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<br />CO~DITIONS OF PEP~IT A~F!DAVIT
<br />A.. NOT I CE OF DEED RESTi:.) CT I OJ~b
<br />The undersigned understands that this p'?I'lit lay bE' subject h, .deed restrictions" IIhich laY be lore restrictive than City
<br />regulations. The undersigned assules rl?;aonsibility for cOlplicmce lIith any ilppl,icable deed restrictions.
<br />
<br />B. UNL I CENSED CONTRACT'~,I:;:S AND CONTRACTqELBr=:SF:.!2!~li.u3 I LIT I E9.
<br />If the owner has hired a contractor or [contractors to undertal:e !fork, they IlaY be required to be licensed in accordance with
<br />s~ate and loc~l regulatio~s. ~f t~~ "Ojj~r,ctor is not licensed as r~q~ired by lilli, b~th the. owner ~nd contractor ~ay b~
<br />Cited for a Iisdeleanor violation under state IaN. If the oWTler Dr intended contractor are uncertaIn as to what lIcenSIng
<br />requirelents aay apply for the intended ,mk, they are advised .0 contact the City (,f Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the ONner has hired a CO'itractor Dr contractors, he is advised to have the contractor!s) 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 ilnd 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. CONSTRUCT I ON L I EN U'~.H (CHAPTER 713, FLOR I DA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have be~n 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 it copy of the above described doculent and promise 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 Nork 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 .eet standards of all laws
<br />regulating construction, City codes, zoning regulations, and lan~ developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern.ental agencies lay apply to the intended lIork, 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 />f Depart.ent of Environlental Reoulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />f Southwest Florida Water "anaoe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of Enoineers - SeaNalls, Docks, Navigable Waterways
<br />f Departlent of Health ~ Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environ.ental Protection AQency - Asbestos abate.ent
<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 "compensating volule" will be sub.itted 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 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 perlit issued shall becole invalid
<br />unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the pertit is
<br />suspended or abandoned for a period of six .onth$ after the ti.e the work is cOlleoced.' One 90 day extension of tile, lay be
<br />allowed for the perlit with fee charge of $15.00. Thp extension shall be requested in writing to the Building Official. An
<br />approved inspection .ust be logged during each six .onth period~ or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"KENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR lKPROVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COK"ENCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD ~ND POST A "NOTICE OF CO""ENCEKENT".
<br />
<br />
<br />~-~ ;r/f~
<br />5IG ATURE: OWNER OR AGENT
<br />
<br />~-!..'
<br />SIGNATURE: CONTRACTOR
<br />
<br />y7 ~ ~--~
<br />
<br />was acknowledged
<br />, 19 ~ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Pasco
<br />The foregoing instrument
<br />before me this July 15
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF PiiiCO
<br />The foregoing instrument
<br />before me this Jul y 15
<br />
<br />was acknowledged
<br />, 1 9.....Q..2- b Y
<br />
<br />~~;-'li'~(~;~~~~~n~ -kno~~-;~-~I~~--;hO ha;
<br />
<br />produced
<br />as identification and who di{~id no~
<br />take.an oath. )(,R~4
<br />
<br />(Si9~~
<br />Janet K. Blackwell Comm #AAfi0622~
<br />(Name Typed, Printed or Stamped)
<br />NOT ARY PUBLI C
<br />
<br />J<evi n T. &Q~rt.s
<br />Lho ([Sper sona 11 ~_~:!.c;Wrc:rD inQ or whD hi,s
<br />produced ,
<br />as identification and who diQ7dl~'
<br />take an oath. n /J ~/)
<br />~AkK~~-
<br />(Signature)
<br />Janet K. Blackwell Comm #AA606229
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />Notary Putjllc,Stat~ of J:1orfdf
<br />My Commission Expires Sept, 2. 1992
<br />
<br />~ofary Pul5llc,Slale ofrl6ndcf
<br />My Commission Expires Seat, 2, lq~,
<br />
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