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<br />. COl-IJJI T IONS 0[= PER!'U T (-'IFF 1 D {.'\ 'v! T .
<br />A.' :NOTltE OF DEED RESTF<ICTIONS '
<br />The undersigned understinds thit this p~rlit .ay be-;ubJect to "deed restrictions' which Eay be lore restrictive than City
<br />regulitions. The undersigned iSSUle~ re;ponsibility for cblplianc~ with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACT(~S AND CONTRACTOR RESPONSIBILITIES
<br />If the owner hiS hired a contractor or c:.ntractors to undertake worK, they may b~ required to be licensed in accordince with
<br />state and local regulations. If the .'contractor i~ not licensed as required by law, both the OHner and contrictor uy be
<br />cited for i lisdeleanor violation under state law. If tne owner Dr intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended :Jork, they are advised to contact the City of Zephyrhills Building Departlent, 1813)
<br />788-6611.
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<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />'Contractor Sedions' of this application for which they Hill be respollsible. If you, as the owner sign as the conttador,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor Nishes you to sign
<br />. as contractor that aay be an indication that he is not pr-Jperly 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 document and pro~lse. in good faith to deliver it to the
<br />'owner' 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 HorK will be done in cOlpliance Nith all
<br />applicable JaHs regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a p~r.it to do Hork and installation as indicated.. I certify that no work or
<br />instdllation has cOllenced prior to issuance of a perlit and that all work Hill be performed 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 reguldtions of other governmental agencies .ay apply to the intended Hork, and that it is
<br />IY responsibility to identify what actiDils I lust take to be in cOlpliance. Such agencies include but are not Iilited to:
<br />f Departlent of Environ.ental ReQulatiDn - Cypress Bayheads, Wetland Areas and EnvironJentally Sensitive Lands,
<br />Hater/Hastewater Treataent
<br />f Southwest Florida Water HanaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Hatercourses
<br />t ArlY Corps of EnQineers - Seawalls, DD~ks, Navigable Waterways
<br />f Departlent of Health ~ Rehabilitative Services. Environ.ental Health Unit - Hells, Wastewater Treatlent, Septic Tanks
<br />f US Environaental Protection AQency - A:bestos abateaent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.', it is understood that a drainage plan
<br />addressing a 'coepensating volute' Kill be subaitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it issuance. .
<br />
<br />A perlit issued shall be construed to be a license to proceed Kith the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of aperlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plan1, construction, or violations of any code. ~very perlit issued shall beco.e invalid
<br />unless the Nork authorized by such permit is cOIDenced Kithin six months of issuance, or if Hork authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the .the the Hork is cOlllJenced. ' One 90 day extension of tin, ny be
<br />alloKed for the perlit Hith fee charge of 115.00. The extension shall be requested in writing to the Building Officiil. An
<br />approved inspection Gust be logged durin~ each six month period, or the project will be considered abandoned.
<br />I/ARliIN6 TO Ol/HER: YOUR FAILURE TO RECORIl A NOTICE OF COIitlEllCEKENT HAY RESULT III YOUR PAYING IIIiCE FOR ItlPROVEtlEHTS TO YOUR
<br />PROPERTY. JF YOU INTEND TO OBTAIH FIHA"~I"6, COHSULT IIITH YOUR LENDER OR AN ATTORNEY DEFORE RECORDING YOUR NOTICE OF
<br />COKXENCEHENT. JOBS UNDER $2,500 IN VAlU~ DO NOT HEED TO RECORD AND POST A .NOTICE OF COMMEHfEMENT'.
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<br />I
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<br />~o.......t .fJp It-J.t ~ ~ {J
<br />SIGNATURE: COIHRACTOR .
<br />
<br />~~"..I
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />befcll-e me th is ,)..l} ~ t1f \'4~ ' 19 7.,,- by
<br />
<br />j Cl--v\. t'-.1"" B [11 r Jk.uJ~.LL
<br />'I-Iho is per SOlla 11 y knol'lI1 to me or whc. has
<br />produced
<br />as identification and who did/did not
<br />take an oa~t ~ : ~.ciz.t"l <-
<br />__ ~ .X. ~ .JI'io}.
<br />(Signatu'(e) --
<br />
<br />PCLS ~
<br />
<br />STATE OF FLORIDA ~
<br />COUIITY OF "L- 'Q...S c..o
<br />The forR';:!!) \. ng instrument I-I.:\S acknowledged
<br />before me this ~<t"'Q,.r 11)..L.S:. by
<br />
<br />J ~.d- 6 /A..t.-.ilWU L
<br />who is personally known to me Dr who has
<br />produced
<br />as identification and ,./hc. did/did not
<br />
<br />take Il~ ,(J. ~~~./
<br />
<br />(Signat
<br />~" BARBARA A. ALLISON
<br />, TJ
<br />. (Name T pe Pr ' rlM;.~~c~tmt~l!d )
<br />NOTARY
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