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<br />CONDITIONS OF PERMIT AFFIDA~IT
<br />A.. NOTICE OF DEED RESTRICTIONS .
<br />The und~rsigned understands that this pertit tay be subject to .deed restrictions. which tay be Irrre rest~ictive than Ci1y
<br />regulations. The undersigned assutes responsibility for cOlpliance 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 may 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 lisdeteanor violation under state law. 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 Depart.ent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of the
<br />.Contractor Sections. of this application for which they will be responsible. If you, as the owner sign as the contract0l,
<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 ZephyrhilIs.
<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 Protectlon
<br />Guide. prepared by the Florida Departtent of Agriculture and Consuler Affairs. If the applicant is sOleone other than tDe
<br />.owner., I certify that I have obtained a copy of the above described document and promise in good faith to deliver it tel the
<br />.owner. prior to cO.lencetent.
<br />
<br />1 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 />i a~plicable laws regulating construction, zoning, and land developtent.
<br />
<br />Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or
<br />installation has cO.lenced prior to issuance of a pertit and that all work will be perforled to leet standards of all IGNS
<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 cotpliance. Such agencies include but are not lilited to:
<br />I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />I Southwest Florida Water HanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I De artlent of Health ~ Rehabilitative Services Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I 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 .cotpensating volute. will be sublitted which is prepared by a professional engineer registered in the State Df
<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, or
<br />set aside any provisions of the technical codes, nor shall issuance of a ~erlit prevent the Building Official froD thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code., Every perlit issued shall becote invalid
<br />unless the work authorized by such per.it is cOllenced within six lonths of issuance, or if work authorized by the per~it is
<br />suspended or abandoned for a periDd of six tonths after the tite the work is COiienced. One 90 day extension of ti~eJ ~a, be
<br />allowed for the perlit with fee charge Df $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, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOnCE OF COHIIENCEIIENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO ';OUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CIlI1I!ENCENEliT. }ft) '2,500 IN VAlIJE DO NOT ""ED TO RECORD AND PIISi, n~ENcmNT"
<br />
<br />
<br />~-v-- \~ ~ ~~ ~
<br />SIGNATURE: OWNER OR AGEN ~ ~~ S'lmIATURE: CON RACT F~
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF 7 ~~
<br />. The foregoing instrument was acknowledged
<br />before me thi~~J~~2~ ~ 19~ by
<br />
<br />Itlho is pe~~:t;\:r:;l^t:~ clr '.,ho h~
<br />
<br />~rO[h.tE~9
<br />...as iel~l.t.~ r~LclliL'11 and who -eH-8-fdid not
<br />
<br />STATE OF FLORID~
<br />COUNTY OF ~
<br />The foregoing instrument was acknowledged
<br />before me thiS...J:.,~Jt" 19~ by
<br />
<br />-Xt=.VI J'J 1<~H Aw
<br />who is pel-sc.nally known to me BY ~Jt1E' 1'".8;-
<br />pn?~hlc",J "
<br />ac; lrl<:>n+ifiEat.~L.'II and who .d-i'd/did not
<br />
<br />take an oath1t.d,~p ~
<br />(S i gna tLll-e)
<br />J<A TIi-1 a=E.t-..J -:J, B f fJ-r ..J rJ
<br />(Name Typed~ Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />1r
<br />
<br />KATHL;~':': . ""N
<br />State c! i
<br />My =. ~xgl6~~~i j ~J5
<br />
<br />'1\
<br />
<br />KATHLEEN J. BROWN
<br />State of Florida
<br />My eomm. ExP. April 2, 1995
<br />eornm.' CC Cl95617
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