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<br />A. NOTICE OF DtED R~ICTIC,
<br />'lhe undersigned undershnds thit this perlit lay be subject to "deed restrictions' ..hich IiY be lore restr ictivl ~hil" r.i ~y
<br />reguliltions. The undersiuned ilSSUIIS responsibility for coapliilnce lIith any applicable deed restrictipns.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ollner hilS hired iI I:ontrilctor or contractors to underhke IIOrk, they lay be required to be licensed in accordance I.ith
<br />stilte and local reguliltiol~. If the contractor is not licensed as required by laN, both the ONner and contractor lay be
<br />cited for a lisdeleanor v Lolation under stite IaN. If the ONner Dr intended contractor are uncertain as to !Chat licensi;lg
<br />requirelents lay apply for the intended .ork, they are advised to contact the City !:If Zephyrhills Building Deparhent, IIJl3)
<br />788-6611.
<br />
<br />Furtherlore, if the ollner has bired a contractor or contractors, he is advised to have the contractor 15) sign portions of the
<br />'Contrilctor Sections" of 1~his application for Nhich they lIill be responsible. If you, as the ollner sign as the contract3r,
<br />you are indicating that yuu, rather than the contractor, are responsible for the lIork. If the contractor IIi shes you to iign
<br />i1S contrilctor that lay be an indication that be is not properly licensed and is not entitled to perlitting privileges in the
<br />City .f Zepbyrhills.
<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 tbilt I, the i1pplicant, t,ave been provided lIith a copy of 'Florida's Construction Lien Lall - HOleollner's Protection
<br />&vide" prepared by the Florida De~'irtaent of Agriculture and Consuler Affairs. If the applicant is SOleone other than the
<br />"Ollner', I certify that I have obtained a copy of the above described doculent and prolise in good faith to deli~er it to the
<br />"owner" prior to cOlleneelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlitioll in this application is accurate and that all 1I0rk ..ill be done in COlpliance Nith all
<br />applicable laMS regulating constrl~tion, zoning, and land developaent.
<br />
<br />Application is bereby lade to obbin iI perlit to do IIOrk and instillation as indicated. I certify that no 1I0rk elr
<br />inshllation has couence'd prior -to issuance of a perait and that all 1I0rk IIi 11 be perfoned to leet standards of all lilllS
<br />regulating construction, City codl!s, zoning regulations, and land developlent regulations in the jurisdiction. II also
<br />certify that I understanl!, thilt thl! regulations of other governlental agencies lay apply to the intended 1I0rk, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited 1:0:
<br />I DeDartlent of Environlp.ntal ReQalation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/WasteMater Treatlent
<br />I Southllest Florida Water "anaQel~nt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY CorDS of EnQineer!l - SeaMalls, Docks, Navigable Waterways
<br />I Departlent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I US Environlental Protection AQe~ - Asbestos abatelent
<br />I alSD certify that, if ~fil1 latl!rial is to be used in Flood Zone "A" or "A,etc,', it is understood that a drainage pblB
<br />addressing a 'colpensatil~g VOIUI." lIill be sublitted ..hich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perait issued shall be construi!d to be a license to proceed lIith the 1I0rk 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 plans, construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the 1I0rk authorized by sUI:h perlit is cOllenced IIi thin six lonths of issuance, or if work authorized by the perlit is
<br />suspended Dr abandoned for a perilod of six lonths after the tile the lIork is cOllenced. One 90 day extension of tile, lay be
<br />allolled for the perlit Mith fee l:harge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be 10ggl~d during each six lonth period, or the project will be considered abandoned.
<br />WARMING TO OWNER: YOUR FAILURE 'ro RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROVEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />
<br />
<br />7S;~~~T~roR~DAA2TI7;?A
<br />
<br />SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR
<br />
<br />-
<br />
<br />STATE OF FLORI~
<br />COUIITY OF ~ J
<br />The fc,regoing iMtrument was acknowledged
<br />before me this~!LJ. Ib _' 194:) by
<br />
<br />l.LfAP~ L~) ItiA- -
<br />who isfpersonally knowT!)to me Dr who ha-;
<br />produced ------
<br />as ide ific: ~,hO did/did not
<br />take oa _ ~
<br />~
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF 'Oil r <:" 6
<br />The foregoing l~~trument
<br />before me this IWv,; &
<br />
<br />.
<br />was ac:knowledgli!d
<br />, 19~ by
<br />
<br />who i ersonally
<br />produced
<br />as identif'
<br />take an 0
<br />
<br />
<br />-
<br />ha's
<br />
<br />
<br />GAIL Y. GRINDLE
<br />Netary ~~t~ul FlulldCi -
<br />(Name Typed, PrinMyJcdHim. 'r. 25. 199f1
<br />NOTARY PUBLIC Comm. No. CC 368560
<br />
<br />( ignature) Y GRINDLE
<br />GAIL. 9f flnrlrla
<br />(Name Typed, Pr i nteMomry ~~~~1:ar. 25. 1998
<br />NOTARY PUBLIC My C~~mm. No, CC 368560
<br />
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