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<br />CONDI TIG.I'\JS 0:-:7 Fe: :.iJ T AFFI DA') I T
<br />A. NOTICE OF DEED RESTRICT:ONS
<br />The undersigned understands that this peni~I1!Y !Ii' subject todeeu n~si;ric'.ions" which lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for cOlplianc!! with any applicabl'e deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONT~ACTQR RESPONSIBILITIES
<br />If the owner has hired a .ontractor or contractors to undertake ~ork, they may be required to be licensed in accordance with
<br />state and local regulations. If the <M1tractor is not L :enseC: as required by law, both the owner and contractor lay be
<br />cited for a lisdeleanor violation under state l~w. If the ONr . Dr in,ended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advisp.a t~ co~~act the City of Zephyrhills Building Departlent, (B131
<br />7B8-6611.
<br />
<br />Furtherlore, if the OW1.er has hired a contractor Dr contractors; hI! is advised to have the contractor(sl sign portions of the
<br />"Contractor Sections" of ~;li5 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 i~ not properly licensed and is not entitled to perlitting privileges in'the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND U~L_ITY CONNECTION FEE~
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 7~~~ FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy ~f "Floridd's Construction Lien Law - ~oleowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and COllsuler Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above deslribed 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 work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land develop",ellt.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation 'as indicated. I certify that no work Dr
<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, zoning regulations, and land rleveloplent regulations in the jurisdiction. I also
<br />certify that I understand that the regul~tion5 of other govern.ental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cj~pliance. Such agencies include but are not lilited to:
<br />I Departlent of Environlental ReQulation - Cypress Bayheads, ~~tland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatliiimt
<br />I Southwest Florida Water KanaQelent District - Wells, CypreS!i Bayheads, Wetland Areas, Altering Watercourses
<br />I Arty Corps of EnQineers - Seawalls, Docks, Navigable IIdt~r~~~s I
<br />I Departlent of Health 1. Rehabilitative Services, f;wirolll"~IJ _', r"':;J,~ Unit - Wells, Wast'ewater Treatlent, Septic Tanks
<br />I US Environaental Protection~ - Asbest~s abat~fflent
<br />I also certif}' that, i-;- f;!) !l.,t"~;;11 ;fr< hii' ,.~,,-! i" "-H;[-w
<br />addressing a "colpensating volute" will t2 5tibAli;~,;" ~hicll i~ ..
<br />Florida prior to perlit issuance.
<br />
<br />A pertit issued shall be construed to be a license to procee' ~ith the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall is~uan::, of a pertit 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 cOlleneed within six lonths of issuance, Dr if work authorized by the perlit is
<br />suspended or abandoned for a period of si~ lonths after the ,ile the work is cOlien[~d. One 90 day extension of tile, lay be
<br />allowed for the perlit with fee charge of $15.00. The exten5~on shall be requested in ~riting to the Building Official. An
<br />approved inspection lust be logged during each six IOJth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NGTIef OF CO~HENCEnENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCIHG, CONSULT WITH YOi:H l:~vER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECURD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />Ii J.o,&~
<br />
<br />SIGNATURE: ONTRACTOR
<br />
<br />) /. /./'
<br />~c~N~U~Ei:.'~WN~~: AGEN? .. ) ,- U /
<br />
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<br />
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<br />~~~~~yO~/LORIy~ _, _ . ___
<br />
<br />The foregoing instruJIlJ?nt was ar:knc,-l~cged
<br />before me this 19M dc.t. 19U_ r::l't
<br />
<br />~NE G. (~;;-.YY1e_~_... _,.,___
<br />whet is p~sonallY known to mf: (.,' wh,::, has
<br />produced ___
<br />as identification and who did/"j.:.J .1C,t
<br />~AQ1hY'l YlL. '~
<br />~1:t~l~v) ~. . J )__ ?
<br />Lbl(;'BE1-P- YYI. <f.....V\sse~
<br />(Nam~ Typed~ Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />NotalY Public. Slate 01 Florida at Large
<br />My Commi$Sion Expires Aug, 28. 1*
<br />~.. ,+f c <:.--u V-:3 \.) \0 ?
<br />
<br />,.~ .~. or "A,etc."! it is understood that a drainage plan
<br />_J by a professional engineer registered in the State of
<br />
<br />i~( ~ ~F FLORIDA ,.~
<br />,'Illn;'!'{ OF r~
<br />The forpgoing instrument was acknowledged
<br />-:'re me th i!:' /9. oc1/- ~ 19 I;).. by
<br />/
<br />U). /I--~ (Ve(.ch1AIV/V
<br />who is personally known to me or who has
<br />produced
<br />a.s identification and who did/~ 00
<br />
<br />t3'-:~~h~ /Yt.~
<br />'(~~d;;);f-f,/v ~. Ii ~1-{s.S€t C
<br />
<br />(Name Typed, Printed Dr Stamped)
<br />NC~' 8HY.-fUBL I C
<br />
<br />Nollry Public, State of Florida at Large
<br />-My Commission Expires Aug. 28. 1*
<br />(~. ~ C(OY3ok>i
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