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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait 'aay be subject to "deed restrictions" which aay 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 cont!actor or contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations.' If the contractor is noj 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 />requireaents aay apply ,for the intended NOrl:, they lire a~'Jised to contact the City of 2ephyrhills Building Departaent, (813)
<br />7BB-b611.
<br />
<br />Furtheraore, 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 Departaent 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 promise 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'alJ
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perait to do work and installation as indicated. I certify that flO work or
<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 I 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 />I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seallalls, Docks, Navigable Waten.ays '
<br />t Departlent of Health L Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treataent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abatelent
<br />I also certify thatj if fill !aterial is ~~ ~~ ~~<.j in fl~,rl Z3n~ "A" ~r "A,etc.", it is under5to~d th~t a drainage plan
<br />addressing a "colpensating voluae" will be sublitted lIhich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A per.it 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 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 per.it is cOllenced within six tonths of issuance, or if work authorized by the pertit is
<br />suspended or abandoned for a period of six lonths after the tile the work is cO.Denced. 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. ~n
<br />approved inspection lust be logged during each six tonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT KAY RESULT IN YOUR PAYIN6 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 />COKKENCE"ENT. JOBS UNDER $2,5 0 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />~/!
<br />
<br />
<br />~a~
<br />SI6NATURE: CONTRACTOR
<br />
<br />SIGNATURE: OWNER OR A6ENT
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF ~fi.sCo
<br />The foregoing instrument
<br />before me this FeB 8TH
<br />
<br />-
<br />was aCj<nc,wledgen
<br />, 19 ~ b/
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF /' AS' C 0
<br />The foregoing instrument
<br />before me this ~~ i~
<br />
<br />-
<br />was acknowledged
<br />, 19 9.3 bv
<br />, -'
<br />
<br />(Signatur
<br />Inn
<br />(Name Typed, Printed or
<br />NOTARY PUBLIC
<br />
<br />
<br />~/C#/fRL7 ~f CW'/!F/14A/
<br />who is personally known to me or who has
<br />produced r/O~/O/9 /}fl t/ff.Rs L/cE/V'Sfi"'
<br />as identification and did/did not
<br />
<br />. i/
<br />
<br />
<br />(Signatur )
<br />/Y1 fl j? Y ELI Z 1i.8 t7H /II L..L
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />E 1//1 /? I7CJL /J~;f'
<br />who is personally known to me or who has
<br />produced nO~/t?A ,L?...('/VFR> L/CErVS"E
<br />as identification~and w did/did not
<br />t~.~ 0 h
<br />
<br />..~~~::t.;:;;lro MARY ELIZABETH HILL
<br />t*{ "JJ;" :*1 MY COMMISSION' CC 232529
<br />~;6j! EXPIRES: Sept8mber 30. 1996
<br />';/f..<if..r,.lto Bonded ThIU NolBly PublIc lJnderNlilera
<br />
<br />
<br />MARY EUZABETH Hill
<br />MY COMMISSION' CC ~
<br />EXPIRES: September 30,1996
<br />Bonded ThIU NolaJy PlIb/lc llndIt'MIIIn
<br />
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