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<br />A. NOTICE OF D~~D RESTRICTIONS
<br />The undersigned understands that this perlitlay be sub;ect to .deed restrictlons" which lay be lore restrictive than Ci~y
<br />regulations. The undersi!lned .S5U1tS responsibility for co.pliance .ith any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ollner has hired a c:ontractor or contractors to undertake 1I0rk, they lay be required to be licensed in accordance ,.ith
<br />state .nd local regulations. If the contractor is not licensed .s required by law, both the owner and contractor lay be
<br />cited for il lisdeleanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensi;~g
<br />requirelents lay apply for the intended lIork, they are advised to contact the City Clf Zephyrhills Building Deparhent, (U31
<br />788-6611.
<br />
<br />Furtherlore, if the ollner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions of the
<br />"CoAtractor Sections. of this application for which they lIill be responsible. If you, as the owner sign as the contract~r,
<br />you are indicating that you, rather th.n 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 properly 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 lIith a copy of "Florida's Construction Lien Law - HOleollner's Protection
<br />6uide. prepared by the Florida Depart..nt of Agriculture and Consuler Affairs. If the applicant is SOleone other than the
<br />"o.ner., I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />.0Mner. prior to cOlllnee..nt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laMS regulating construction, zoning, and land develop.ent.
<br />
<br />Application is hereby lade to obtain a perlit to do MOrk and installation as indicated. I certify that no work Dr
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all lillS
<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 1I0rk, and that it is
<br />IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not lilited to:
<br />I Departlent of Environlental Reaulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastellilter Treatlent
<br />I Southwest Florida Water "anaaelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Enaineers - Seallalls, Docks, Navigable Waterways
<br />I DeDartlent of Health 1 Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I US Environaental Protection Aaency - Asbestos 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 plall
<br />addressing a .colpensating volu... Mill be sublitted IIhich is prepared by a professional engineer registered in the Stat.e of
<br />Flarida prior to 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, nor shall issuance of a perlit prevent the Building Official frol therl!after
<br />requiring a correction of errors in plans, construction, or violations of any CClde. Every perlit issued shall becole invalid
<br />unless the work authorized by such perlit is cOllenced IIi thin six .onths of issuance, Of if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the work is COI.enced. One 90 day extension of tile, Ilay be
<br />allPMed for the perlit lIith fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"KENCEKENT "AY RESULT IN YOUR PAYING TWICE FOR IHPROVEKENTS TO 'YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CDftKENCEK~T. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHHENCEHENT".
<br />
<br />,fZ~j/lJ- ~III-/
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<br />SIGNATURE: OIIIIER OR AGEtiT. SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLOR~
<br />COUMTY OF r-~~
<br />The foregoing i~trument
<br />before me this v./&
<br />
<br />
<br />was acknowledged
<br />, 191'-f- by
<br />
<br />STATE Of FL~A
<br />COUNTY OF <L c)
<br />The foregoing in~trumeDj,
<br />before me this 1!iJ,1 I~~
<br />
<br />was acknowledged
<br />, 19.zf:- by
<br />
<br />to me or who haoi
<br />
<br />
<br />-
<br />or whc, ha~;
<br />
<br />did not
<br />
<br />GAil Y. GRINDLE
<br />(Name Typed, Pr i nteNPt@,~ ~p~ OT tlorl~~8
<br />NOTARY PUBLIC My comm, exprrss ar. 25, 1
<br />Ce,rr,1:1 ',\,} CC 368560
<br />
<br />-
<br />(Name Typed, Pr i ntmtity PiiNl~. of Florida
<br />NOTARY PUBLIC 'Mv comm. expires Mar. 25. 19951
<br />, comm ~):J CC 368560
<br />
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