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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to 'deed restrictions. which may be lore restrictive than City
<br />regulations. The undersigned assules responsibility for cOf;pliance with any applicable deed restrictions.
<br />
<br />B. UNL I CENSED CONTRACTORS ANI:) CONTRACTOR F~sSF::(J~l9JL,--11J T ls.~~
<br />If the owner has hired a contractor or contractors to undertake work, they ~ay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
<br />cited for a lisde.eanor violation under state law. 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 Zephyrhills Building Departlent, (BI3)
<br />7BB-bb 11.
<br />
<br />Furtherlore, if the owner has hired a contractor or 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 and is not entitled to perlitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~,
<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 - HOleowner's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is so.eon~ other than the
<br />'owner', 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 cOlmencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVII
<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 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 cOI.enced prior to issuance of a perlit and that all work will be performed to meet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not limited to:
<br />t Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ;entally Sensitive lands,
<br />Water/Wastewater Treatment
<br />t Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health t Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US Environ.ental Protection AQency - Asbestos abatement
<br />I also certify that, if fill laterial is to be used in Flood Zone 'AH or HA,etc.., it is understood that a drainage plan
<br />addressing a 'compensating volule' will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to permit 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 permit prevent the Building Official froe thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every periit issued shall becole invalid
<br />unless the work authorized by such permit is comlenced within six months of issuance, 'or if work authorized by the permit is
<br />suspended or abandoned for a period of six lonths after the tile the work is comlenced. One 90 day extension of tiDe, lay be
<br />allowed for the permit with fee of $15. " The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust ogg d duri~g each ~ix lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNE . R AllURE 0 REC RD A NO - CE OF COHMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. YO TO OBTAI ANCING CONSULT WITH YOUR lENDER OR AN ATTORNEY, BEFORE RECORDING YOUR NOTICE OF
<br />CO,",HCE OS UHOER ",'00 0 NOT NEEO TO RECORO AHO POST A 'HO~~
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<br />
<br />SIGNATURE: vCONTRACTOR
<br />
<br />
<br />--_/
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF --P 11..5 <:!.-('") __
<br />The foregoing instrument was acknowledged
<br />befcl\-e me this tJe/~.1..J, 19~ by
<br />
<br />
<br />who i ~~ y~o"I~::;:;': \IF,/:. r.-:,~
<br />pn: ELtECB-
<br />a:s idl,.;..,L:..r~\-L:\l~\..'I' and who~did not
<br />
<br />STATE OF FLOR
<br />COUNTY OF
<br />The foreg ,in instrument was acknowledged
<br />before me - is tJdL,,; ;2J" 19!b:::.. by
<br />
<br />~ ~])~~_~Lv
<br />who' is pel-sonally known to me €ti \li'1[ hiil"
<br />f*'~ddced
<br />~~ iaeAtif;,~tion and who ~/did not
<br />take an oath'.~~d-.~
<br />
<br />(Signature) 0
<br />~ATI-/ t..-G:&JJ J. 13t<ro.JN
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />take an oath. c:A/ ~A # '"'Y.Z. J
<br />~~~J.-J _' ~~
<br />(Signature)
<br />I< ArJ../ L E./2.AI J-J3R DWP
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~
<br />
<br />KATHLEEN -..1, ,Ii
<br />State of Floc J.
<br />My Comm. Exp. April 2, 1935
<br />Comm. II CC 095617
<br />
<br />~
<br />
<br />KATHLEEN J. BROWN
<br />State of Florida
<br />My Comm. Exp. April 2, 1995
<br />Comm.' CC 095617
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