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<br />CONDITIONS CF ~'~~~~!I~ A~F3:~()V
<br />A. NOTICE OF DEED RESTRICT~ONS
<br />The undersigned understands that this peait lIay-b~-;uLjec' tlJ'(;~~:l reslricLc.ns" 11I1ich may be liore re~trictive than Ci ty
<br />regulations. The undersigned a~sules responsibility fDr co~~~~:al' ~ith any applicable deEd res~rictions.
<br />
<br />B. UNL I CENSED CONTRACTORiL,AND CONTR:jCTDF, Fr=~E;F'CIi'.IE; I DI LIT I ES
<br />If the owner has hired a contrac:tor Dr cOlltrilctors- ~'~naertake wor~they-;;y-Ub~-~~q-~i~;;d~-'b'~-i'icensed in accordance wi th
<br />state and local regulations. If the'contrd:;Ur is .~Dt licensed ~3 required by laM, bDth the owner and contractor lay be
<br />cited for a lisdeleanor violation under sta{~ :d~. If tre owner D. intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended "ork, thlY are advised to contact the City of 7ephyrhills Building Department, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contrac',~l Dr contraLtor~, ~~ ~s advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for which they w~ll JI! (~s~ollsibIE. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are r~spJnsible for thE tlork. 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 persitting privileges in-the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTI! ITY Cm~"IECTIml FEE~,
<br />
<br />D. CONSTRUCTION LIEN LA~ (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 Department of Agriculture and Consuler Affairs. if the',applicant is someone other than the
<br />"owner", I certify that I have obtained a cop~' of the above described document and promise in good faith to deliver it to the
<br />"owner" prior to commencement.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the information in this application is accurate and that all work will be done In cOlpliance with all
<br />applicable laws regulating construction, zoning, and land development.
<br />
<br />Application is hereb~ made to obtain a per.it to do work and installation ~s indicated. I certify that no worK or
<br />installation has com.enced prior to issuance of a perlit and that all work will be perfor~ed to ~eet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is
<br />.y responsibility to identify what actions I iust take to be in co&pliance. Such agencies include but are not li~ited to:
<br />f Departlent of Environmental ReQulation - Cypress Bayheads, Hetland Areas and Environ;,entally Sensitive Lands,
<br />Water/Wastewater -i:eat~rnt
<br />f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Hetland Ar~js, Altering Hatercourses
<br />f ArlY Corps of EnQineers - Seawalls, DOCKS, Nav)gable Water"~~s
<br />f Department of Health ~ Rehabilitative ServicEs, Environlent' Health Unit - Wells, Wastewater Treatment, Septic Tanks
<br />f US Environ_ental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,etc.', it is understDod that a drainage plan
<br />addressing a "compensating volume" 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, Dr
<br />set aside any provisions of the technical codes, nor shall issuance of a per~it prevent the Building Official from thereafter
<br />requiring a correction of errors in plails, construction, or violations of any code. Every per~it issued shall becole invalid
<br />unless the work authorized by such permit is cOlmenced within six months of issuance, or if ~0rk authorized by the permit is
<br />suspended or ahandoned fur a period of six lonths after the tiDe the worK is cOffi~enced. ODe 90 day extension of ti~e, lay be
<br />allowed for the perlit with fee charge of $15.00. The extension shail be reqUEsted in writing to the Building Official. An
<br />approved inspection lust be logged during each six ~onth period, Dr the project will be conside~ed abandoned.
<br />WARNING TO OWNER: lOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 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 HOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMMEIJCEHENT".
<br />
<br />
<br />
<br />STATE OF FLORIDA ~~
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this 6/8.194
<br />
<br />TI::rw IDAards
<br />
<br />was acknowledged
<br />, 19__ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Hillsborol!gh
<br />The foregoing instrument was acknowledged
<br />befctl-e me th i 5 6/8/94 19 by
<br />
<br />Mario Gonzalez
<br />
<br />\o'Jho is pel-<::c,na 11.1 kno\'m to me OKXYXx!lCM~~
<br />i1A~~:K~
<br />as identification and who did/did not
<br />ta!(~ an (oath 'I'~ 1
<br />'-1..-tv\', Q ~ '( ,Il ~..,
<br />(Sig"at~\r~) ·
<br />Gerda C. Newb~rr
<br />(Name Typed, Printed or stamped)
<br />NQ.I I~RV F.:J1E~ Ie
<br />
<br />who is pel-sonally I:nown to me ~s
<br />pr~
<br />as identification and who did/did not
<br />
<br />tU'~oay~> A/,p, k ~
<br />@~natLl\-e) , '-~,
<br />Gerda C. Newberry
<br />(Name Typed, Printed or Stamp~d)
<br />NOTARY PUBLIC
<br />
<br />
<br />~ "ERn' c. ""W.....
<br />o .,. Notary Public. Slote of Florida
<br />. . ~ My Comm. Expires Feb.13..1996
<br />:..- No CC 180670
<br />
<br />..~~~~
<br />: . ~
<br />:..-
<br />
<br />GE!lDA C. NEWRERRY
<br />Nolmy Public. Slale of Florida
<br />My Comm. Expires feb.13..1996
<br />N:1 CC 180670
<br />
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