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<br />cmlD I T IONS OF F'ER!'H T (~FF I D(~'v IT,
<br />A. NOTICE OF DEED REST~ICTION~
<br />The undersigned understands that this perlit ~ay be subject to "deed restrictions" which lay be lore restrictive than City.
<br />regulations. The undersigned assules re5ponsibility for cOlpliance Kith any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACT[~S AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or c~ntractors to undertake work, they may be required to be licensed in accordance with
<br />state and local regulations. If the "contdctor is not licensed as required by laH, both the owner and contractor laY be
<br />cited for a lisdeleanor violation under state law. If the ONner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended :lorK, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the OHner 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 ONner 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 Bay be an indication that he is not prJperly 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 Hith a copy of 'Florida's Construction Lien LaN - 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 />"OHner" 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 Hill be done in cOlpliance with all
<br />applicable laws regulating construction, .oning, 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 Hork Hill be perforled to leet standards of all laws
<br />regulating construction, City codes, .ooing regulationsj 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 work, and that it is
<br />IY responsibility to identify what actioilS I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />t Depart.ent of Environlental Reoulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands,
<br />~ater/Wastewater Treatment
<br />t Southwest Florida Water Manaoeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering ~atercourses
<br />t Ar.y Corps of Enoineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US Environlental Protection Aoency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used i.n Flood Zone "A" or 'Aletc.', it is understc.od that a drainage plan
<br />addressing a "coBpensating volule' Mill be subaitted which is prepared by a professional engineer registered in the State of
<br />Florida prior t~ perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed Nith 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 plan~, construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the Nork authorized by such permit is cOllenced within six months of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of SIX tonths after the 'tile the Hork is cOIBenced. . One 90 day extension of ti.el .ay be
<br />allowed for the perlit with fee charge of 115.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged durinJ each six month period, or the project will be considered abandoned.
<br />WARNING TO OWIIER: 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 FINAIJ,:IIl6, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE ,RECORDING YOUR 1I0TICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUt: DO HOT HEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT'.
<br />
<br />
<br />~ '
<br />,0 h ..fYLLL~
<br />STURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />befcq-e me th i s
<br />
<br />was acknowledged
<br />, 11/_ by
<br />
<br />1'laS acknc'l'lledged
<br />, 19_ by
<br />
<br />
<br />~ho is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />take an oa t2.;Q", ,/1. ~ "<2, r;:) n 1'1 _A~'
<br />~-?~
<br />(SignatUl-e) &'~<<o. j/, )(((~
<br />
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLrC
<br />
<br />
<br />BARBARA A
<br />Notary Public St ALLISON
<br />My Comm. 'Expa~3cf Florida
<br />, OO,"In, 1'41>, OQ il!J;l964~8
<br />
<br />BARBARA A. ALLISON
<br />No:;ry Public, Stata of FlorIda
<br />y Comm. Exp. 03.26.98
<br />g..",II'I. No. gg 398949
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