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GOI-IJ)!TIONS OF PERI'llT (~FFID{~'.,IIT I 'A. Nl'Ji:tC~b'F" b~E:t) 'RESTFHCTIONs.? . The undlJ)slgneduiideishn6i that this perlit llay lie sublect to 'deed restrictions" llhich Eay be lore restrictive thiln City regulations. The undersigned aSSUle5 re;ponsibility 'for cOlpliance with any applicable deed restrictions. B. UNL I CENSED CONTRACTORS AND CONTRACTOr, RESPONS I 8 I LIT I ES If t~, owner has hired a contractor or c;ntractors to under taka work, they may b~ required to be licensed in )ccordancl with state and local regulations. If the.'t'ontiktor is not licensed as required by law, both the 9wner and contractor lilY be cited for .il a1sdueancr violation under state lall. If th'e owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended uork, they are advised to contact the Ci~y of Zephyrhills Building Departlent, 18131 788-6611. Furtherlore. if the OHner has hired a contractor or contractors, he is advised to have tnecontractorls) sign portions of the 'Contractor Sections' ef'this application for which they will be respofisible. If you, as the owner sign as the contractor. you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign , as contractor that Day be an indication that he is not pr~perly licensed and is not entitled to perlitting privileges in, the City of Zephyrhills. . C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant. have been provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the 'owner'. 1 certify that 1 have obtained a copy of the above described docuDent and pro~lse' in good faith to deliver it to the 'owner' prior to COltenCelent. E. CONTRACTQR'S/OWNER'S AFFIDAVIT I certify that all tne inforlation in thi's application is accurate and that all work will be done in co.pliance ~ith all applicable laws regulating construction. zoning, and land developlent. Application is hereby lade to obtain a parlitto do ~ork and 'installation as indicated~ I certify that no ~ork or installation has cOllenced prior to issuance of a perlit and that all work will be perforaed to leet standards of all laws regulating construction, City codes, zoning regulations. and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governaental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: . Deoart.ent of Environ.ental ReQulation - Cypress Bayheads. Yetland Areas and Environaentally Sensitive Lands, Yater/Yastewater Treat.ent "Southwest Florida Yater KanaQelent Dis~rict -. Yells, Cypress Bayheads, Hetland Areas, Altering Hater courses . ArlY Coros of EnQineers - Seawalls, Do~ks. Navigable Waterways . t Deoartlent of Health ~ Rehabilitative Services. Environ.ental Health Unit - "ell;, Hastewater. Treatlent, Septic Tanks t US Environ.ental Protection AQency - A:bestos abateaent I also certify that, if fill .aterial 15 to be used in Flood Zone 'A' Dr "A.etc.", it is understood that a drainage plan addressing a "coApensating vo!ule' Mill be subaitted which is prepared by a professional engineer registered in the state of Florida prior to perlit issuance. . A perlit issued shall be construed to be a license to proceed with the Hork and not as authority to violate. cancel alter. Dr set aside any provi$ions of the technical codes, nor shall issuance of a .per.it prevent the Building Official frol thereafter requiring a correction of errOfS in plao;. construction. or violations of any code. Every perlit issued shall becole invalid unless the Mork authorized by such peroit is 'colAenced within six Donths of issuance,' or if Hork authorized by the perDlt is suspended or abandoned for a period of 5~X lonths after the'tiDe the Hork is coaDenced. . One 90 day extension of ti.e. lay be allowed for the perlit with fee charge of ~15.00. The extension shall be requested in writing to the Building Official. An approved inspection ~ust be logged durin~ each six lonth period. or the project will be considered abandoned. YARlUNG TO OYNER: YOUR FAILURE TO RECORII A NOTICE OF COIlIIEIICEIlENT HAY RESULT III YOUR PAYING TUICE FOR IHPROVEtlEHTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FIHAlh;lIlG. CONSULT WITH YOUR LEIIDER OR AN ATTORNEY BEFORE RECORDING YOUR HOTICE OF COIlIlENCEXENT. JOBS UNDER $2,500 IN VALUI: DO HOT NEED TO RECORD AND POST A "NOTICE OF COliHEllCEIlENT'. ~~r~ I NATURE: COHTRACTOR ~~tLf)~~ S A URE: OYIlER OR AGENT 'Jo~ ..~ STATE OF FLPRIDA P . COUlllY OF a....s co The foregoing instrument before me thiseJ c.X. n "Ias 'acknowledged , 19 ..!1..::L by STATE OF FLORIDA COUNTY OF e <LS C_ 0 ' The foregoing instrument was acknowledged befc.\-e me this Gd'. t7 ,19..f1.- by ~ho is personally known to me or ~ho has produced as identification and who did/did hot take an1f~~ ~. ~ (Signa~ul- ) B ().. I- ~ a. \r IlL A A- I (;-50 Y\....- (Name Typed. Printed or Stamped) NOTARY 'F'UBU'C wjJo is persClnall y Imo\'," to me or who has. produced as identification talte~ntb~ (Signature) . R Q. r- ba. "'Q ,4 A I //.so rL_ . <Name Typed, Printed or Stamped) NOTARY PUBLIC -- -., ; and who ditl/d id not. a~ BARBARA A. ALLISON ~ Notary Public, State of Florida ~ My Comm. Exp. 03.26.98 I Comm, No, CC 356940 ~