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<br />. CDI'I]) 1 T I OJ\j~> OF F'ER!'i 1 T (')FF I D{'')'v IT,
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this p;I~.it-Alay bE! -;'ubjl!d to "deed restrictions" which flay be iIlore restrictive than Ci ty
<br />regulations. The undersigned assuae5 re.ponsibility for cOMpliance Kith anv applicable deed restrirtio~5.
<br />
<br />B. UNLICENSED CONTRACTC~S AND CONTRACTOR RESPONSI8ILITIE~
<br />If the owner has hired a contractor or r~ntractors to undertak~ Nork, they may be required to be licen~ed in accordance with
<br />state and local regulations. If the "contractor is not I icensed as required b'{ Jaw, both the owner and contractor aay ilE:
<br />cited for a lisde.eanor violation under state l?w. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended :lork1 they are ~~vised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contr~ctDrs, he is advised te have the ~ontractor(s) sign portions of the
<br />"Contractor Sections" of this application for which they will be responsible. If you, as the owner sign 3S the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contract~r wishes you to sign
<br />. as contractor that Day 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 Kith a copy of "Florida's Construction Lien Law - He.ee"ner's Protection
<br />6uide" prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If the applicant is !iOleone other than the
<br />"owner", I certify that I have obtained a copy of the aboye described document and promise in good faith to deliver it to the
<br />'owner" prior to cOllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'e AFFIDAVIT
<br />I certify that all the inforlation in this applicaticn is accurate ~nd that all work will be done in cOlpliance with all
<br />applicable laws regulating constructivn, zoning, and land develop.ent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work Dr
<br />installation has co..enced 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 regulatior.s, and land d~veIQPle~t regulations in the jurisdiction. I also
<br />certify that I understand that th~ regulations of vther governmental agencies lay ap~ly to the intended work, and that it is
<br />.y responsibility to identify what actions I lust take to be in cr~pliance. Su~h agencies include but ~re not li.ited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entaIly Sensitive Lands,
<br />Water/Wastewater Treataent
<br />f Southwest Florida Water ManaQeaent District ,- Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Do~~s, Navigable Waterways
<br />f Departlent of Health ~ Rehabilitative Services, Environlental Health Unit - Wells. Wastewater Treatlent, Septic Tanks
<br />f US Environ.ental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc,", it is understood that a drainage plan
<br />addressing a "coDpensating volume" Hill be submitted which is prepared by a professional engineer registered in the state of
<br />Florida prior ~o perlit issuance.
<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, ncr shall issuance of aperlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plan~, construction, or violations of any code. Every periit issued shall becole invalid
<br />unless the Nork authorized by such permit is cOlee need within six lonths of issuance, Dr if work authorized by the per.it is
<br />suspended or abandoned for a period of SIX lonths after the tile the Hork is cOlIJenced,' One 90 :lay extension of tile, lay be
<br />allowed for the per.it with fee charge of 115.0C. The extension shall be requested in writing to the Building Official, An
<br />approved inspection lust be logged durin) each si~ lIonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTIr.E OF CO~MENCEHENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FIHAII,;JIl6, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COllIIENCEl\ENT. JOBS UNDER $2,500 IN VALUI: DO NOT HEED TO RECORD AND POST f:l "NOTICE OF C0l1t1EIKEtlENT".
<br />
<br />~ K. AOt1.vl,~c
<br />51 URE: O~NER OR AGFN.T
<br />
<br />
<br />. ,
<br />
<br />,
<br />STATE OF FLORIDA ~
<br />COUNTY OF LetS C-o' _
<br />The foregc.ing i~st.Trument Iolas acknowledged
<br />befcl\-e me this .d.!::f..r-l.~. di , 19-1..,L by
<br />
<br />...)t'l v.... 1- a 16..LKuJ~ J I
<br />~ho is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an o_a~~ .r:l. ~
<br />
<br />(SignatUl-e f
<br />
<br />STATE OF FlORIDA~
<br />COUIITY OF y () S c.o
<br />The foregOingJ;t'nstrument was acknowledged
<br />before me th i I J.... t:l\. , il} ~ by
<br />,
<br />
<br />~) a,Y\f'T G IG-Lk \u L. L L
<br />who is personally known to m~ or who has
<br />produced ~
<br />as identification and Iolhc, did/did not
<br />
<br />take;?~ JL ~~
<br />
<br />(Signature)
<br />
<br />
<br />BARBARA A. ALLISON
<br />Notary Public, State 0' Florida
<br />My Comm. Exp. 03.26.98
<br />Comm. No. CC 358940
<br />
<br />(N~me Typ~d, Printed or Stamped)
<br />NOTARY_PUBLI
<br />
<br />
<br />BARBARA A. ALLISON
<br />Notary PUblic, State of Florfda
<br />My Comm. Exp. 03.26.98
<br />Comm. No. CC 358~40
<br />
<br />. (Name Typed, Printed 01- Stamped)
<br />NOTARY PUBLIC
<br />
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