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<br />CCNDI;'IC;'.j':: OF PEl":r"i:'" r.r-r-':, . ,',j , r
<br />
<br />A. ~~OT I ~r:: OF nr-T:::n REr;TFt I CT I UNS
<br />
<br />lhe undersigned understands that thi~ perolt may b~ subject to "deed restrictions' Mhich ~ay be =~rD restrictive than City
<br />regulatie~s. Ih~ u~dersigned .(ssu~e~ respons\b\1\t{:ror.co~pliance \lith any applicable deed rr:dric\ic'~s.
<br />
<br />B. l!NL T CEr--ISED CQtITGFCTORS AND CONTRACTOR RESPQt.1S I n I [_1 T I (5.
<br />
<br />If the owner has hired a contractDr or contr~ctors to undertake lIork, they may be roquired 10 be licrn5e~ in ~c(~.d~~ce _ilh
<br />state and local regulatiDns. If the contractor Is not licensed as required by lall, both the D"~er and contractDr nay be
<br />cited for a ~i5de~eanor violation under state laH.. If the o~ner Dr Intended contractor are uncertain as to ~~at li(~n5i~g
<br />require~ents ~ay ~pply for the intended lIork, they are advised to CDntact the City of Zephyrhills Building Dr?ar\,~nt, 18\31
<br />78B-bbll.
<br />
<br />FurthercDre, If the DMner h~5 hired ~ contractor or contractors, he is advised to have the conlractor(s) sign pDrtions of the
<br />'Contractor SectiDns' of this application for Mhlch they will be responsible. If you, 2S the OM~~r sig~ 2S the contractor I
<br />yo. ... ,..,..,,'. ,.., Y", ,..". ,... 'b. """"", ... ...",.Ibl. ,.. ... ,.... II ... ..."..", .,.... yo, I. .i,.
<br />as con\r~ctor that cay be 2~ indicatiDn that he is not properly licensed ~nd is not entitled 10 pcr~itti~g privileges i~ the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORT AT I o.I::.Llt:l!::.0CT FEES AND UT I L I TV COi'INr::CT I Oi'.i Fr::ES.
<br />
<br />D.
<br />
<br />CONSTnUCT I 0['1 L 1 ~L~l-AI.-J
<br />
<br />(CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />
<br />I certify that I, the applicant, h~ve been proy(ded ~ith a copy Df "Florida's CDnstructiDn lien LaM - Ho~eo~ner's Protection
<br />Guide' prepared hy the Florida D~par\aent of ngriculture and Consu~er Affairs. If tl,D ~ppli(ant is so:c6ne other than thr
<br />'owner', I certify that I l;;,'/D obiaineu a. copy of the above described dc,cuIT,ent ;,r,d prc'~lise in qc,od fait~, to Geli';er it tt> the
<br />'oHner' prior to co~~ence~~nt.
<br />
<br />"1.':'':=.'.
<br />
<br />E. CONTRACTOn' SLQ\.-lND3' S AFFIDAVIT
<br />
<br />I certi fy tha\. all the inf"r~,)tis'n in this applicatic,n is accurate an'd that all )i(,d: ui II be dC'fle in cc,~pl iance MI th all
<br />applicable laMS regulating cDnstructi~n, zoning, and land developD~nt.
<br />
<br />Application is hereby ~a~~ 10 0btain a peruit t~'~o H~rk and installation as indicated. I certify that no Mort or
<br />Install~tiDn has cDI:enc2d priDr to issuance of a per~lt and that all MDrk will be perf Greed !~ roeet standards of all laws
<br />regulating construction, City [~d~s, zoning regulati~ns, an~ land development regulatiDns in tho jurisdictiDn. I alsD
<br />","fy ,.., . ,.,.."", "~,I ,., ,.,...."" ., ..h., ,...",.".. ,g.,,'" .., .".i ,. ,., i,'..'" "", .,d ,.., " i.
<br />'y "",,,it il iI Y ,. ....,;;, c,:", ""." I ",,\ \.,. " b. I, ".pll..,,,. S..:, .,...,d" '"e1 ,0, ..,. '" ';c., 11. iI.' '"'
<br />
<br />. ,.
