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<br />cmll) I T I OI\jS OF PEFWI1 T {~FF I D(2)',)l T \
<br />A. NOTICE OF DEED RESTGICTION~
<br />The undersigned understands that this perlit .ay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations, The undersigned assules re;ponsibility for cOlpliance 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 be required to be licensed in accordance with
<br />state and local regulations. If the .'contractor is not licensed as required by law, both the owner and contractor uy be
<br />cited for a lisdeleanor violation under state law, If the owner or intended contractor are uncertain as to what licensing
<br />requireaents lay apply for the intended :Iork, they are advised to contact the Ci~y of Zephyrhills Building Departaent, 19131
<br />799-6611 ,
<br />
<br />Furtherlore, if the owner 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 responsible, If you, as the owner 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 siqn
<br />, as contractor that eay 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 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 docu~ent and pro&lse in qood 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 work Hill be done in cOlpliance with all
<br />applicable laws requlating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a p~rlit 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 work will be perforled to leet standards of all laNs
<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 governmental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actiDiis I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treataent
<br />f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, DDcks, Navigable Waterways
<br />f Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />f US Environlental Protection ~Qency - A=bestos abatement
<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 'co~pensating volu!eb Hill be sJbaitted which is prepared by a professional engine~r registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perait 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 aperlit prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plan~, construction, or violations of any code, ~very perlit issued shall becole invalid
<br />unless the Mork authorized by such per~it is co..enced 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 couenced,' One 90 day extension of tile, lay be
<br />alloNed for the perlit Hith fee charge of $15.00, The extension shall be requested in writing to the Building Official, An
<br />approved inspection lust be logged durin~ each six tonth period, Dr the project will be considered abandoned."
<br />WARNING TO OWNER: YOUR FAILURE TO RECORIl A NOTICE OF COMMENCEMENT HAY RESULT III YOUR PAYING THICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. If YOU INTEND TO OBTAIN FINAIJ::Jl16, CONSULT HITH YOUR LEHDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COKKENCEIIENT. JOBS UNDER $2,500 IN VALU,: DO NOT HEED TO RECORD AND POST A "NOTICE OF COI1MEI1CEMEHT".
<br />
<br />~'L t).pA.I'.k{!.U.
<br />SIGNAT : OWNER "OR AGENT
<br />
<br />~
<br />
<br />I
<br />
<br />r2>f A~~L~'~ ~f
<br />CONTRACTOR
<br />
<br />F~.. '.
<br />
<br />
<br />I-laS a~knOWledged
<br />III ft, h"
<br />'1 - "__ .J{
<br />
<br />STATE OF FLORIDA e
<br />COUNTY OF _ OA ~ _
<br />The foregoing i(\tl-ument I-las acknc'I-lledged
<br />tH:!"fr..\-e !ne ~.h; S 1ft.-' c:r .,; 1 Q ..1.. ~_ hy
<br />
<br />
<br />'I-lho iS~~~Y ~!~~'~o ~;~hC' has
<br />
<br />produced
<br />as identification and who did/did not
<br />take an oath4~(.? ~~
<br />
<br />(Signatu'l-e)
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF . ~
<br />The foregoing i strument
<br />b"'fo"'" m", th; e ..-. ~
<br />.... ,.' ...- I..~
<br />
<br />4,...t:..
<br />who 15 personally known who has
<br />produced
<br />as identification and whc' did/did not
<br />
<br />take antf~ f? ~
<br />
<br />(Signature)
<br />
<br />-
<br />,(Name Typed, Printed co)- Stamped)
<br />NOTARY PUB
<br />
<br />
<br />BARBARA A, ALLISON
<br />Notary Public, Stata of FlorIda
<br />My Comm. Exp. 03.26.98
<br />Comm. No. CC 358940
<br />
<br />
<br />I!"'~"H"'\ A, ALLISON
<br />N~l"'y ,"Wqlle, State r,t Florida
<br />t.,y Oamm. E.p, 03.26.98
<br />Camm, No. CC 358940
<br />
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