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<br />cor'lI) I T IONS OF PERI'll T (~FF I D{~'v' IT,
<br />'A. . r-nJTtCE:'OF bl!Eb t{'ES'TFH CT I ON~. .
<br />The undel)s1gned 'undeY"shnai thil~ this perait '/lilY be sublect to .deed restrictions' ),hich uy be lore restrictive thll~'City
<br />regurations. The undersigned i1SSUleS re;ponsibility 'for cblpliancD with any applicable deed restricti~ns.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If t~e owner has hired a contrilctor or c;ntractors to undertake work, they ailY be required to be licensed in lccordancl with
<br />state and local regulations. If the ''c'ont.tktor i!i not licensed as required by law, both the ~wner and contnclor aay be
<br />cited for i .lsdelearicr vi"olation under state lall. If th'e owner or intended contractor are uncertain as to what licensing
<br />requirelents lilY apply for the intended lIort, 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 contractor(s) sign portions of the
<br />'Contractor Sections' rf'this application for which they will be respo~sible. If you, as the owner sign as the contractor,
<br />you are indicating thilt you, rilther than the contractor, are responsible for the work. If the contrilctor wishes you to sign
<br />. as contractor that lilY be an indication that he is not pr~perly 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, FLO~IDA STATUTES, AS AMENDED)
<br />I cer~ify 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 />'owner', I certify that I have obtained a copy of the above described docucent and pro~ise' in good faith to deliver it to the
<br />'owner' prior to cOI~encelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all wort will be done in co.pliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby aade to obtain a perlitto do work and 'installation as indicated., I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
<br />reguJilting construction, City codes, zoning regulations, and land developlent regulations in the Jurisdiction. (also
<br />certify that I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify whilt actiolls I lust take to be in cOlpliance. Such agencies include but are not Ii.ited tOI
<br />I DePilrttent of Environ.ental Reoulation - Cypress Bayheads, Wetland Areas and EnvironJenlally Sensitive Lilnds,
<br />Water/Wilstewater Treatment
<br />I. Southwest Florida Water Ilanaoeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Arty Corps of Enoineers - Seawillls, Do~ts, Navigable Waterways .
<br />f Departlent of Health' Rehabilitative Services. Environlental Health Unit - Wells, Wastewater. 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 'colpensating volule' Mill 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 Kork 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, Dr 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, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six lonths after the 'tile the work is co.aenced, . One 90 day extension of tile, lay be
<br />allowed for the perli~ with fee charge of ~15.00. The extension shall be requested in writ.ing to the Building Official. An
<br />approved inspection ~us~ be logged durin~ each six lonth period, or the project will be considered abandoned.
<br />\IARNING TO OWNER: YOUR FAILURE TO RECORIl A NOTICE OF CDlUlENCEIlEHT HAY RESULT III YOUR PI\YING TI/ICE FOR IMPROVEtlENTS TO YOUR
<br />PROPERTY, IF YOU INTEND TO OBTAIN FINAIlt:IIIG, CONSULT IIITH YOUR lEIIDER OR AN ATTORNEY DEFORE RECORDING YOUR 1I0TICE OF
<br />COKKENCEIlENT. JOBS UNDER ~2,500 IN YALUt DO HOT NEED TO RECORD AND POST A .NOTICE O~ COHIlENCEHEHT..
<br />
<br />I
<br />
<br />.~rK~
<br />SI6 AT tl CONTRACTOR
<br />
<br />~"" ,n~~
<br />SIGNAT '. E 'OlINER OR AGENT
<br />
<br />STATE OF FLDRIDA
<br />COUlITY OF
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF V- CP<vC,.f:J .
<br />The foregoing instrument was acknowledged
<br />before me this l'W..u.I~ , ~..2.e-e' by
<br />
<br />j(G '(\ e.--\' i' lli--L- k ~ e /... L.
<br />~ho is personally known to me or ~ho has
<br />produced ~ ( IL
<br />as'identification and who did/did hot
<br />I
<br />take a."~at~.:. ~ _,' 0
<br />~ ~ (3'Q.;
<br />(SignatUl-e)
<br />
<br />,''lit ...
<br />
<br />P a41CV'
<br />The foregoing instrument ~Ias :acknowledged
<br />before me this y\.tu. \,? ,~~ by
<br />
<br />~ ~ ~hle-r ts feLL k toet/-
<br />who is p~r5onally known to me or who has
<br />produced Y\ 1ft '.. ,
<br />as identification and who did/did not,
<br />take a~l,n oath'.
<br />_ a rJ J2JL.-;~--
<br />(Signa ure) ,
<br />
<br />. (Name Typed ~",,~~ed or Stamped)
<br />NOTARY PUB ~. ,...,..,_.....f(~,~\ BARBARA A. ALL/SO
<br />~ ( \0. N' N
<br />~ + \ ) + i 'lmy Public, State of Florida
<br />\~\, '" ,Yo iF My Cn E
<br />~r-o--o,.,..;.' ..mm. xp. M.ar, 26, 2002
<br />.'.,.f"J.~,,"\\'" Comm, No. CC 704878
<br />
<br />(Name Typed, Printeg,,"~~~tamped)
<br />NOTARY PUBU'C l~~~,':--..f~{\.
<br />~ +(~~)0~ BARBARA A. ALLI
<br />%...~/ +i NotarYPUlJlic S SON
<br />%:t;;.,..._......~~~l My Comm fx' tale of Florida
<br />~q"l Or flQ"I,\'+~ . . '.D. Mi1r 2c:
<br />~/"IiIllUlI\"\~\\ Comrn N - .' -.,J, 2002
<br />i ' 0 Cc 104illll
<br />
<br />_"",:-r,---
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