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<br />CDi'll) I T IONS OF PERI'lI T (-'FF I D{~'v IT,
<br />1-\. 'N't'J1"tCe:.:OF b~n:R'ESTRI CT lONe.
<br />The undil)51gned i1ndeisbn6i tbt this perlit 'Day be subject to 'deed restrictions" Ilhich r.ay be lore restrictive thl)~'City
<br />regulations. The undersigned aSSUIe!i re;pollsibility 'for cOlplhnco with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOI~ RESPONSIBILITIES
<br />If t~. owner has hired a contractor or c;ntractors to under taka work, they may b~ required to be licensed In lccordancl with
<br />state and locd regubtlons. If the'cont'tktor 15 not licensed as required by hw, both the ~wner ilnd contractor lay be
<br />cited,for ,a lisduuncr violation under itate lall. If th'e owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended 1I0rk, they are advised to contact the Ci~y of Zephyrhills Building Departlent, (BI3)
<br />7BB-6611.
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<br />Furtherlore, if the ONner has hired a contractor or contractors, he is advised to have the,contractor(s) sign portions or the
<br />'Contractor Sections' tf'this application for which they will be responsible. If you, as the owner sign as the contractor,
<br />you are indi~~ting that you, rather than the contractor, are responsible for the wor~. If the contractor wishes you to sign
<br />. as contnctor that lilY be an indication that he is not prvperly licensed and is not entitled to peraitting 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, FLOBIDA STATUTES, AS AMENDED)
<br />J 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 />'ollner', 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 />'ollner' prior to COllence.ent.
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<br />E. CONTRA'CTOR I S/Ol-lNER I S AFFIDAVIT
<br />I certify that all the infor.ation in th~s application is accurate and that all work Hill be done in co.pliance Nith all
<br />applicable lalls regulating construction, zoning, and land developlent.
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<br />Application is hereby IiIde to obtain a pl!raitto do work and 'installation as indicated., I certify that no work or
<br />installation has cO.lenced prior to issuance of iI perlit and that all wor~ Nill be perforled to .eet standards of all laws
<br />regulating construction, City codes, toning regulations, and land develop.ent 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 />.y responsibility to identify what actiolls I lust take to be in cOlpliance. Such agencies include but are not li.ited to:
<br />t Depart.ent of Environ.ental ReQulatiDn - Cypress Bayheads, Wetland Areas and EnvironJentally Sensitive Lands,
<br />, Water/Wastewater Treat.ent
<br />"Southwest Florida Vater KanaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Ar.y Corps of EnQineers - Seawalls, DDc~s, Navigable Waterways ,
<br />· Depart.ent of Health L Rehabilitative Services. Environ.ental Health Unit - >>ell~l WasteHater, Treatlent, Septic Tanks
<br />f US Environ.ental Protection AQency - A~bestos abateaent
<br />I also certify that, if filJ aaterial is to be used in Flood Zone "A" Dr "A,elc.', it is understood that a drainage plan
<br />addressing a 'coApensating volule' xiII be subaitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it issuance. '
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<br />A per.it issued shall be construed to be a license to proceed Nith the Hor~ 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, Dr violations of any code. ~very perait issued shall becole inval~d
<br />unless the lIork authDrized by such per.it is 'collenced within six months of issuance, Dr if Hork authorized by the per.lt is
<br />suspended Dr abandoned for a period of s~x lonths after the 'tiDe the Hork is cOIDenced. ' One 90 day extension of tile, lay be
<br />allolled for the perait with 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 />WARHlNG TO OWNER: Y'OUR FAILURE TO RECORll A NOTICE OF COKKEIICEKEHT HAY RESULT III YOUR PAYING TWICE FOR JKPROVEtlENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FIHAIIt:JIlG, CONSULT WITH YOUR LE/lDER OR AN ATTORNEY BEFORE ,RECORDING YOUR NOTICE OF
<br />COXXENCEKENT. JOBS UNDER ~2,500 III YALUI: DO HOT HEED TO RECORD AHD POST A "NOTICE O~ CONKEIICEKENT'.
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<br />~~ J<~~
<br />SISH T E: 'OWNER OR ASENT
<br />
<br />~~ K-~
<br />51 II URE: COlHRACTO'R
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<br />'''''liI: '.
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<br />STATE OF FL!lRIDA 'J) ,
<br />COUl\lY OF +- Cl. 5 C 0
<br />The foregoing instrument ~a~ .cknowiedged
<br />before me this W1al"ch l~, ,~by
<br />
<br />(') a~Y\ e.. r B 1tL-c. k (oJ e.. LL
<br />who it p~rsonally known to me or who haa
<br />produced 'Y\f4 '.. ,
<br />as identification and who dill/did not,
<br />
<br />taker~aitc~ '! aea-=:--
<br />
<br />(Sig~ure) .
<br />
<br />STATE OF FLDRIDA ~
<br />COUNTY OF r Q .sCe:>
<br />The foregoing instrument was acknowledged
<br />befc'l-e me th i s rn fL rC, h I ~, dC"HJ by
<br />
<br />l;;:~ G.--y\ e.l B I€- c../< W e.LL
<br />~ho is personally known to me or ~ho has
<br />produced ^/A
<br />as identification and who did/did hot
<br />
<br />tak~~.y~~
<br />(Si a ure) '. '
<br />
<br />. (Name Typed, Printe ~
<br />o
<br />NOTARY PUBLIC ~
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