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<br />CC;:"D~. '.' IONS OF '.~FH< I T (',FF' r L\',) ,: T
<br />
<br />A. NOT I CE OF DEFI'-Rr:::S-r:,ZH CT IONS
<br />
<br />The,undersigned understands that this permit may be subject to "deed restrictions' which ~ay be Dore re5t~ict!ve than City
<br />regulations. The undersigned a5su~es responsibilit'lJorcor.pliance Hith any applicable de~j restrictions.
<br />
<br />B. UNLICENSED CONTnACTORS AND CONTRACTOR RESPONSInILITI~S
<br />
<br />If the owner has hired a contractor .or contractors to undertake Hork, 'they may bo required to be licensed in accordanc~ Nith
<br />state and local regulatiDns. If the contractor is not licensed as required by law, both the ouner and contractDr nay be
<br />cited for a nisdeneanor violation under state laH., If the OHner Dr intended contractor arc uncertain as to Hhat licensing
<br />requirements aay apply for the intended Hork, they are advised 10 contact the City of ZephyrhilJs Building Departaent, 18131
<br />788-6611,
<br />
<br />Furtheraore, if the OHner has hired a contractor or contractors, he is advised tD have the contractor!s) sign portions of the
<br />'Contractor Sections' of this application for Hhich thC''r' will be respe,nsible, If ye,u, as the e'Hnc'r sign as the ce,ntractor,
<br />you are indicating that you, rather than the contractor, are responsible for the Hork. If the contractor Hi5h~s you to sign
<br />as contractor that nay be an indication that he is not properly licensed ~nd is not entitled to per~itting privileges in the
<br />City of Zephyrhills,
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />(CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />
<br />D.
<br />
<br />CONSTRUCTION LIEN LAW
<br />
<br />I certify that I, the applicant, have been provi~ed with a copy of 'Florida's Construction Lien Law - Ho~eowner'5 Protection
<br />Guide' prepared by the Florida Oepart~ent of ngriculture and Consumer nffairs. If the ~pplicant is so:eCne other than the
<br />'oHner', I certify that I have obtained ~ c~py of the above described document and promise in good faith to deliver it to the
<br />"owner' prior to cOI~enceEent.
<br />
<br />: 1 .{ .;~. '.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the information in this application is accurate and that all work Hill be done in co~pliance with all
<br />applicable laHs regulating construction, zoning, and land developeent,
<br />
<br />Application is hereby flade to ohlain a perlit to'~o i~rk and installetion as indicated. I certify that no work or
<br />installation has co~~enced prior to issuance of a perDit and that all wDrk Hill be perfor~ed to roeet standards of all laws
<br />regulating construction, City codes, zoning regulations, an~ land development regulations in the jurisdiction, I also
<br />certify that I ~nderstand that the regulations of other governaental agencies may apply'to the intended Hork, and that it is
<br />my responsibility tc, iden:,ifj' uhat actions I must take to be in compliance, Such ilgencles incllld~ 10111 ~Ie !'IC,t linited to:
<br />
<br />. J _ .~
<br />I Departeen\ e,f Envir(ln~[>nL~1 R{'[)\l]atio!l - Cypress Bayheads, lI~tland Areas ann [flvire1flffil'ntally Scnsi t j \'e L:lnds,
<br />lIater/HasteHater Treatment
<br />f: Se,uthwest Florida \ia\pr l'::_l!il.!le~l!nt District - Hells,' Cypress Bayheads, lIelland Areas, r,Hering Hatercoursr:s
<br />I Arty Ce,rosof Eooirlecr_~ - ~,e"l1al]s, Docks, Navigable Ilatenlays
<br />I Departeent e,f Heal t_b.J.Ji~~Sjhi I i t"live Services, Environrr,ental "e"lth Uni t - l.Jr.lls, lIi,ste\13ter Trc.,d~e",t. Septic Tanks
<br />I US Envinnoent,'I Pr[,t[rtL,;'-,,-DQ(~nc'L - Asbestos abatement
<br />
<br />also certify that, if fill ~3tc'riid is to be used in Flc.od 20ne "n" CoT "A,etc.', it is undc'rste,:,d \1,,11 a drainage plan
<br />addressing a 'cD~pcnsalin~ volu~e" will be 5ublitted Hhich is prepared by a professional engineer registered in the Stale of
<br />Florida prior to peroit issuance,
<br />
<br />A perllit issued shall br, ([,nstrued to be a license to proceed Ilith the m,d: "od nr,t as illlthe,rity Ie, \'ie.]jte, cancel alter, Dr
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Ufficii] fro~ thereafter
<br />requiring a correction ~r errors in plans; constructiDn, Dr violations of any code. Every per~it issl,~j ~haJl becole invalid
<br />unless the He,rk aull,e,ri=d by 5uch permit 'isc('llIl1enced within six months c,r issuanCE', e,r if lie"I. iiutl,e.. ],ed by the perAit is
<br />suspended or abaTldonr,rj fl'], il perie,d e,f six ~onths after the h:lle the \lark is ((,,,:moneed. D'le 7(, cay e~\~,,5i(Oli of tiH, fHY be
<br />alle,tjed fe,r the per",it riitl, floc' chiirge of $15.00. The extensic,n shall be rr~uesterJ in \lritill0 te, the 8l<iJding Official. An
<br />approved inspection ~U5t be logged during each six month period, Dr the proj0ct Hill be considcr2d ~balldoned.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT I N YOUR PAY I NG TW I CE FOR I MPROVEMENTS TO YOUf:~ PROPERTY. I F YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN Al-TORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A II NOT I CE OF Cm1MEf\ICEI1Ef\JT".
<br />
<br />
<br />
<br />SIGNATURE__~kfri5;'~L.LT:f~I'ATun~~-A0;-;&~N
<br />DATE ___~-::_l_-:::._Ci~_______..:_~___,__,_______ DATE _ __!:t=j_~_~~_--_ -- - - -- - - -- -- ----
<br />
<br />NOTARY AS TO vt/ _..-;; . /)
<br />OWNER OR AGENT_~~~ Q..._D.J.!tJ~:~~
<br />KAT7-ILCe.AJ ,IT 13,&u-".J'
<br />MY COMMISSION EXPInES______________________
<br />
<br />NOTARY ~S TO ~f~ ~ fi /
<br />CONTRrICTOn____~~ q.,--L:;;:r~~
<br />~ ;f/lTHLEtD...j .;T.._~.et"L,j
<br />MY COMMISSION EXPIRES__________________
<br />
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<br />,0'---'2(
<br />I.) i,. _ 1991
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