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<br />CONDITIONS OF PER~IT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it.ay be subier:t b "deed restrictitlns" Ilhichuy be .ore restrictive than City
<br />regulations. The undersigned assu.es responsibility for co.pliar~e lIith any applicahle deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ollner has hired a contractor or contractors to unde~take ~ork, tney ~ay be required to be licensed in accordance lIith
<br />state and local regulations. If.tttl! l!oJttractbr is not licenseci as Tl::quired by lalt, both the ollner and contractor aay be
<br />cited for a .isde.eanor violation under stot~ law. If the ownEr 'i intended contractor are uncertain as to Khat licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (8131
<br />788-6611.
<br />
<br />Further.ore, if the ollner has hired a contractor or contractors, he is advised to have the contractorls) sign portions of the
<br />'Contractor Sections' of this application for Mhich they Mill be responsible. If YO'u, as the ollner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor lIishes 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 - Ho.eollner's Protection
<br />Guide' prepared by the Florida Depart.ent.of Agriculture and Consu.er Affairs. If the applicant is so.eone other than the
<br />'oMner', I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the
<br />'owner' prior to cOltencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation in this application is accurate and that all 1I0rk lIill be done in compliance with all
<br />applicable laMS regulating construction, zoning, and land develop.ent.
<br />
<br />Application is hereby aade to obtain a perait to do Mork and installation as indicat~d. I certify that no work or
<br />installation has coa.enced prior to issuance of a perait and that all Mork Mill be perforaed to leet standards of all lalls
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies aay apply to the intended lIork, and that it is
<br />IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not lilited to:
<br />I Department of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f SouthMest Florida Water KanaQelent District - Wells, Cypress Bayh;,ads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of EnQineers - SeaMalls, Docks, Nr.vigable Waterways '
<br />I ~artlent of Health & Rehabilitative S~rvi~~~~viron~entaJL_Health Unit - Wells, Wastellater Treatlent, Septic Tanks
<br />I US Environaental Protection AQency - Asbe5~lJs aD,Iti:~lIIen~
<br />I also certify that, if fill laterial is to be used in Flcod Zone 'A' or 'A,etc.', it is understood that a drainage plan
<br />addressing a 'colpensating volule. Mill be subaitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A permit issued shall be construed to be a license to proceed with the lIork 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 code. Every permit issued shall becole invalid
<br />unless the Mork authorized by such permit is commenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six aonths after the ti.e the Mork is co..enced. One 90 day extension of time, lay be
<br />alloMed for the perlit with fee charge of $15.00. The extension shall be requested in IIriting to the Building Official. An
<br />approved inspection lust be logged during each six lonth period, or the project lIill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"KENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COftKENCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND T A "NOTICE OF COMMENCEMENT".
<br />
<br />';.). ~-/...,
<br />//NiT..-U~L-I' /- Cr / ~. ~L-/
<br />S16 URE: OWNER OR AGENT
<br />
<br />
<br />~~
<br />
<br />STATE OF FlORID~
<br />COUNTY OF f/ ~C-D
<br />The foregoing instrument
<br />before me this 7-::/3
<br />
<br />was ackn;:.wledged
<br />, 19 9.:u by
<br />
<br />STATE CF FLORIDA tjJ
<br />COUNTY OF ~~
<br />The foregoing instrument was acknowledged
<br />befc'l-e me th i s '7 ~ c:<.3 ~ 19 9':L by
<br />
<br />/f)~ I/~
<br />
<br />who is personally known t~me or, who, has
<br />produced Ci)~ ~~
<br />as identification and who di did not
<br />
<br />take~ ~J~
<br />
<br />(Signa ure I. S-
<br />f--.c UJ d N tV
<br />(Name Type , Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />
<br />who is pe n to me or who has
<br />pl-oduced
<br />as identification and who did/did not
<br />take al)/9ath. Y, i?
<br />~S7'- ~, y1 U/2l~
<br />(Sign51ture) '. S
<br />. liMY A-, WdVV,J
<br />(Name Typed~ Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />CIIIIcIIII....
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<br />....,.... - "florida
<br />_........._..1.
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<br />OIIlc:lalStll ~
<br />A1I'I L'_
<br />Notary PuIlIc,"" florida .
<br />My comm. _I)} ."1.
<br />Comm. Nt; CC1....
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