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<br />eOi'll) I T IONS OF PERI'lI T (.\FF 1 D{~'.j IT,
<br />'A. . N"l'JTtCg:trF, bl!Et)~R;ESTFHCTIONE? .
<br />The undillslgned 'unde't'sbndi that this perlit 'uy be subject to 'deed restrictions' "hieh r.ay be lore restrictive thall'City
<br />regulaUons. The undersigned usules re.ponsibility 'for cillplhncl1 with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If t~e owner has hired a contractor or c;ntractors to under taka Nork, they aay be required to be licensed in }ccordancl with
<br />shte and local regulations. If the ''ront'rktor is not I icensed as required by law. both the 9wner and contractor uy be
<br />cited .for .a dsdeuancr violation under state !all. If th'e owner or intended contrilctor are uncerhin as to Ilhat licensing
<br />requirelents lay apply for the intended 1I0rk, they are advised to contact the Ci~y of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the ollner has hired a contractor or contractors. he is advised to have the.contractor(s) sign portiDns of the
<br />'Contractor SectiDns' tf'this application for which they will be respofisible. 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 sign
<br />. as contractor that lay be an indication that he is not pr.,perly licensed and is not entitled to peraitting 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, 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 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 document and pro~ise' 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 thi's application is accurate and that all Hork will be done in co.plianc! with all
<br />applicable laws regulating construction. zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perait .to do work and 'installation as indicated.. I certify that no 1I0rk or
<br />installation has cO.lenced prior to issuance of a perlit and that all Ilork will be perforled to leet standards of all laws
<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 lay apply to the intended work, and that it is
<br />IY responsibility to identify what actiolls 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 EnvironaentaIly Sensitive Lands,
<br />. Water/Wastewater Treataen\
<br />t.Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas. Altering Watercourses
<br />f ArlY Corps of EnQineers - Seallalls, Do~ks, Navigable Waterllays .
<br />t Departlent of Health L Rehabilitative Services. Environ.ental Health Unit - Wells. i/astewater. Treatlent, Septic Tanks
<br />t US Environlental Protection AQency - A:bestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone 'A' or 'A,etc.', it is uhderstood that a drainage plan
<br />addressing a 'coApensating volule' Kill be subaitted which is prepared by a professional engineer registered in the state of
<br />Florida prior to perait issuance. .
<br />
<br />A penH 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 provi~ions of the technical codes, nor shall issuance of a .perlit prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plan;, construction, or violations of any code, ~very perlit issued shall beco.e inval~d
<br />unless the work authorized by such perAil is 'colAenced within six nonths of issuance, Dr if work authorized by the perlit is
<br />suspended or abandoned for a period of Sf x lonths after the'tioe the work is cOloenced. . 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 in Hrit.ing to the Building Official. An
<br />approved inspection .ust be logged durin~ each six Ronth period, or the project will be considered abandoned.
<br />i/~RHING TO Oi/NER: Y'OUR FAILURE TO RECORIl A NOTICE OF COlil1EIlCEl1EHT HAY RESULT III YOUR PAYIllS Ti/ICE FOR lliPROVEIIENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINAIl~lIIG, CONSULT WITH YOUR LEHDER OR All ATTORHEY BEFORE RECORDING YOUR NOTICE OF
<br />COKKENCEMENT. JOBS UNDER $2,500 IN V.ALUI: DO HOT NEED TO RECORD AIlD POST A "NOTlCE Of. C0I111EIlCEIiENT'.
<br />
<br />
<br />~ ~'
<br />. ~ ~~~ .... ~l<~'L~
<br />SIGllAT : Oi/HER OR AGENT 51 RE: COHTRACTOR
<br />
<br />'.~ ...
<br />
<br />
<br />STIlTE OF FLPRIDA l? ' .
<br />COUNTY OF .. tL S c.., c.)
<br />The foregoing instrument \'Iasacknowledged
<br />before me this ~~~. ~LD , Jl}JJ:. by
<br />
<br />~la Y\ oQ T \3 l~Ku.J e.. l-L
<br />who isp~rsonally known tD me or who ha~
<br />produced ..' ,
<br />as identification and who did/did not.
<br />
<br />talce an{j~ (2 Q.R~
<br />
<br />(Signatur~) . j _ A JA ('
<br />. ..:!2'^- (~J?A. . ~ \ ! Sbr-
<br />. (Name Typed,.,; d or Stamped)
<br />!\ if.. BARBAR'A A. ALLISON
<br />NOTARY PUBL ~ Notary Public. Stat, of Rorida
<br />'" : My Comm. Exp. Mlr. 26. 2002
<br />"#" If 1\"'''' Comm. No. CC 704878
<br />
<br />STATE OF FLORIDA
<br />COUnTY OF
<br />
<br />who did/did hot
<br />I
<br />
<br />9"~
<br />
<br />
<br />BARBARA A. AUISON
<br />Notary Public. State of Florid.
<br />My Comm. Exp. Mar. 26. 2002
<br />Comm. No. CC 704878
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