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<br />CONDITIONS OF PER~IT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit .ay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrittions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRAC10R RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in actordante with
<br />state and local regulations. If the contractor is not licensed a5 required by law, both the owner and tontrattor lay be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, IB13}
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or cGntractors, h~ is advised to have the contractor Is} sign portions of the
<br />'Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractor,
<br />you. are indicating that you, rather than the contractor, are respon~i~ie 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 ZephyrhilIs.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTE~ 71~, F'nRIDA STATUTES, AS AMENDED)
<br />I certify that I, the ~pplicani, nave been provi~ed with d copy of "Florida's Construttion Lien Law - HOleowner's Protettion
<br />Guide" prepared by the Florida Departlent of Agriculture and Consu.er 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 cO'lencelent.
<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 develop.ent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I tertify that no work or
<br />installation has cOI.enced 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 />'y responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not lilited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water "anaQelent District - We115, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f 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 user. in FloDd Zor,p "A' or 'A,etc.', it is understo~d that a ~rainage plan
<br />addressing a 'colpen~ating volule" Nill be sub.itt~d which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the Nork and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuante of a perlit prevent the Building Officijl frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the Nork authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, lay be
<br />alloNed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six Month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT "AY rlESULT IN YOUR PAYING TWICE FOR IHPROYEHENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDEH OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COH"EMCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COH"ENCEHENT'.
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<br />. . /~I
<br />~,~ '~:' /". ~
<br />. " ..... "L..AJ
<br />--SiGN~~~~ --~----------------
<br />
<br />STATE OF flORIDA/'
<br />COUNTY OF ____;i~~_____________________
<br />The foregoing instrument was acknowledged
<br />before me thi~=:~~_____, 19_7~ by
<br />C' '. J / /1
<br />____::tLi(.~~~!~~------------
<br />who ~s personally k~own to me or who has
<br />produced ~~_~,25..;L<ttJl.'&_2!._~'t.!-
<br />as identification and who did/did not
<br />takZ7~ofath(L L.~~
<br />
<br />(~;)__~~L~~_-_-------_-----_-_--
<br />_~f~l:-_C~_~~b~5_~~----------------
<br />(Name Typed, Printed or Stamped)
<br />NOT ARY PUBLI C ON EXPIRES AUG. 1. 1.
<br />MY COMMtSSI .
<br />
<br />--~~A'TOR------
<br />
<br />
<br />STATE OF FLORIDA
<br />CnUnTV aF _____~~_____________________
<br />Th~ foregoing instrument was acknowledged
<br />before me this ~JL-LSL---, 19j12-_ by
<br />
<br />_r=jJL~~__--_~~_tt~~_t~~l~__-__----
<br />who is personally known to me OF who has
<br />produced _~~10_~~~__-~L~~!L~~---
<br />as identi ficatic.n and who did/eH8 not
<br />take an oath. ...
<br />::U~____'Cl~~_-_~~------
<br />(Signature)
<br />_}2~~~~___rfl__~~~JtL_----~--------
<br />(Name Typed, Pl- i nted or StamPl?d) te c~ FIOrlOa
<br />NOTARY PUBLIC Notary ~u~hC, s~a '2 C'~
<br />My CommiSSion Expires F6~, 9, 19.1\
<br />
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<br />l.
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