<br />I Denartsent c,f EnviHn;;c:n\;:j Ren'.11i!tion - Cypress nayhcads, Helland rlreas and En'/irc>nr:I~r:\a\ ly S~nsj tii" L,li,d'l
<br />\/ater/HasteHatcr Treatment
<br />f Sc,uthHEst FI5'il~~la\eE-.J~~~~I~!-,:.!:>~j)istric\ - \Jells; Cypress l\ayheads, Hetland (,reas, f,ltering ':I,,\.erc0urS~S
<br />I Any Cc,rns .of [nnir,,'rr:c.. - Se;;llclls, Docks, Navigable IlaterlJays
<br />I D~parta~,-.0.J!paIJJd,_Y:U!J~~))\t:,tiVP. Services, Environmental Ilealth Unit - \lr:lls, \l;,s\~~a\er Tre::L:c:t!, Septic Tanks
<br />I US Envir~~'l:-.:..Lf'lJ:.l,-"-cJ.Lrl,~~r:.Y. - f,sbestos abatelnent
<br />
<br />also certify that, if illl ~atr:rial is to be used in Hcood Zc.ne "n" c,r 'n,ctc.', it is \lnllL-r5Ic,c,d tl,,1I a drainage plan
<br />...,....,. ' '"."..,,,,, ..1,... ,I" .. ..b.iil.' .bl,b I, p,.p.'" by , p,.I...i'.., ..,i..., ,..,."", i. ". ".,. .1
<br />Florida prior to perlil i55uan[~.
<br />
<br />, ,...Ii i..", ...1' b. ",..,.., .. b. . ",.," \. ".,... .ii. ,.. .." ... ,,' ,. ..,..,1" I, """', .,.." "",, ..
<br />... ..i.. "I p"""'" .1 ,.. ..,.,1'.' ,...., .., .b.11 i.....'. .f , p.,.I' I""" ,.. O,i"i., 'In,i.1 f.c. ...,..1'..
<br />",.,"., . """'''''' ,.1 "'"" ,,, p''''; ,,"''''''''', " ",I.Ii... .1 .", "d.. "Nt ,,"''' i..'''''' .:"iI bee"" i,."lid
<br />..I... ,.. ",\ "It".,' ,,' by""" p" ,II .. ".""",,, .11'" .i, ""h. ,. r ,,,,,.m", ,., " ".., I ..11.,." ,oj I,' \C.. ,,,. iI i.
<br />.",,,,., " .b...""d I,.,' . '" i m' " ." ,.,Ib. .n" lb. Ii" .., ,,,,I i, "...."",. D", ", d., ,," ,.. i ". .1 "", "y b,
<br />.1,...' I.. ,.. p.,.i' ,i" f.. ,b.". .1 "5.", T" ......,.. ~." b. ,..".".01 i. .,"i., " ". ..il.i., Oll"'~, I.
<br />a~proved insprctic,n rJlIst be lc,gr;ed during each six month periDd, c,r the prc,jl'ct \iill bi' (l,r,sider!:d cbd\,Gc"10d.
<br />
<br />I,.oIARN I NG TO OI.-Jj'lEn: YOUR FA I LURE TO RECORD A I'IOT I C\:: m=- CQt'1t'H.:r,IU.:t'1ENT f'1AY
<br />RESULT IN YOUR pnYING TWICE FOR IMPROVEMENTS TO YOUR PROPER1'Y. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSUL-r WITH YOUR LENDER OR AN Al'TORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOD" UNDER '2,500 IN VALUE
<br />DO NOT NEED TO DECORD AN~ST: "NOTICE OF cm".,nICEMU"a
<br />
<br />
<br />SIGNATUnE__~-~----- SIGNAT~RE -- --------~--------
<br />7-~C"NER on AGENT CONTRACTOR
<br />
<br />DATE _____~"',!fL'----------~-----------. DA TE__!L'!Lc,L----------..----------
<br />
<br />NOTARY AS TO
<br />OWNER OR IIGENT ______________._____________-:-
<br />
<br />MY COMMISSION EXPInES . .
<br />----------------------
<br />
<br />NOTARY AS TO
<br />CONTRIICTOR_____________________________
<br />
<br />MY COMMISSION EXPIRES__________________
<br />
<br />"
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