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<br />CONDITiONS OF PEH1'lIT AYF-;:[}}-\VIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands tnar this permit may he
<br />may be more restrictive than City regulations. The
<br />compliance with any applicable deed J~estrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSI5lI..I'l'IES
<br />If the owner has hired a contracto[ or contractors t~ undertake work, they may be raquired
<br />to be licensed in accordance with state and local rcg\;.'_ati_ons. If the contractor is n..)t
<br />licensed as required by law, both the ()wne r:- dnd contractol: llJay b." cited for a m;_sdelllean::'>L
<br />violation under state law. If the OHner or intend:!d cont:ractoI: c'.re uncerta.i.f: a., to Hhat:
<br />licensing requirements may apply for:- the intended work, they i'l.l:e ad'Jised to co,-:tact the
<br />City of Zephyrhills Building .Department, 813-788-6611.
<br />Furthermore, if the owner has hired a contractor. or contractors, he is advised to j-,ave the
<br />contractor(s) sign portions of the "Contractor SectionsU of ~his application for which they
<br />will be respoI1sible. If you, as Lhe owner signs as u)(~ c()ntractc'_~:, YOll are .i_ndicat.ing that
<br />you, rather than the contractor, are responsible for the work. If the contractor wislles
<br />you to sign as contractor that may be an indication that lie is not properly licensed and is
<br />not entitled to permitting privileges in the City of ZephyrLilla.
<br />C. TRANSPORTATION IMPACT FEES AND ~TILITY CONNEC~ IOU FEl';S
<br />D. CONSTRUCTUION LIEU LAW (CHAPTER '713, FLOHIDA STAT'UTES, l\S AMENDED)
<br />I certify that I, the applicant, have been p~ovLde.j with a copy of "Florida's ConstructioE
<br />lien Law - Homeowner's Protection Guide" prepar':ed by thp Florida Department of Agricul ture
<br />and Consumer Affairs. If the appI icant :i.s someone othel: that the "own,:'r", I cerify 'chat:. T
<br />have obtained a copy of the above described document: and promise in good fal th to de]_iver
<br />it to the "owner" prior to commencement..
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the information in this appJ Leatioll 'is
<br />be done in compliance with all. appl i.cable laid:> regui.iltin9
<br />development.
<br />Application is hereby made to obtain a permit: to do \oIock Clnd installation as indicated.
<br />certify that no work or installation has commenceo pri.Jr- i.:o issuance of a permit. and that
<br />all work will be performed to meet 3tandards 01 al L l.a\.vs regulating construction, City
<br />codes, zoning regulations, and land development regulations in the jurisdiction. I "Iso
<br />certify that I understand t.hat the r".gLlL~t:i.on5 of other governmental dgenci.es may apply to
<br />the intended work, and that it is my responsH:dlity to identify what: action~ I Hlllst take t,)
<br />be in compliance. Such agencies irtl.,:lude but ct~e not limited tc ~ *Department: of
<br />Environmental Regulation-Cypress Bayhec;d.s, viet-land l\.reas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells, Cypress Baj~eads, Wetland Areas,
<br />AILering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health & Rehab.i.li taLL ve ~-;er\'ices, !':nvilomnent.al Health Vnl t-~vells,
<br />Wastewater Treatment, Septic Tanks
<br />'U. S. Environmental Protection l\gency-.i\sb"'sto::' abatement
<br />I also certify that, if fill material is tc. bE. used in Vlood Zone "/-\" or "iI, etc. ", _i.t is
<br />understood that a drainage plan addr,"ssin9 a "compensc<ting 'Jolume" wiLL be subm.i.tted whi::h
<br />is prepared by a professional engineer regist:~red in the State of Flo~ida prior to permit
<br />
<br />issuance.
