />
<br />
<br />Q ,
<br />~~-A'~/dJ
<br />
<br />GNATURE: CONTRACTOR
<br />
<br />
<br />~I'~.-L~~J
<br />
<br />: OWNER OR AGENT
<br />
<br />, \
<br />
<br />was acknowledged
<br />, 1 (/ -2i.. by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Pasco
<br />The foregoing instrument
<br />befc,n~ 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 />"Ias ackno"lledged
<br />, 191..4.- by
<br />
<br />Janet Blackwell
<br />~ho is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />take ~~~, '<X
<br />
<br />(SignatUl-e)
<br />Ril rhil ril A 11 ; ,nn
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLrC
<br />
<br />Janet Blackwell
<br />who i~ personal I y l:no"ln to me c.r who has
<br />produced
<br />as identification and whc. did/did not
<br />take an ~~h: / _ ~ _ t'/ /l n.
<br />~ 2L yt/fJ/:M10
<br />(Signature)
<br />Ril rhil ril A 11 ; ,nn
<br />,(Name Typed, Pr inted Dr Stamped)
<br />NOTARY PUBLI
<br />~.,
<br />
<br />'~
<br />11-"'"--'
<br />
<br />
<br />
<br />Notary Public, State of F:,.
<br />BARBARA A. ALLISoN
<br />My Comm. Exp. Mar. 26, V/li'1 ;
<br />pomm. No. AA 759~ l, I
<br />
<br />Notary PUblic .
<br />M DARBARA ~1~ILeLof Florida
<br />Y Com", t.' ISON
<br />Comm: ,../,...M...-,"1I26. 1994
<br />. 9137
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