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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait lay be subject to .deed restrictions. which may be lore restrictive than City
<br />regulations. The undersigned assules responsibility for cOlpiiance with any applicable deed restrictioDs.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, th;Y-;;y"be r~Qui~t~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 licensino
<br />reQuirelents lay apply for the intended Nork, they are advised to contact the City of 2ephyrhills Building Departlent, IBI3!
<br />78B-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 cuntractor, 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 I/'1PACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LA~ (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 ~ copy of the above described document and promise in good faith to deliver it to the
<br />.owner. prior to COlaencelent.
<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 develop.ent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no wor~ Dr
<br />installation has cOllenced prior to issuance of a perlit and that all work will be performed to leet standards of all laws
<br />regulating construction, City codes, zoning regtlations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies .ay 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 />I Depart_ent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways '
<br />t Departaent of Health ~ Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treattent, Septic Tanks
<br />t US Environmental Protection AQencv - Asbestos abatement
<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 volute. will be subaitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />"
<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, constru~tion! or violations of any code. Every permit issued shall berote invalid
<br />unless the work authorized by such per.it is cOllenced within six tonths of issuance, Dr if work authorized by the permit is
<br />suspended Dr abandoned for a period of six lonths after the tile the work is cO~ienced. One 90 day extension of ti~e, lay be
<br />allowed ~or the pertit 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, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTENO TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD ANO POST A .NOTICE OF COMMENCEMENT".
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />me 1')1 ~JI'L' I,~!;
<br />
<br />STATE OF FLORIDA , ~
<br />COUNTY OF r ~(? l>
<br />Ti"E foregoing Iilstrument vias ackno\.Jledged
<br />befcl\-e me this~-teL >? , 1'::;' ,tf,;S by
<br />
<br />~~
<br />
<br />~o is pel-SO ally known to me ['r \Jho h3~
<br />pl oducecl
<br />LlC i\:l>mtific.:,tion and who ~/did not
<br />take an oa~;(_ ,1-#
<br />~J.-U___ 'j-; ~..s..-J
<br />(Signature) ,1
<br />kAnt EEkl ~-r: B~).,J
<br />(Name Typed! Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORID~
<br />COUNTY OF a4 e t?
<br />
<br />The foregoing inst;um~nt
<br />before me this t
<br />
<br />
<br />\r';~S ':\L;.:':_lft,,;lt=dged
<br />! 19~ by
<br />
<br />take an oath* iJ- L
<br />t /,~~, ' ,~
<br />(SignatLll-e) . /
<br />I< Am L~a.J J. .B&J.^'
<br />(Name Typed! Printed or Stamped)
<br />NOT AF:Y PUBL I C
<br />
<br />II< KATHLEEN J. BROWN
<br />i \. Stale of Florida
<br />"'=f8c~;995
<br />
<br />1l\
<br />
<br />KATHLi::...,' ,-JWN
<br />State of r '"
<br />My Comm. Exp. April 2, 1995
<br />Co/llm. , CC 095617
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