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<br />,:OND1T:tONS c)F PE".Ml'!:, J\r."l;).~':.i:~ '.'
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands thar. thie permit may be sub jnc" to "deed ,estd.,ti,.ns" ~"'oh
<br />may be more restrictive than City regularions. 'rhe unciersigu~i ass.....s responsil>" i', for
<br />compliance with any appli.cable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contraCtors to underrake .ork, they may he req"',e"
<br />to be licensed ~"n accordance with state and local Legulations. If the contracto;: is not
<br />licensed as required by law, both the owner and cont.ractor may be cited for: il misdemeanor
<br />violation under state law. If the o~,mer or intended contractor are uncertain d5 to ul;:!.\:
<br />licensing requirements may apply for the inl.ended wor1~, they a1:e adv.l.:"ed to conti.\ct the
<br />city of Zephyrhills Building Department, 613-78f.-6611-
<br />Furthermore, if the owner has hired a contracror or contractors, he is advised to have the
<br />contractor (s) sign portions of the "Contractor Sections'.' of this appli.catiolt to:: which they_
<br />will be responsible. If you, as the owne-r signs a<;; the contractor, you are .indica':iuy that:
<br />you, rather than the contractor, are responsihle for the work. If the contractor wishes
<br />you to sign as contractor that may be an indication that he is not propedy licensed and .,"
<br />not entitled to permitting privileges in the Cit.y of '!.ephYlhills.
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY cotmZCTl0N 'E'EES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTf~R 713, FLOP.IDA S'l'j.\TUTES, AS AMeNDED)
<br />I certify that I, the applicant, have been provided \-lith a copy of "Florida' s CC!ls:~r'.lct:iljn
<br />lien Law _ Homeowner's Protection Guideu pre~ared by the Florida Department cf hgriculture
<br />and Consumer Affairs. It the applicant is someone othel: that. the "owneru, 'i cerlt',' thCll 1
<br />have obtained a copy of the .above described document and promise in good [;\1 th tc (!eLc veJ:
<br />it to the "owneru prior to commencement.
<br />E. CONTRACTOR' S/OWNER' S AFFIDAV!'l'
<br />1 certify that all the information in thi5 applicat.i.on is accurate and that ill1 W0r1~ HLil
<br />be done in compliance with all applic;'lble laws regl.:lating construction, 2:')ning, and l.alld
<br />development.
<br />Appli ca t ion is he reby ,..de to ob ta i n a pc rmi t to do wo r k and ins ta 11 a l ion as i "di ca red. J
<br />certify that no work or installation has commenced prior to issuance of a permit al:d tha'c
<br />all work will be performed to meet standards of nll laws regulating construction, City
<br />codes, zoning regulations, and land development regulations in the jurisdiction. ] also
<br />certify that I understand that the regulat ions of other governmental agencies may CJppl~' to
<br />the intended work, and that it is my re?ponsibility to identify what actions I I,~ust tc.ke t.o
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />Environmental Regulation-cypress Bayheads, wetland Areas and E~vironmentally Sensiti-e
<br />Lands, Water/Wastewater Treatmep.t
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, \'i(~i:lal~d Areas,
<br />Altering Wati.rcourses
<br />*Army Corps of Engineers-seawalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative Services, Environmental Health Unit-WI:!lls,
<br />Wastewater Treatment, septic Tanks
<br />*U.S. Environmental Protection Agency-AsbestoS abatement
<br />I also certify that, if fill material is to be used in Flood Zone "AU or ~A,etc-~, it is
<br />understood that a drainage plan addressing a ..'conpensating volumeu will be submitted '-Ihi ch
<br />is prepared by a prof~ssional engineer registered in the state of Florida prior to permit
<br />issuance.
<br />A permit issued shall be construed to be a license to proceed with \:he work and n-:;t as
<br />authority to violate, cancel, alter, or set aside a~y provisions of ~he technical cod~s,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requiring CI
<br />correction of errors in plans, construction, or violations of any code. Every pennlL
<br />issued shall become invalid unless the \-Iork authorized by such permit. is commenced wit.bin
<br />six months of issuance, or if work authorized by the pe~t is suspended ~r abandoned tor "
<br />period of six months after the time the work is conunenced. One 90 day extenzion of time
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be req~est~,J
<br />in writing to the Building Official. ?J1 approved inspection must be logged. during eac:h s.i.~
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUH FAILURE TO RECORD A NO'l'ICE OF COHMEllCEi"!ENT MAY RESUJ~'r ~ N "(OUi{
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUF PROPERTY. _;U:._.:'l...OU INTEND TO OB'l'AIN ~'IUAN~IHG, C0HSU1;r
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORD~G Y0UR1NOTICE OF CO~~ENC~ENT. JOB2 UNDEP
<br />..- /'
<br />('~'2,500 N VALUE,? NO'!' NEE"?TO RECORD AND pc",~9~
<br />
<br />
<br />
<br />.3 I GN1\'rURE: COHTAAC'I'OR
<br />
<br />
<br />.S'l'ATE OF ~r,IDA~
<br />COUNTY OF f) V"I .
<br />The foregoing ins~.rument wa~ckn.owledge~l .
<br />B e me thiv ~- day of (U't.1,.U:.t.A"j, .:uvs
<br />by V
<br />(name of person acknowledged)
<br />who is personally known to me, or
<br />
<br />STATE OF ~-LOIU DArt ,I
<br />COUH'l'Y OF _ r 0 r \ ctu....
<br />The foregoing ins~ment w~aclmO\-lledged_
<br />BefoL:)e this 9- day of o..,~, JIJ,;UJ17~
<br />by n 1II V\D....]Z'Vm e r- ---
<br />~ (name of person acknowledg~dl
<br />~ho is personal1.y kno,","Il to me, or
<br />
<br />o who has produced
<br />(type of identificationl
<br />
<br />]=-da:~~ .n o.th.
<br />
<br />signature of person taking acknowledgement.
<br />
<br />o Nho has prvd..,~ed
<br />(type of identification)
<br />J who Odid DUd not tn'. an onth
<br />
<br />. /JJh ~'- ~Jn. .ff;.e -.------
<br />
<br />Signature of 1>.~.c.san t:'1kinq ackno",'1 edqlOent
<br />
<br />{ij1J SuUlI AM l.IYeIIM
<br />Name t:yped". [l.j~~r
<br />.... III" EJcpnS Jlity 22.
<br />
<br />I!afh:r:~~~ stamped
<br />
<br />..." ExpftI July 22. 2008
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