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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />The und~rsigned unders~a~dsthat this pe~.it 'lay be subject to mdeed restrictions' which aay be lore restrictive than City
<br />regulattons. The understgned assules re5ponsibility for cDlpliant~ lith any applicibl!.deed restrictions.
<br />
<br />B. UNLICENSED CONTRACT(IRS AND CONTRACTOR RESPONSIBILITIES '
<br />If the IMner has hired ~ contractor or c~ntractors to undertahe Mork, ~hey lay be required to be licensed in accord "th
<br />state and local Tlgulahons. If the"'Coniractor is ...ot, licensed as required by laM :both the',ollner and co t t ancb! 111
<br />. t-oI f . d . 1 t. "'", . I , '.. n rac or lay e
<br />Cl ~ or ailS eleanor V10 a t~n under 1tate la.. If the owner or intended contractor are uncertain as to Khat licensing
<br />requlrelents lay apply for the Intended :)ork, they are advised to contact the City of Zephyrhills Building Depart.ent IB131
<br />788-6611, "
<br />
<br />~urtherlore, if ~he ~wner h~s hire~ a ~oJtractor.or contractors, he is a~vised to have ~he contractor(s} sign portions of the
<br />Contrac~or.Sec~tons of thts appltCatlDn for whlCh they Mill be respo:.slble. If you, as the ownlr sign as the contractor,
<br />you are lndlcatlng that you, ~at~er ~han,the con~ractor, are resp~nsible fer the work. If the contractor wishes you to sign
<br />as contractor that aay be an Indlcat10n ~hat be 15 not properly 11cp.nsed and is not entitled to perlitting privileges i~ the
<br />City of 2ephyrhills. .
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN L{.W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />1 certify that I, the applican~, have bl!~n provided Mith a copy of "Florida's Construction, Lien L~N - HOleowner's Protection
<br />Guide" prepared by the Florida Depart.en~ of Agriculture and Consuler Affairs. If the appI~cant is sOleone other than the
<br />"oNner", I certify that I have obtained l copy of the above described doeulent and protist in good faith to deliver it to the
<br />.owner. prior to cOlaenceaent. '
<br />
<br />E. CONTRACTOR'S/OWNER'$ AFFIDAVIT .
<br />I certify that all the infor.ation in thiS application is accurate and that all Nork Mill.be done in cOlpliance Mith all
<br />applicable laMS regulating constructions zoning, and land developlent. '
<br />
<br />Application is hereby aade to obtain a p,}rlit to do HOrk and installation as indicated~ r certify that no work or
<br />installation has cOllenced prior to issuJnce of a perlit and that all work will be perforled to teet standards of all laws
<br />regulating construction, City codes, zonlog regulations, and land deyeloplent regulations 'i~ the jurisdiction. 1 also
<br />certify that I understand that the regulJtions of other governlental agencies lay apply.,to the intended work, and that it is
<br />IY responsibility to identify what actio.ls I lUst take to be in cODpliance. Such agencies include but are not liaited to:
<br />f DeGart.ent of Environaental Reaulation - Cypress Bayh~ads, Wetland Areas and Environmentally Sensitive Lands,
<br />Yater/Wastewater Treat.ent
<br />f Southwest Florida Water "anaae.ent Dis~rict - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArIY CorGs of EnQineers - SeaMalls, Docks, Navigable YaterNays ,
<br />f DeDartlent of Health l Rebabilitative Services. EnvironaentalRealth Unit - Wells, Wastewater Treatlent, ~eptic Tanks
<br />f US Environaental Protection AQency - A~bestos abateaent , ,
<br />I also certify that, if fill eaterial is to be vsed in FloDd Zone "AS or "Asete.", it is'understood that a drainage plan
<br />addressing a "colpensating voluae' will he 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 violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball issuance of a perli,t prevent the Building Official frol thereafter
<br />requiring a correction of errors in plan~, construction, or violations of any code. Every perlit issued shall becoae invalid
<br />unless the work authorized by such perli~ is cOltented within six lonths of issuance, or if work authorized by the permit is
<br />suspended or abandoned for a period of six lonths after the t~.e the Nork is cOI.enc~d.~n7 90 day exte~si?n of t~.~, lay be
<br />alloNed for the perlit with fee charge of $15.00. The extens10n shall be requested 1n Mr1t1ng to the BUlldlng Offlc1a1. An
<br />approved inspection lust be logged durin) each six lonth period, or the project "ill be ~on~idered abandoned.
<br />HARNING TO OWNER: YOUR FAILURE TO RECOR,) A NOTICE OF COKKENCSKENT KAY RESULT IN YOUR PAYINS TWICE FOR IMPROYEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINAH~INBf CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDINB YOUR NOTICE OF
<br />CO"KENCEtlENT.,~JOB DER $ 500 IN ': DO NOT N~ED TO RECORD AND POST A 'NOTIC OF COM"ENCEtlENT"
<br />, ~.
<br />
<br />'AC
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<br />SIGNATURE: OHNER AGENT
<br />
<br />
<br />
<br />F; \L ~
<br />
<br />
<br />STATE OF FLORIDA P
<br />COUNTY OF ~ 0
<br />The foregoing instrument was acknowledged
<br />before me this "TlLhl '"', 19~ by
<br />
<br />M ( U\.o..e.l F \ \(~
<br />who is personally known to me or-liRe has
<br />pr....dl1~ '
<br />as identification and ,who did(Q1d n~
<br />take an o~~ ~~
<br />
<br />(Signature~<k... <J) l.A.NC:A0
<br />
<br />(Name Typed, Printed or Stamped) ...
<br />NOTARY PUBLIC Notary Public, Stllte of FlOrida
<br />My (omrnis'li~n hr;[re$ July 31, 1994
<br />Bonded Thru Troy Fein. ImuranC:8 Inc.
<br />
<br />STATE Of FLORIDA Q .
<br />COUNTY OF ft'5( 0
<br />The foregoing instrument
<br />before me thi~\1 v,tn
<br />
<br />was acknowledged
<br />, 19tt2- by
<br />
<br />_tr\ " c"",, O-.e.. \ f:= ; \< e..
<br />who is p!!sonally known ~ or who has
<br />'pr'eeh:lc:ed . .
<br />as identification and who dlltta~d no~
<br />
<br />tak~~~
<br />
<br />(Signa~ei\.(\"'- l)tk:.tv<:.A 0
<br />
<br />(Name Typed, Prin~ed or Sta~ped) I ',1
<br />NOTARY PUBLIC Nlltary Publ:c, S~!!te ,o~ r~c~l..a
<br />( " E-"" ..., \I J l 1994
<br />My cm~W;$~rin J;.~-.';; ,,'" .J~.j ,
<br />Bonded Thru Troy fain ~ Insuranco Inw.
<br />
<br />I,
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