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<br />cmiDITIONS OF PERM~:T AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />,The undersigned understands that this perlitlay be subject to 'deed I estrictions' which lay be lore restrictive than City:
<br />regulations. The undersigned assules re5ponsibility for cOlpli~nce wi~h any applicable deed restrictions,
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBiLITIES
<br />If the owner has hired a contractor or c: ntractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations. If the'ImJl.r\ctor is 'l>>t licensed as required by law, both. the owner and contractor lay be
<br />cited for a lisdeleanor violation under state law. If the ONner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended tiork, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the ONner has hired a c00tractor or contractors, he is advised to have the contractorls) 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 FEES
<br />
<br />D. CONSTRUCT I ON L I EN U\~i (CHAPTER 713, FLOR I DA STATUTES, AS At-1ENDED)
<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 sOleone other than the
<br />'owner', I certify that I have obtained a copy of the above described doculent and prolise 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 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 Nork will be perforled to leet 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 govern.~ntal agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actioi1s I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water "anaoelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, 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 abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone 'A' Dr 'A,etc,', it is understood that a drainage plan
<br />addressing a "colpensating yolule' will be sublitted 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, Dr
<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 cOI.enced within six lonths of issuance, or if wDrk authorized by the per.it is
<br />suspended or abandoned for a period of six lonths after the til~ the work is cotlenced. One 90 day extension of tile, lay be
<br />allowed for the perlit Hith 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, Dr the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"MENCEMENT "AY 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 RECORDING YOUR NOTICE OF
<br />CO"MENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT'.
<br />
<br />~<-~ ~~- AL
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />~____~ t, ~~_~
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />was acknowledged
<br />, 19.:J..b. by
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF ct ~
<br />The foregoing instrument
<br />befcl\-e me this {JJ;:LI
<br />
<br />STATE OF FLORI~
<br />COUNTY OF ~
<br />The foregoing instrument
<br />befc.re me thisQcI-2.[
<br />
<br />was acknowledged
<br />, 19..J....:J...... by
<br />
<br />
<br />whr. has
<br />
<br />__, l<.e u i'-Y1 .eo..1~j::.l~
<br />whc' 0~~mo~'1100 me ~r whcI has
<br />produced
<br />as identification and who did~
<br />tak~, an oath. 0Q~
<br />
<br />'(Si9~'-''1 K
<br />tla. y\Q-1 K. 310: c..Kwell
<br />(Name Typed, Printed or Stamped)
<br />NOT ARY PUBLI C -"'I"''''''' -.--
<br />~ "'", Notary Public. State of Florida
<br />: A ':[1 BlACYoWEll
<br />My Comm, (xp. 9,18-96
<br />Como,. I'll.), CC 2Z8545
<br />
<br />who s personallv
<br />produced
<br />as identification and who di~ n~
<br />take an oath.
<br />~:t ~ ~.D~<~.l.l~r
<br /><Sign I-e)
<br />'t \ a Yl 'E!.. T 1<, B. la...c. k We. Ii
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
<br />~1' "'''0" ----------.--B
<br />it' Notctr~ PU~bllc. ::t:,tt! f t f'''londa
<br />.A... t. '~i '.. I.
<br />M)' t:om,t1, fJlfJ, '~...;:) ''JD
<br />Comm. ..~:. "..; :!;!,;.: 4':J
<br />
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