<br />A permit iss'.led shall be construpd to be a lic:en~1E' to proceed '"itl1 the \,.ork and not as
<br />authority to violate, cancel, alter, or set aside any provisions of the technica: codes,
<br />nor shall issuance of a permit prevent the Buildirlg Offi,cial from thereafter requiring ~
<br />correction of errors in plans, constructi.on, .:or ..riolations of any code. ~:;very permi.::.
<br />issued shall ber;ome invalid unless the Ho.rk aut:hor:ized by sl1ch permit is commenced within
<br />six months of issuance, or if work authorized by the pennit is suspended or abandoned for a
<br />period of six months after the time the work is cOllUllenced. One 90 day exte;lsion of time
<br />may be allowed for th.'; permit: with fee dlarge of $15.00. 'I'he~xteJ]sion shall be rec;uested
<br />in writing to the Building OfLl.cial. An approved inspect.ion must be logged during each si):
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO F~ECORD ll.. NOTICE OF' COl'1;-.>IENCENENT MT-I.Y RESULT TN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR 1"P.oPE,RTY. IF YOU INTI~ND TO OBTAIN FIN1\Nf~ING, CONSULT
<br />WITH YOUR LENDER OR AN ATTOnNl~Y BEFORE RECORDING YOUR Ntf,',/" OF COi"lMENC ' JOBS UNDER
<br />$2,500 IN V}\LUE DO NOT NEED TO HECORD Ail[) POST A "NOi I~~-. C ' COivlNF~NCEM~C . '.
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<br />S1'1\.'TF O:c FT.Of>l'.)!\
<br />COUNTY OF ---------------.--------.--------.
<br />The for-egoing instrument wa~i aCbl()'''1 edq",d
<br />Before me this ____d day at __.___._..____.__-' L'L__
<br />
<br />by ____________.____._____________.______.___ .----.----..-. --
<br />(name of person acknowledged!
<br />[.J who is personally kno...;n to me r .);:-
<br />
<br />[J who has pJ:.oduced_____________h__________.__
<br />(type of idenLii:ica,.ioni
<br />and whoDdid Delid.not t;3ke af! oati1.
<br />
<br />Signature of person taking acknowledgcmpnt.
<br />
<br />Name typed, pr:-inted or stamped
<br />
<br />slJhjec~: t.o "d<::ed J:est:cicl:ion~;" which
<br />
<br />undeu>i :tncd assumes J:espollsibiJ..l ty fe,r
<br />
<br />-
<br />accurate and that all work will
<br />construction, zoninq, and l.and
<br />
<br />I
<br />
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<br />C{)!!Wl'i' OF'
<br />
<br />Th e r () L.r.:' (.:~ ',.1 i ,r: l'.l in f; t I-U rae{j t. Vi ~',l. S ~1 (' knu~',,~ 1 ,:,:..Jq ,:-:d
<br />nt.~tcil:e -:j,~e thl.<'"-..~ __._______~~cJ.y of---.---------.---,. j '=:;
<br />
<br />b'{
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<br />------.-----------------.----- .._--~-,-_..__.'---_. ..--
<br />
<br />(n'\TFC of ~ler.son ac.kllO\'/LPdqecl)
<br />[l-h.) is pe.:::~iolJal.ly kno\vl1 tu me, or
<br />
<br />,.-,
<br />L. who !l.:!:'i ptOdU'.~i:,d__.._..____...__________.d.______.___.__._.__.
<br />( t:'ipe 0 f i.df.:;.\lll_,'c f _i. Cd t._~ ':)rl)
<br />?nd who [Jd.:i..d ~td no( LaLc "_1.Il oz:.;th
<br />
<br />-.-.-....-. _ _. -.-...---'.- ,.--- --.---.----.--- ..--_.. -_....~ -.-
<br />
<br />S:i gnat.liJ:.~ o.'~ pec~3or: t:akin'] i:tr.::kT1c"'IJlsdqment
<br />
<br />-------.-..------ ----- _._--~-
<br />
<br />tlame typed~ pril'lterJ or starl,~ed
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