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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />~. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit ~ay be suLject to 'G~Ed restrict:ons' "hieh may be ~ore restrictive than City
<br />regulations. The undersigned assules responsibility for co.~l~anL~ Nith any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND,.CONTRACTOR RESPONSIBILITIES
<br />If the ollner has hired ~ contractor or contractors ~o undertah work, thI!Y-';~Y-b;~~~~i-;;;d~b;l-i'censed in accordance with
<br />state and local regulatIons. If the'tontrdct~r is,~ot. licensed as required by law, bpth the owner and contractor lay be
<br />cited for a lisde.eanor violation under stat~ :d~. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, thEY are advised to contact the City of fephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractor~, ~~ .5 advised to have the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for which they ":11 be les~ollsibIE. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are rl!spJnsible for the work. If the contractor Nishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to persitting 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 been provided with a copy of 'Florida's CDnstru~tion Lien LaH - HOleoHner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. if the applicant is so!eone other than the
<br />'oHner", I certify that I have obtained a copy of the above described document and prof-ise in good faith to deliver it to the
<br />"oHner' 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 laNs regulating construction, zoning, and land developlent.
<br />
<br />Application is hereb~ lade to obtain a perlit to do work and installation ~s indicated. I certify that no Hork or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be performed to leet standards of all laNs
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies may apply to the intended Hork, and that it is
<br />IY responsibility to identify Nhat actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to:
<br />t Oepart.ent of Environlental ReQuIation - Cypress Bayheads, Wetland Areas and Environr.entally Sensitive Lands,
<br />Water/Wastewater TreatMent
<br />t Southwest Florida Water ManaQeaent District - Wells, Cypress Bayheads, Hetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Nav)gable Waterwzys
<br />f Departlent of Health _L Rehabilitative Services, Environlent . Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood 70ne "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a 'colpensating volu~e" Mill be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to pertit issuance.
<br />
<br />A permit 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 permit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. ~very per~it issued shall becole invalid
<br />unless the Mork authorized by such permit is com.enced within six lonths of issuance, or if Hork authorized by the permit is
<br />suspended or abandoned for a period of six sonths after the tile the Hork is cOffi~enced.' One 90 day extension of ti.e, 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 lonth period, or the project will be consideced abandoned.
<br />WARNING TO OHNER:YOUR FAILURE TO RECORD A NOTICE OF COHMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDIN6 YOUR NOTICE OF
<br />COI1I1ENCEIIENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF' COMMEUCEMENT'.
<br />
<br />d
<br />~;;/~
<br />
<br />. SIGNATURE: COUTRACTOR
<br />
<br />
<br />was acknowledged
<br />, 19~ Wi
<br />
<br />STATE OF FL~A
<br />COUNTY OF (AI .sco
<br />The foregoing In'O'-trurnent
<br />t,efe.re mE? this /O/d I
<br />
<br />STATE OF FLOR~
<br />COUNTY OF ~
<br />The foregoing inst~ment
<br />before me this I~, ~ (
<br />
<br />H~.s dC kno\'J I edged
<br />, 19----2: L. by
<br />
<br />511/ et:/!- ~ FrE7C
<br />who is personally known-to me Dr who has
<br />produced r'C P L
<br />as identific~~";,'.~!li'l'~i'frL....,,whcl did/did nClt
<br />t ' t~'" ",,1;tY P.... ~ '
<br />. a,(ej In. )a ~~6~>""'Vr}).~A-
<br />,//u-U/;jSL .la'~.......-G
<br />(Signatul- _ i. - ~ g -
<br />S# / Jt~\? \4) - *PI:Z-;irfc-/-/
<br />(Name Type ",~~..~nteg....~#>tamped)
<br />NOTARY PUBLf~t Of"f"t'\)~>~
<br />1111/11111\\\\\\\\
<br />
<br />
<br />me or whcl has
<br />
<br />not
<br />
<br />--G
<br />
<br />rSC/T
<br />
<br />SHIRLEY D. DEUTSCH
<br />My Comm. Exp. Feb. 26. 1996
<br />Comm. No. CC 183178
<br />
<br />~c::...1l& O. OEllTsa,
<br />~ Up. Felt.2&.....
<br />. ... ct D3118
<br />
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