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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlitlay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor Dr contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations. If tie contractor is not licensed as required by law, both the owner and contractor lay be
<br />cited for a lisdeleanor violation under state IaN. If the ONner 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, (B13)
<br />7BB-bbl1.
<br />
<br />Furtherlore, if the ONner has hired a contractor Dr 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 FEES.
<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 />6uide" 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 aade 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 developlent regulations in the jurisdiction. I also
<br />certify that 1 understand that the regulations of other governlental 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 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 "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health l Rehabilitative Services. Environlental 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 Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "colpensating volule" 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 th,e 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 cOllenced within six lonths of issuance, Dr if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the work is cOI.enced. One 90 day extension of tile, 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, Dr the projert will be ronsidered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEMENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU I~TEND TO OBTAIN FINANCIN6, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMM NCEKENT. JOBS UNDER $2,500 IN VALUE NOT NEED TO RECORD AND POST A .NOTICE OF COMMENCEMENT..
<br />
<br />
<br />I~~~~
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDfli) " c
<br />COUNTY OF " I JIJ 'c L I r~ J
<br />The foregoing instJume~t
<br />befc.re me this / Z .:J I
<br />,
<br />
<br />was acknowledged
<br />, 19<t:Lby
<br />
<br />STATE OF FLORID~-;) .
<br />COUNTY OF f I /~ ell r) ',-
<br />The foregoing inst?lm,ent
<br />befcll-e me th i s J ,I, ,,,je.
<br />t
<br />
<br />was acknowledged
<br />, 19 q 2 by
<br />
<br />to me or whc, has
<br />
<br />who is eer~onally kDQtln to me or who has
<br />produced
<br />as identification and whc, did/d..ilL.nPt
<br />ta .~ an 2~th. '-/ /' /? . /., J.
<br />j F'vU (~,~j (/(,,,./ U{(1L{,'U(j
<br />(Si nature)
<br />
<br />who i 5 J:l_~_I=~_~'na 11 Y_M..1O.llil.
<br />pl-oduced
<br />as identification
<br />t~ anpat/:l.
<br />-- / 1'.[; [,..((1,-",'
<br />(Si natLrle)
<br />
<br />and who did/did not
<br />/,' I. " J' A ;/. (
<br />i~ __'l_~'t.0{(:L~-';~C(~_V- >-
<br />
<br />(Name Typed~ Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed Dr Stamped)
<br />NOT ARY PUBLI C
<br />
<br />.................
<br />
<br />CYNTHI~, L. ALEXANDER
<br />Notary Public.State 01 Florida
<br />My Commission Expires JUN 14,1995
<br />COMM#CC 113711
<br />
<br />CYNTHIA L. ALEXANDER
<br />Notary Public-State 01 Florida
<br />My Commission Expires JUN 14,1995
<br />COMM # CC 113711
<br />
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