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<br />CONDITIONS OF ft::HI1IT AFFIDrWIT
<br />A~ NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject t~ "deed restriction;" 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 RESPO~SIBILITIES
<br />If the owner has hired a contract~r Dr contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
<br />cited for a lisdeleanor violation under state IaN. If the owner or intended contractor are uncertain as to what licensing
<br />reQuirelents lay apply for the intended Hork, they are advised to contact the City ~f Zephyrhills Building Departeent, 18131
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 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 entit1ed 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 Departlent 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 prolise 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 Hill be done in cOlpliance with all
<br />applicable laMS regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do Nork and installation as indicated. I certify that no Mork or
<br />installation has cOllenced prior to issuance of a perlit and that all work Nill be perforled to leet standards of all laMS
<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 governmental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify Nhat actions I lust take to be in cOlpliance. 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 "anaQetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health l Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abateaent
<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 pertit issued shall be construed to be a license to proceed with the Hork and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any c~de. Every pertit issued shall becole invalid
<br />unless the Hork authorized by such perlit is cOltenced within six lonths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six Bonths after the tile the work is cOllenced. One 90 day extension of tile, lay be
<br />allowed 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 tonth period, or the projert will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMHENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />r;K~
<br />
<br />~ -f':/f? 4 JiJ
<br />
<br />SIG TURE: Ol/NER OR AGENT
<br />
<br />/~
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Pasco.
<br />The foregoing 'instrument
<br />before me this dl.vrv- ;tl.(
<br />
<br />was acknowledged
<br />, 19 ~ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF p" c:ro
<br />The foregoing H1strument
<br />befc.re me this ~~ J.-Lt
<br />
<br />lo'las acknc'lo'lledged
<br />, 19 q 1-. by
<br />
<br />vi n T. R
<br />who is ersonall to me or who has who is ersonally
<br />,;,-oduced produced
<br />as identification and who did/did not as identification and who did/did not
<br />take an oath. take an oath.
<br />
<br />(Si~U~~-Kk~A'"~ ~e~ gQ~
<br />
<br />Janet K. Blackwell comm # AA606229 Janet K. Blackwell Comm # AA606229
<br />(Name Typed, Printed c...- Stamped) (Name Typed, Pl-inted c,r Stamp2d..)..o.publlc StllteolF\orlda
<br />"Ma.)' '. . . "t 2 1992
<br />NOTARY PUBLIC . -str 'Of Ff6~T ARY PUBLI C MY .Commission ElC1lir<'S .,eo. .
<br />Notary Public, . a e . 2
<br />My commission Expires Sept. 2, 199
<br />
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