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<br />CONDITIONS OF ~ERMIT AF~J.DAViT
<br />A.. ~OTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit 'lay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. lhl undersigned IlluteS responsibility for co.pliance with any applicable deed restrictions.
<br />
<br />8. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they ~ay be required tD be licensed in accDrdance with
<br />state and local regulations. If the cont'ractor is not licensed as required by laN, Joth the owner and contractor lay be
<br />cited for a lisdeleanor violation under state laM~ If the owner or intended contractor are uncertain as to "hat licensing
<br />requirelents lay apply for the intended work, the~ are advised to contact the City ~1 Zephyrhills Building Departle~t, (813)
<br />788-6611. "
<br />
<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 Sections" of this application for which they Mill 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 Mishes 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 />. 1
<br />
<br />D~ CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I tertify that I, the applicant, have been provided with a copy of "Florida's Construction Lien LaM - HOleowner's Protection
<br />6U\de" 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 docutent and protise 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 Nork "ill be done in cOlpliance with all
<br />applicable laMS regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby .ade t~ obtain a per.it to do Mork and installation as indicated. I certify that no Mork or
<br />installation has cOllenced prior to issuance of a perlit and that all Mork Mill be pe;forled to leet standards of all laMS
<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 .ay apply to the intended Mork, and that it is
<br />IY responsibility to identify what actions I lusl take to be in cOlpliance. Such agencies include but are not lilited to:
<br />f Depart.ent of Environ.ental ReQulation - Cypress Bayheads. Wetland Areas and Environlentally Se~sitive Lands,
<br />Water/WasteMater Treatlent
<br />f Southwest Florida Water "anaQeaent District - Wells, Cypress Bayheads, Wetland Areas, .Altering Watercourses
<br />f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Depart.ent of Health & Rehabilitative Services. 'Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection Aaency - Asbestos abatelent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "colpensating volule" will be sublit~ed 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 Mork 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 fro. thereafter
<br />requiring a correction of errors in plans, construction, Dr violations of any code. ~very perlit issued shall becole invalid
<br />unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended Dr abandoned for a period of six lonths after the tile the Mork is cOI.eneed. One 90 day extension of tile, lay be
<br />allowed for the per.it with fee charge of $15.00. The extension shall be requested i~ 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 />WARNIN6 TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMKENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CD" CEMENT. JOBS UNDER $2,50 At E DO NOT NEED TO RECORD D POST A "NOTICE OF COHKEN T"
<br />
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF P A ~ '-0
<br />The foregoing instrument was acknowledged
<br />before me this (Xi- IL, 19~ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF PA 5 '-0 _
<br />The foregoing instrument was acknowledged
<br />befclre me this .Pct lL, 19~ by
<br />
<br />g2.0M~ v'. ()~
<br />who is personally known to m r who has
<br />produce
<br />as identification and who diI/did not
<br />take an oath. ~1>>- ~
<br />
<br />(Signature)
<br />
<br />.) ~(l"\G W,
<br />~ is personaliy Known to
<br />produced
<br />as identi ficati)j
<br />take an oath.
<br />
<br />p~
<br />mefir who has
<br />
<br />who cn:d-/did ne,t
<br />
<br />(Signature)
<br />
<br />
<br />~
<br />
<br />(Name Typed, Prlnted or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />NAfAllE SWAN
<br />N<?t_ry Public, St_te ot florIda
<br />My Cornm. Exp. Oct. 12, 1999
<br />Comrn, No. CC 501333
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />NATALIE SWAN
<br />Notary Public, State of Florida
<br />My Comm. Exp. Oct. 12, 1999
<br />Comm. No. CC 501333
<br />
<br />""""'
<br />
<br />:;.t...."~
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