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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 co~piiance with any applicable deed restrictions,
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake worK, they lay 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 lisdeleanor 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, [813)
<br />788-6611.
<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 UfILITY 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 SOileone other than the
<br />"owner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the
<br />"owner" prior to cOllencetent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVI~
<br />I certify that all the infortation in this application is accurate and that all work will be done in cotpliance with all
<br />applicable laws regulating construction, zoning, and land developtent.
<br />
<br />Application is hereby tade to obtain a pertit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of. a pertit 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 I understand that the regulations of other governtental 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 li.ited to:
<br />f Departtent of Environtental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Arty 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 Environlental Protection AQency - Asbestos abatele~t
<br />I also certify that, if fill taterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "colpensating voluse" Mill be subtitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to pertit issuance. ~
<br />
<br />A pertit 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 is~uance 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 pertit is co..enced within six tonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six tonths after the tile the work is cO&ienced. One 90 day extension of tile, lay be
<br />allowed for the per.it 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 periad, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAV RESULT IN YOUR PAYING THICE 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 />COMMENCE"ENT, JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />~/- //4~ '<:_~--/~
<br />~~;rlA';NT 'I'~RACTOR
<br />
<br />( Signaturet---
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF pasc ()
<br />The foregoing instrument was acknowledged
<br />befol-e me thi~\!~rl IS, 193. 3._. by
<br />
<br />Cu.<3eDe, L. G~lberl-
<br />who is personally kno~n to me or who has
<br />produced Pf\3-' cO ~ dr, Ij.e,--J' hCenJ e..,
<br />as identification and Wh.'O ~/ id nlot
<br />take an oat . " ) ()
<br />. . .. L-0 ~CJ~I
<br />
<br />STATE OF. FLORIDA r
<br />COUNTY OF a J'(' 0
<br />The foregoing instrument was acknowledged
<br />before me thi~UOf'Y (5, 19_~~ by
<br />
<br />1), ~clrcJ ri: & r ~'+r-OrY)
<br />
<br />who is personally' known. 0 me J'r: who has
<br />produced F!f;jiTt!a cl.tl ver-..J' ((enJ€-
<br />as identific- . In and who d:t::c:Wdid mlt
<br />take an (I h. ? 1/ -:7
<br />/ tHIV
<br />
<br />['\'" c' r: ~ :. I] , ^ r ,~, 0" D
<br />jI....J1\LJ-J'.i .Loll iJ'~-\..) ,
<br />
<br />(Signature,
<br />
<br />
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed~ Printed or Stamped)
<br />NOTARY PY~LIC
<br />flt'.' ~ DOREEN L. WOOD
<br />t.: .*! MY COMMISS!Or~ , CC 191575 fXIWS
<br />. . . 1 ApIll29,1996'
<br />IDIaO THRU lIlOV fAIN 1IlSIIIWQ.1IIl.
<br />
<br />
<br />.:"~!~r;'~"..~. DOREEN L. \\'OOD
<br />(_1 t;\ ~~ MY CCMM!SS!Or~ I CC 191575 EllPIIB
<br />;'4'~?/;;1 Aprll29.1996
<br />..!f;.iit:!:...of.,... BONDEO THlIlJ tROY fAIN INSUIlAIIIiE.llIl.
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