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<br />_ ___... t:ONlJITIONS I.'f PE'::.Ml'fP.FFI D.\V~~ -
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that. this permit may be ~lubJec;: to "deed .r.estri.::tionc;'.' ..:hich
<br />may be more restrictive than City regulations. Th~ unr.iE!rsi9n~d asswn~s responsibi.J ity for
<br />compliance with any apr'licable deed restrictions,
<br />B. UNLICENSEt> CONTAAC'I'ORS AND CONTRACTOR RESPOnSIBIl,ITIES .
<br />If the owner ha:s hired a contractor 0.1.: contractors t.<: undertak~ wod~, they may 1:-s require't
<br />to be licensed in accol.dance with state and 10c<\1 .!e<;'ulations. If the contract.;,.r. is not
<br />li censed as required br law, both the owner and cOl1tz.actor may be cited for n misdcmecHICI!
<br />violation under state law. If the owner or intended l:ontractor are uncertain "'5 to \,,~;:\t:
<br />licensing requirements may apply foe the intended work, they aJ.:e advised to contact tne
<br />City of Zephyrhills Bullding Department, 613-768-6611.
<br />Furthermore if the owner has hired a contracto.c or contractors, he is advised to have t':he
<br />1, . f wh1.ch th0.'.~
<br />contractor (~) slgn port:lons of the "Contractor Sectinns'" of this app 1.cat1.0n or. .r
<br />will be responsible. If you, as the owner signs as l;he contractor, you are indica~~llg that
<br />you, rather than the ccmtractor, are responsible for the work. If the contractor w~shes ,
<br />you to sign as contract:or that may be an indicat ion that he is not properly licensed ,-,od .c:c
<br />not entitled to permitt:ing privileges in the City of ZephYlhills.
<br />c. TRANSPORTATION IMPJ\CT FEES AND llTII..ITY CONNECTIOn FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTt:R 713, FLORIDA STA':~UTES, AS AMEtlDED)
<br />I certify that I, the ilPplicant, have been provided Hith a copy of "Floi:ida's CcnstrlJcLi.'':-/l
<br />lien Law _ Homeowner's Protection Guide" preparE:!d by the Florida Department cf 1\.gtiCLllture
<br />and Consumer Affairs. If the applicant is SOIneone ol:her that. the "owner", I eer.i ty that 1
<br />have obtained a copy oJ the above described document. and promise in good [at ell tn ;;leL. v~r
<br />it to the "owner- prio:= to c011ll\encemen t .
<br />E. CONT~CTOR' sImmER" S AFFIDAVIT
<br />1 certify that all the information in this applicatJ.<:>n is accurate and that aU W0f i; :.-d 1.1
<br />be done in compliance '"ith all applic<lble laws regul:l.ting cOllstruction, z,)t1iny, and laud
<br />development.
<br />Application is hereby l1\ade to obtain a permi t to dOjofork and installation as indh:atc>d. I
<br />certify that no work or installation has commenced prior: to issuance of a pl;!rmit 8r;d tbn'c
<br />all work will be performed to meet standards of all laws regulating construction, Cj.ty
<br />codes, zoning regulati:ms, and land development r.egulations in the jurisdiction. J also
<br />certify that I understand that the regulations of other governmental agencif!s lUay apply to
<br />the intended work, and that it is my responsibility to identify what actions I r;-:ust t,~ke to
<br />be in compliance. Such agencies include but ate not limited to: .Department ,.,f
<br />Environmental Regulation-Cypress Bayheads, Wetl and Jl.reas and Environment(~ 11 Y Sensi ti '-Ie
<br />Lands, Water/Wastewater Treatment
<br />.Southwest Florida Water Management District-Wells, Cypress Bayheads, WeLland Area5,
<br />Altering Wat*rcourses
<br />.Army Corps of Engineers-Seawalls, Docks, Navi9able Waterways
<br />.Department of Health' Rehabilitative Services, En\lironmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />.U.S. Environmental Protection Agency-Asbestos abato?ment
<br />I also certify that. if fill material is to be used in f'lood Zone "A" or "A, etc.", it is
<br />understood that a drainage plan addressing a "c:onpensating volume" will be subm.i.tted '"hj c:h
<br />is prepared by a profl!ssional engineer registered itl the State of r'lorida prior to per.mlt
<br />issuance.
