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<br />eQl'II)! T IONS OF PERJ'l1 T {-'FF I D{~'V IT,
<br />'A. NO,.:rC!:: :t1F b'E'Et)'R'ESTFnCTION~. "
<br />The undill)slgned .unde't'shndi thilt this pe,"ait 'gay be sublett to 'deed restridions' Ilhich uy be aore restrictive tha~'City
<br />nguhtlons. The undersigned USUleli re5ponsibili ty 'for cilapliancll with any i1pp 1 iCilb1e deed restrlcthns.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If t~, o~ner hilS hired iI contrilctor or c;ntractors to under taka work. they may b~ required to be licensed In lccordilncl with
<br />state and local regubtions. If the 'C'onh'ictor ili not 1 icensed as required by law, both the ~wner and contnctor IIY be
<br />cited foral1SdUeiricrvl'olatlon under ..tate !all. If th'e owner or intended contractor are uncertain as to what licensing
<br />requirele~ts lay apply for the intended llork. they are advised to contact the Ci~y of Zephyrhills Building Departlent, (813)
<br />78B-6611.
<br />
<br />Furtherlore, If the owner has hired a contractor or contractors. he is advised to have the.contractorlsJ sign portions of the
<br />'Contractor Sections' tf'this application for which they will be respofisible. If you, as the owner sign as the contractor,
<br />you are indl~~tlng that you. rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />. as contnctor that uy be an indication that he is not prilperly licensed and is not entitled to perlitting privileges in, the
<br />City of Zephyrhills. .
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLO~IDA 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 arid Consuler Affairs. If the applicant is sOleone other than the
<br />'owner., 1 certify that I have obtained a copy of the above described docuDent and pro~ise' in good faith to deliver It to the
<br />'owner' prior to cOI.ence.ent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in th~s application is accurate and that all work Hill be done in cOlpliance with all
<br />applicable laws regulating construction. zoning, and land develop.ent.
<br />
<br />Application is hereby ude to obtain a pllrlitto do work and 'installation as indicated. I certify that no Mork or
<br />installation hilS CDllenced prior to Issuance of a perllt and thilt all work will be perforled to leet standards of all laws
<br />regulating construction. City codes, zoning regulations, and land developaent regulations in the jurisdiction. [also
<br />certify that I understand that the regulations of other governlental agencies lay apply to the intended Nork, and thilt it is
<br />IY responsibility to identify what actiolls I lust lake to be in cOlpIiance. Such agencies include but are not lilited to:
<br />, Deoartlent of Environlental ReQulation - Cypress Bayheads,.Retland Areas and Environzentally Sensitive Lands,
<br />. Water/Wastewater Treataent
<br />"Southwest Florida Water HanaQeaent District ~ Rells. Cypress Bayheads. Yetland Areas, Altering Watercourses
<br />t ArlY CorDs of EnQlneers - Seawalls, Do~ks, Navigable Uaterways .
<br />t Deoartlent Df Health L Rehabilitative Services. Environlental Health Unit - Yells. Hastewater. Treatlent, Septic Tanks
<br />, US Environlental Protection AQency - A:bestos abatelent
<br />I also certify that, if fill .aterial is to be used in Flood Zone 'A' or 'A.etc.'. it is uhderstood that a drainage plan
<br />addressing a .coepensating volule' Kill be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perllt 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 provi$ions of the technical codes, nor shall issuance of a .perlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plan~, construction, or violations of any code. ~very per.it issued shall becole inval~d
<br />unless the Mork authDrized by such per.it is 'collenced within six months of issuance. or if work authorized by the periit is
<br />suspended or abandoned for a period of s~x lonths after the 'tiDe the work is coaDenced. 'One 90 day extension of tile, lay be
<br />allowed for the perlit with fee charge of ~15.00. The extension shall be requested in wriling to the Building Official. An
<br />approved inspection ~ust be logged durin~ each six lonth period, Dr the project will be considered abandoned.
<br />IIARHIllG TO OllllERI Y'OUR FAILURE TO REeORII A NOTICE OF COHtlEI{CEHEHT HAY RESULT III YOUR PI\YIH6 TIIICE Foil IHPROYEMENTS TO YOUR
<br />PROPERTY. IF YOU IHTEND TO OBTAIN FIHAIlt:JUG, CONSULT \lITH YOUR LEImER OR AN ATTORNEY BEFORE RECORDING YOUR HOTICE OF
<br />COKKENCEHEHT. JOBS UNDER $2,500 I I{ Y.ALUI: DO HOT llEED TO RECORD AlID POST A 'NOTI CE Of. COI1l'\E/lCEHEllT'.
<br />
<br />
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<br />S ATURE: COHTRACTO'R .
<br />
<br />~.x~
<br />51 UREI .0IlNER OR AGENT
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<br />...~ ..
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<br />STATE OF FLPRIDA ~
<br />COUlITY OF r (is cD
<br />The foregoing instrument wa~ ~cknowlRdged
<br />before me this~, 19~ by
<br />
<br />.
<br />ST~TE OF FLORIDA ~
<br />COUlITY OF f <t~ CO '
<br />The foregoing instrument was acknowledged
<br />before me this ~, 19~ by
<br />
<br />--
<br />lmo\'m to mEL,or ~Iho has
<br />
<br />..3 ;
<br />
<br />who is personally
<br />produced
<br />as. identification
<br />take an oa
<br />
<br />and who did/did hot
<br />I
<br />
<br />who is personally
<br />produced
<br />as identification
<br />talce a oath'.
<br />
<br />Imo\'m to me or who has.
<br />~
<br />
<br />and who ditl/d id not.
<br />
<br />
<br />tl ~
<br />Stamped)
<br />BARBARA A. AlliSON
<br />Notary Public, State 01 Florida
<br />My Comm. Exp. M.ar, 26, 2002
<br />Comm. No. CC 704878
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<br />
<br />~
<br />
<br />#f., ~ ( ( ,
<br />
<br />01- Stamped)
<br />
<br />BARBARA A. ALLISON
<br />Notary Public, State 01 Florida
<br />MYComm. Exp. Mar, 26, 2002
<br />Comm. No. pC 704878
<br />
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