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<br />,",UI"IIJ J. I J. Uf"t3 IJr rL.;'\ITI.L I Hr r .L uri V .i. I
<br />~. NOTICE OF DEED RESTRICTIONS
<br />'The und~rsigned understa~ds that this per.it .ay be subject tt "deed restrictions' which eay 'be .orerestrictiv~ than City
<br />regulations. The underSigned assuaes respo/lsibility for cD.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the Dwner has hired a contractor Dr contractors to undertake work, they .ay be required to be licensed in accordance with
<br />s~ate and IDc~1 regulations. If the contractor is not licensed as required by law, both the owner and cDntractor .ay be
<br />clte~ for a Ilsde.eanor violati~n under state IaN. If the ONner Dr intended contractor are uncertain as to what licensing
<br />requlre.ents lay apply for the Intended wDrk, they are advised to contact the City of Zephyrhills Building Departlent 1813J
<br />788-6611. '
<br />
<br />Further.ore, if the ONner has hired a contractor Dr contractors, he is advised to have the contractor(s) sign portions of th,
<br />.ContractDr 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 tD sign
<br />al cDntractor that lay be an indicatiDn 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 Nith a copy of "Florida's Construction Lien LaN - Ho.eoNner's Protection
<br />Suide. prepared by the FIDrida Depart.ent Df Agriculture and Consuler Affairs. If the applicant is so.eone other than the
<br />.owner" , I certify that I have obtained a copy of the above described docu.ent and prolise in good faith to deliver it to tbe
<br />.owner. prior to cOI.encelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlatiDn in this application is accurate and that all work will be done in cOlpliance with all
<br />appliCable laws regulating construction, zoning, and land developlent.
<br />
<br />ApplicatiDn is hereby lade tD Dbtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a per.it 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. 1 also
<br />certify that 1 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 1 lust take to be in cOlpliance. Such agencies include but are not Iilited to:
<br />. Departlent of Environlental Requlation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />. Southwest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />. ArlY Corps of Enqineers - Seawalls, DOCks, Navigable WaterMays
<br />. Departlent of Health L Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />, I US EnvirDnaentaI Protection Aqency - Asbestos abate.ent
<br />I also certify that, if fill .aterial is tD be used in Flood Zone .A" or "A,etc,", it is understood that a drainage plan
<br />iddressing a .co.pensating volule. .ill be sub.itted which is prepared by a professional engineer registered in the State Df
<br />FIDrida prior to perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the Nork 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. thereaft.r
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall bee ole invalid
<br />unless the work authorized by such perlit is cOI.enced within six lonths of issuance, or if Mork authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the work is cOI.enced. One 90 day extension of ti.e, lay be
<br />allowed for the perlit with fee charge of $15.00, The extension shall be requested in writing to the Building Official. An
<br />approved inspection .ust 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 CO"KENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR I"PROYEKENTS TO YDUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CDftftENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COftKENCEKENT".
<br />
<br />SI6JlATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />WTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />, The foregoing instrument
<br />befc.re me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and'who did/did not
<br />take an oath.
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(SignatUl-e)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI C
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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