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<br />H. f'lUl.lLt:. ur uc..c.u ,-.d.::....JIJ\....I.l...rI..L\...JI't...J
<br />The.ond:rsigned understa~ds that this perlitlay be subject to "deed restrictions" which Gay be lore restr.ictive t~an City
<br />. regulatIons. The undersIgned assules responsibility for cOlpliancewith ~ny appli~able deed.re~tricttons.
<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 nol 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 work, they are advised to contact the Crty of Zephyrhills Building Depart.ent, (B131
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) 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 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 />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 Consuler 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 />"owner" prior to cOllencelent.
<br />
<br />./
<br />;1
<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 />a~plicable laws regulating construction, zoning, and land developlent.
<br />
<br />I
<br />
<br />Application is hereby lade to obtain aperlit 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 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 liaited to:
<br />I Departlent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />I SouthNest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I De artlent of Health L Rehabilitative Services Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I Environ.ental Protection AQency - Asbestos 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 "colpensating volule" will be sublitted which is preppred by a professional engineer registered in the State of
<br />Florida prior to perlit issuaQce.
<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 fro. 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 cO.lenced within six lonths of issuance, or if work authorized by the pertit is
<br />suspendeq or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, aay be
<br />allowed for the perait with fee charge of $15.00. 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 COMMENCEMENT HAY RESULT IN YOUR PAVING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF VOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT ,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />
<br />STATE OF FLORID~J?
<br />COUNTY OF ~5 (!A)
<br />The foregoing ~en(.was acknowledged
<br />before me this , 19~ by
<br />
<br />firE V, J.-J I< Y U A N
<br />who is personally known to me or who has
<br />produced
<br />as identification and who a+d/did not
<br />take a ath.
<br />
<br />.STATE OF FLORIDA
<br />COUNTY OF P If S('.A'l
<br />. The foregoing instrument was acknowledged
<br />before me this ~<; ~' 19~ by
<br />
<br />K~VIL__y_~rj
<br />who is personally known to me or who has
<br />produced
<br />as identificatic.n and wrw .e..1-El/did nc.t
<br />take~yett1--- if
<br />. ~A~".A~9' -01..cr.L~
<br />(Signatu',-e) _ "/ /J
<br />kf1n.l/~ J. brl77-J,.}
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />(Signature)
<br />J{ /1-71-1 J €.EAJ . R R N I ..il it
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />tit
<br />
<br />K/" ,. . J. BROWN
<br />;C~orida
<br />My ~ ~tl=l"
<br />
<br />
<br />KATHLEEN J. BROWN
<br />S1ale of FlorIda
<br />My Cornm. EI& AprIl 2. 1995
<br />Comm.' CC 095617
<br />
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