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<br />CONDITIONS OF PERMI~ AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per~itaay be subject to 'deed restrictions' which lay be .ore restrictive than City
<br />regulations. The undersigned assules responsibility for cOlplianre ~ith any applicable deed restrictions.
<br />
<br />B. UNLICENS~D CONTRACTOrS ANQ_CONTRACTOR RESPONS~BILITIES
<br />If the owner has hired a contractor Dr contractors to undertak~ ;,orkl they say be required to be licensed in accordance with
<br />state and local regulations. If tlte"cltlttractor is not licensee; i.i required by law, both the owner and contractor lay be
<br />cited for a lisdeleanor violation under state law. If the own~r or intended contractor are uncertain as to IIhat licensing
<br />requirelents lay apply fo~ the i~t~nded wJr~, t~D.Y are advised .to c?nt~~t the City of Zephyrhil!s Bui16ing Departlentl (B13l
<br />7B8-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors I he is advised to j;ave t~2 contractor!s) sign po;tions of the
<br />'Contractor Sections" of this application for which they will be responsible. If y~ul 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 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 LA~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have bee'j 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 prosise in good faith to deliver it to the
<br />'owner" prior to cOI.encelent. I
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all lIork will be done in cOlpliance with all
<br />applicable laws regulating construction, 10ning, and land developlent.
<br />
<br />Application is hereby lade to obtain a pHlit 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 leet standards of all laws
<br />regulating construction, City codes, zoniog regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulation~ of other govern~ental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actioLs I ilIust take to be in co.pliance. Such agencies include but are not lili ted to:
<br />f Departlent of Environlental ReQulation- Cypress Bayheads, \!:etl~.i,d Areas and Environlentally Sensi ti ve Landsl
<br />Water/Wastewater T'~,atMj!nt
<br />f Southwest Florida Water "anaQelent District - Wells, Cypres5 Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Dorks, Navigable Waterways
<br />f Departlent of Health ~ Rehabilitative ~ervices. Environlent;"ljJealth Unit - Ilellsl Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection AQency - A~bestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood lone 'A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "colpensating volule' will be ~ublitted which is prepared by a pro'fessioqal 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 fro. thereafter
<br />requiring a correction of errors in plans! construction, or v;olations of any code. ,Every perlit issued shall beco.e invalid
<br />unless the work 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 SlX lonths 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 extensian shall be requested in writing to the Building Official. An
<br />approved inspecti~n lust be logged during eacil six .onth period, or the project Hill be considered abandoned.
<br />WARNING TO OWNER: YOU:l fA!LURE TO RECUR" II NilTiCE OF CO~l:IENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROVEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOi!R 1i0TICE OF
<br />COKKENCEKENT. JOBS UNDER $2,500 IN IJALUl: DO NOT NEED TO RECmm AND POST A "NOTICE OF'COMI'IENWIE!H'.
<br />
<br />, //,'
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<br />//( ~.
<br />(/I/. -I, /~ -:://0~Y//~>--,
<br />SIGNATURE: ONTRACTOR
<br />
<br />
<br />STATE OF FlORID~') AC- r- "'-
<br />COUNTY OF \ . ~u
<br />The foregoing in~rument was acknowledged
<br />before me this ,-\-u...('\~d-\..' 19<1'J.- by
<br />
<br />lu Pt- ~ ~ € h... Y\.2. u.. M ~ V\. 11\ . _._
<br />who is per~~nally kno~n to me or who has
<br />produced ~ \10uJ'\ ~ U s.+O Y\i~ rz...
<br />as identification and whD did/did not
<br />~n o~th. ^ \
<br />_~Dn,&,\ ~ UVVlP
<br />ISiqnatlln?}
<br />__~_nita G. Jones
<br />- (Name Typed 1 Pr U1t.~d or Stamped)
<br />......
<br />NOT, ARY PUBL 1 C ~. II t P "lIe State oj FIMldo
<br />..~. 0 ary lli.: r. 94-
<br />~ III Commissicn f)l.plra! FRb. 2tl. 19
<br />
<br />STATE OF FLORIDA ~.f\ C ~ .:--..
<br />CDUNTY DF 'I~~\- ~ _
<br />The foregoing instrument was acknowledged
<br />befcoj-e me this Au..c. ~, , 19~ by
<br />, ~
<br />L..J P..- R" ~ V'\ (\.lI l \ VVl A IA v'\
<br />who is pel-sona 11 y knWln to me or who has
<br />produced t<.. t\00 '" ~ L.t ~ + l) vV\ --e 12.-
<br />as identification and who did/did not
<br />t~n oa..t~. f\ ~ ,
<br />~~ ~ ~~J\\..vO
<br />(Signature) ·
<br />Bonita G. Jones
<br />(Name Typed! Printed or Staw.pec)
<br />NOTARY PUBLIC
<br />
<br />Hotary Public. Stote of Flo.Ida
<br />MJ! Commission Expl,es Feb. 28, 19;4
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<br />-1tA~ IS <-141 0
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<br />A A''54'-{ID
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