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<br />CONDITIONS OF PERMIT AFFIDAVIT ·
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit 'Iay be subject to 'deed restrictions' which lay be lore restrictive than City
<br />regulations, The undersigned assules responsibility for cOlpliance with any applicable deed restrictions,
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance Nith
<br />state and local regulations, If the contractor is not licensed as required by'laN"both the ONner and contractor lay be
<br />cited for a lisdeleanor violation under state IaN. If the owner or intended contractor are uncertain as t~ what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611,
<br />
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<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' of this application for which they will be ~~sponsible. If'you, as t~,own!r sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work, If the contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly 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, FLORIDA STATUTES, AS AMENDED)
<br />I 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 Departaent of Agriculture and Consuler Affairs, If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described doculent and pro.ise in good faith to deliver it to the
<br />'owner" prior to cOllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to 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 />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction, I also
<br />certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance, Such agencies include but are not lilited to:
<br />I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands,
<br />Water/Wastewater Treat.ent
<br />I Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc,", it is understood that a drainage plan
<br />addressing a "colpensating volule" will be sublitted 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 work and not as authority to vinlate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perait prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violatinns of any code. Every perlit issued shall beeole invalid
<br />unless the work authorized by such perlit is eOlleneed within six lonths of issuance, or if work authori~ed by the perlit is
<br />suspended or abandoned for a period of six lonths after the tiae the work is cO.lenced, One 90 day extension of tile, lay be
<br />allowed fnr the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official, An
<br />approved inspection aust be logged during each six lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COK"ENCEKENT "AY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CO""ENCE"ENT, JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT",
<br />
<br />
<br />STATE OF FlORID~
<br />COUNTY OF , ~)
<br />The foregoing ins~ment
<br />before me th15,~ F;./J
<br />
<br />was a~nOWledged
<br />, 19 L by
<br />
<br />cJ... ftuLI/ Id u FrS r /-1 TLE Ii!. l17T.f{
<br />who is personally known to me or who has
<br />produced Fl)J-.-tJ: Q ,~OO-~ - 55-'/O(
<br />as identification and who did/did not
<br />
<br />take al10a~ ~~
<br />
<br />(Si~ture) ~ L .
<br />NfTI'f _ ~WI J
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI C
<br />
<br />NOTARY PUBLIC, STATE OF FLORIDA
<br />My commission expires J.;n. 23, 1995
<br />Bonded thru Patterson - Elecht Agel1~
<br />
<br />~~E. ~~
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF . ~_
<br />The forege. i ng i ns tl~nt l>Jas ac kncll>ll edged
<br />befcll-e me this '-~ --- hA., i9 9'.;L. by
<br />
<br />LA-U/lfl flUFF ST{.,( rL€-,i (rJfl77y
<br />who is personally known to me or who has
<br />produced FD.;t'+I C 3 00 - S ':;;"J--- 5'5":; 70(
<br />as identification and who did/did not
<br />
<br />tak~~~ ~ ~~_
<br />
<br />(Sig~ture) ~
<br />4.Q Be. ,Z1l'1 !d. ..
<br />(Name Typed, Printed
<br />NOTARY PUBLIC
<br />NOTAF?Y ru',!
<br />!:Y Commie.'.;c,,;
<br />onded t!;liJ
<br />
<br />LewfJ
<br />01- Stamped)
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<br />.;; !\fE OF FL .
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<br />HlS~tH Ag~;l~::
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