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<br />.~ COt.'11JITIOj'~S OF F'ERI"11T {~FFID{~'vIT I
<br />A. NOTICE OF DEED RESTfICTION$ ,
<br />The undersigned understands that this perli tuy be subject to 'deed restrictions' which aay 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 t~ntrattors to undertake work, they may be required to be licensed in accordance with
<br />state and local regulations. If the.tontr~ctor is not licensed as required by law, both the owner and contractor lay be
<br />cited for a lisdueanor violation under state lall. If the owner or intended contractor are uncertain as to "hat licensing
<br />requirelents lay apply for the intended :lork, they are advised to contact the City of Zephyrhills Building Departlent, 1813J
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsJ 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 pr,perly 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 docu.ent and pro.ise in good faith to deliver it to the
<br />"owner" prior to cOI.encelent.
<br />
<br />E. CONTRACTOR'S/OWNER'~ 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 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 actio:is I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water "anaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health L Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />f US Environ.ental Protection AQency - Asbestos abate.ent
<br />I also certify that, if fill laterial i~ to be used in Flood Zone "A" or "A,etc,', it is understood that a drainage plan
<br />addressing a 'coapensating volu.e" Mill 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 Mork 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 work authorized by such permit is co..enced within six months of issuance, or if Mork authorized by the per.it is
<br />suspended or abandoned for a period of SlX looths after the tile the work is cOllenced. . One 90 day extension of tile, 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 lust be logged durili) each six lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORil A NOTICE OF COHnENCEHENT KAY RESULT IN YOUR PAYING TWICE FOR IHPROVEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FIHAlh:IllS, CONSULT \lITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUI: DO HOT HEED TO RECORD AND POST A 'NOTICE OF COMMENCEMENT".
<br />
<br />~.' /?d....R ~." ff7~
<br />
<br />SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR
<br />
<br />. \
<br />
<br />STATE OF FLORIDA. P .
<br />COUNTY OF tJ _ CV. s. C'~.6'L.:.... ,
<br />The foregoi 'instrument was acknowledged
<br />before me this ~,;J,o, 19...z:.:s::-by
<br />
<br />/<-(> () (L n T ((0})-9 \'" ]". '\
<br />who 'S personally known to me or who has
<br />produced
<br />as identification and whc1 did/did ncd;
<br />t~n oath. ----
<br />k_.::r KB P"'j'~M~/
<br />(Si ature> /
<br />J Q.. VI e..i B fa.. c f:':U.J1!-- !/L
<br />,(Name Typed, Printed (,r Stamped)
<br />NOTARY PUBLIC
<br />
<br />.
<br />STATE OF FLORI~
<br />COUNTY OF ~
<br />The foregoing instrument
<br />befc,re me this.J'fA'-li .
<br />
<br />was acknowledged
<br />19~ by
<br />
<br />~ u,'-n. ]'. ,eH:Ju'iS..
<br />~ho is personally known to me or who has
<br />produced
<br />as identification and who did/d~~not
<br />take an oath. ,Q.O... _'-..'..110 (.
<br />~~:tK.~
<br />(S. at~}-e> '
<br />~ a..n..::t 13 /tU...-K w -e- L
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLrC
<br />
<br />~i'
<br />
<br />'l...~
<br />-ft.
<br />s-
<br />
<br />Notary Public. State of Florida
<br />IA"n BLACKWELL
<br />My Cum"', Exp, 9-18-96
<br />Comm. No. Cf,; 228545
<br />
<br />Notary Public, State of Florida
<br />J.'.. E' I BLACKWELL
<br />My C~mm, Exp, 9-18.96
<br />Comm. NO, CC 228545
<br />
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