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<br />. . . cor'lD I T IONS OF PERI'1I T (.\FF I Df'l',) 1 T ,
<br />A. NOTICE OF DEED RESTRICTIONS ,
<br />The undersigned understand~ that this p~rlit .ay be~ubject to "deed restrictions' which lay be lore restrictive than City
<br />regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACT(~S AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or c~ntractors to undertake work, they may b~ required to be licensed in accordance with
<br />state and local regulations. If the "contractor is not licensed as required by law, both the oliner and contractor uy be
<br />cited for a .isde.eanor violation under state law. If tne OHner or intended contractor are uncertain as to what licensing
<br />require.ents lay apply for the intended :Iork, they are advised to contact the City of Zephyrhills Building Departlent, 18131
<br />788-6611.
<br />
<br />Furtherlore, if the OHner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions of the
<br />'Contractor Sections" of this application for which they will be respohsible. If you, as the OHner 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 Gay be an indication that he is not pnperly licensed and is not entitled to per.itting privileges in. the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<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 - Ho.eowner's Protection
<br />6uide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />"OHner", I certify that I have obtained a copy of the above described document 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 infor.ation 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 />Application is hereby lade to obtain a per.it 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 Hork 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 govern.ental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify Hhat actie':is I lust take to be in cOlpliance. Such agencies include but are not nliled to:
<br />, Departlent of Environlental ReQulati~n - Cypress Bayheads, Wetland Areas and Environzentally Sensitive Lands,
<br />Hater/Wastewater Treatlent
<br />, Southwest Florida Water ManaQeaent District - Hells, Cypress Bayheads, Hetland Areas, Altering Hatercourses
<br />t ArlY Corps of EnQineers - Seawalls, D~~ks, Navigable Waterliays
<br />, Departlent of Health L Rehabilitative Services, Environlental Health Unit - Hells, WasteHater Treatlent, Septic Tanks
<br />, US Environlental Protection AQency - A:bestos abatelent
<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 "coGpensating volule" Kill be subaitted 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 Hork and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a per_it prevent the Building Official frol thereafter
<br />requiring a correction of errors in plan~, construction, or violations of any code. ~very p~rlit issued shall becole invalid
<br />unless the work authorized by such permit is cOIGenced Kithin six months of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of SIX lonths after the 'the the work is CO&llenced. . One 90 day extension of tile, aay be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in Hriting to the Building Official. An
<br />approved inspection lust be logged durin~ each six month period, or the project Hill be considered abandoned.
<br />YARNIN6 TO OWNER: YOUR FAILURE TO RECORll A NOTICE OF COMMENCEMENT MAY RESULT III YOUR PAYING THICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINAII,:IllS, CONSULT WITH YOUR LElIDER OR All ATTORNEY BEFORE .RECORPINS YOUR NOTICE OF
<br />COMXENCEXENT. JOBS UNDER $2,500 HI VALUi: DO NOT HEED TO RECORD MID POST A "NOTICE OF COI1MEUCEIIEIH".
<br />
<br />
<br />~ '
<br />., .~ K. ~ft~~t1~J
<br />I NATURE: COHTRACTGR
<br />
<br />, ,
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<br />
<br />STATE OF FLORIDA P.
<br />COUIlTY OF Q.. S c...o
<br />The foregoing instrument
<br />before me thisG?ctl '3 .
<br />
<br />was acknowledged
<br />r
<br />, ll/li- by
<br />
<br />j ~~t- .B 14...L.-1<.-~e..LL..
<br />who is personally known to me or who has
<br />produced
<br />as identification and '-lhc. did/did not
<br />take ~ c:2. ~.
<br />
<br />(Signa ~e)
<br />J~ (Lr bd.~t. {i. a tl ;-~~
<br />,(Name Typed .
<br />NOTARY PUBL
<br />
<br />
<br />B...RB"'''''' A. ...LLIION
<br />Not.ry PuIIIIG, It.t' o~:l;~d.
<br />My Comm. bPc' '?\.~'40
<br />Comm. No. CI ..
<br />
<br />,,~. '"l
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF ,- tl.S c... () _
<br />The foregoing instrument was acknowledged
<br />beTct\-e me th i s d>c-t- \. ~ , 19 U- by
<br />
<br />~ G.-Y''L-T- aJ a... C-, k l JJ e- LL-
<br />~ho is personally known to me Dr who has
<br />produced
<br />as identification and who did/did not
<br />
<br />take an or'~~~ gL~
<br />
<br />(Signature) ,
<br />oB t1. riM. '^, r; _ Q / {,'-So Y\..-
<br />(f\l-ame Typed, F'd nt
<br />NOT}.~'{ 'PUBL r ....... .1\...., BAIlf!o\Ii. f 0\ ",q I !j (1 Ii .
<br />- ~ '~NOI~'Y ~"II.I" , . ,., ~!~,rlllil
<br />Ml"c,;::;,"i;u, '~I;k~~'#''t~(!
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