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<br />CONDITIONS OF PERI'lIT (.'\FFID{~\lIT,
<br />'A.' . NOire!: J:1F b'Elrt)~R'ESTF~ICTION9. .
<br />The undellslgned 1Jnde'ishnai tbt this perlit 'uy be sublect to "deed restricHons' llhich uy be lore restrictive tha~'City
<br />regulations. The undersigned iSSUIe!i re;po:lsibilltyfor cOlpHancll Hith any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTDRS AND CONTRACTOR RESPONSIBILITIES
<br />If t~e owner has hired a contractor or c;ntractors to undertaka workl they may be required to be licensed in }ccordancl with
<br />state and local regulations. ~f the.'ront"tktor i!i not licensed as required by hll, both the ~lIner and contnctor aay be
<br />cited fora .1sdeuancr violation under ~tate lilll. If th'e owner or intended contractor are uncertain as to IIhat licensing
<br />requlrelents lay apply for the intended :lork, they are advised to contact the Ci~y of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the.contractorls) sign portions of the
<br />'Contractor Sections' of' this application for which they will be responsible. If you, as the owner sign as the contractorr
<br />you are lndicitlng that youl rather than the contractor, are responsible for the work. If the contractor IIi shes you to sign
<br />. as contractor that aay be an indication that he is not pr~perIy 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, FLOBIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - HOleollner's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture arid Consuler Affairs. If the applicant is sOleone other than the
<br />'owner', I certify that I have obhined a copy of the above described docullenl 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~ application is accurate and that all Hork Hill be done in cOlplianc! with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby ude to obtain a peraitto do 1I0rk and 'inshllation as indicated. I certify that no lIork Dr
<br />installation has cOllenced prior to issuance of a perlit and that all work lIill 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 governmental agencies lay apply to the intended 1I0rk, and that It Is
<br />IY responsibility to identify IIhat actiolls I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />· Deoartlent of Environ.~ntal Reoulation - Cypress Bayheads, Yetland Areas and Environzentally Sensitive lands,
<br />Water/Wastewater Treataent
<br />.'Southwest Florida ~ater Hanaoeaent District ~ Wells, Cypress Bayheads, Yetland Areas. Altering Watercourses
<br />t ArlY Coros of Enqineers - Seallalls, Do~ks, Navigable Waterways .
<br />t Deoartlent Df Health L Rehabilitative Services. Environlental Health Unit - Uells, Wastewater, Treatlent, Septic Tanks
<br />. US Environaental Protection Aoency - A:bestos abateAent
<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 'coapensating volule' Kill be subaitted 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 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 perlit issued shall becole inval~d
<br />unless the work authorized by such perAit is 'collenced within six aonths of issuance, Dr if Hork authorized by the per.it is
<br />suspended or abandoned for a period of six lonths after the'tiae the Hork is COADenced. . One 90 day extension of tile, lay be
<br />allowed for the perlit Hith fee charge of ~15,00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection ~ust be logged durin~ each six lonth period, Dr the project will be considered abandoned.
<br />IIARHING TO OI/NERl Y'OUR FAILURE TO RECORIl A NOTICE OF COIUIEIICE/iENT HAY RESULT III YOUR PAYING TlllCE FOR ItlPROYEtlENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FIHAIIt:IllG, CONSULT WITH YOUR LElIDER OR AN ATTORNEY BEFORE RECORDING YOUR HOTICE OF
<br />COlillEHCEllEHT. JOBS UHDER $2.500 III Y"ALUI: DO HOT HEED TO RECORD AIlD POST A .NOTlCE Of. COJ1HElltEIIEHT".
<br />
<br />\.::\" _ T I(~ C\~ t-I< fJ,O*.:L,.oLJ
<br />~VHEIl DR ROEHl ;~~
<br />
<br />,~~ ..
<br />
<br />STATE OF FlDRIDA t=1 .
<br />COUNTY OF as Co
<br />The foregoing lnstrument wa~ acknowledged
<br />before me this _l=e.~ ~(p , llJ!U:.. by
<br />
<br />
<br />has.
<br />
<br />STATE OF FlDRIDA ~
<br />COUNTY OF 1=$ S c- CJ
<br />The foregc.ing i i1~rument was aclmol'/ledged
<br />befc,,-e me th i s .l:i: ~ c:t,Cp 19.1..f:... by
<br />
<br />J a..n ~ K" ~~ I ~I'-W~L _
<br />'l'lho is pel-sc.na 11 y known to m~ or ~/ho has
<br />produced __
<br />as.identification and WhD did/did hot
<br />I . .
<br />take an Day?., ....
<br />~ c;(' CLe.,-~
<br />(Signatul-e)'/L . . A A .'
<br />J:.X.t .....(;,cJ..r-- ~. (l, ~ ~
<br />(Name Typed, or Stamped)
<br />NOTARY 'PUB' BARBARA A. ALLISON
<br />Notary Public. State of Florida
<br />My Comm. Exp. Mar. 26. 2002
<br />Comm. No. CC 704878
<br />
<br />BARBARA A. ALLISON
<br />Notary Public. State of Aorida
<br />My Comm. Exp. Mar. 26. 2002
<br />Comm. No. CC 704878
<br />
<br />
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