<br />A permit issued shall be construed to be a LicEmse to proceed with the work Iud n-:;t as
<br />authority to violate, cancel, alter, or set aside any provisions of the technical cod~s,
<br />nor shall issuance of a permit prevent the Building Official from thereaiter requiring a
<br />correction of errors in plans, construction, or violations of any code. Every pennll
<br />issued shall become invalid unless the work authori2ed by such permit. is commenced within
<br />six months of issuance. or if work authCtclzed by the!' perm!. t is suspended <:>r abande,ned tor. 11
<br />period of six months a fter the time the work i:; commenced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $F:.OO. The extension shall be requestl'-.J
<br />in writing to the Building Official. P.n approved ir.spection must be logged during each si.)l
<br />month peeiod, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOl'R FAILURE TO RECORD 'A NOnCE OF COMMENCE:i'1ENT MAY RESULT IN YOUi{
<br />PAYING TWICE FOR IMPRCIVEMENTS TO YOUI< PROPERTY, IF YOU INTEND TO OBTAIN f'INANCING, C0NSULT
<br />~H YOUR LENDER OR All. ATTORNEY BEf'ORE RECOHDlIlG r"ItrR NOTICE OF COMMENCE"~E~T. ,JOB: UNDEP
<br />( $2'1500 IN v;~oo N~}E!D TO RECORD AND POS1' · CI'rICE OF C<HlENCEMEN'J", L-
<br />
<br />~J; Lt: ~ ~---
<br />
<br />SIGNATURE: OWNER R J~GENT SIGNA'fURE: cONrAAc'\'OR
<br />
<br />. STATE OF FI..ql\.IDA/) '1\
<br />COUNTY OF ....l:::tl5~
<br />The fo.regoing inst,;~e'nt wat' ^ ~cknqwledged
<br />Be(.ore me thi. ~ dll.y of ~L-r-~, dI:8..il.(t:l'l
<br />by J>V 1'1 VI.. q.... rYITITl~
<br />_/ (name of person ll.cknowled<]ed)
<br />lid'who is persona~ly ~:nown to me, or
<br />
<br />Owho has produced
<br />(t}pe of identification)
<br />and whoOdid Odid nc,t take an oath.
<br />
<br />~{,ff'-~~(}~
<br />
<br />Signature of person takina acknowledgement
<br />~~ SUIlIIl'Ann Lavallee
<br />~ c.; . My CommisslOll 00340486
<br />Name t.yped, print'3 I.Efte.I~, 2008
<br />
<br />STAT!: OF FLORi DApa...sC-- ~
<br />COUNTY OF __. D -
<br />The toregoinq ins~ment wai)A. ack;'1.:'1edge~
<br />Befop~~ thi s ~day of Cu-- ,W ;)..Of) -/
<br />by /II VI n Ik'LA () r- ...
<br />_~ (name of person acknowledg~d)
<br />U&iho is personaJ.ly knol.rn to me, or
<br />
<br />o ",ho has pr.;)dqced_-.------.-
<br />(type of identific3tion)
<br />and who Odid [):Hd not tdke an oilth
<br />
<br />~l~ ~ /~p".-fyP./:;.P
<br />
<br />::agnature o~'M-t~M~ acknoNledgment
<br />i:y. j My CommlSSlOll 00340486
<br />'\ ~ .:.Ilil\lllr88 dlll'y 2L ~
<br />Hame typed, pr.inted or. 's'arnped
<br />
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