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<br />CONDITIONS OF PERMIT AFFIDAViT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />The .undersigned understands that this perlit lay be subject io "deed restrictions" which ~ay b~ oore restr,ictive than City
<br />regulations. The undersigned assules responslbllitf:,!or..colpllance with any applicable deed restr!ctions.
<br />
<br />'.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the ONner has hired a contractor ,or contractors to undertake work, .they lay be r~quired to be licensed in aCCQrdance with
<br />state and local regulations. . If the contractor is not licensed as required by law, both the OMner and contractor lay bl
<br />cited for a lisdeaeanor violation under state law., If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended Hork, they are advised to contact the City of Zcphyrhills Building Departlent, lB13)
<br />7B8-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 ~nd is not entitled to per'itting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D.
<br />
<br />CONSTRUCTION LIEN LAW
<br />
<br />(CHAPTER 713~ FLORIDA STATUTES, AS AMENDED)
<br />
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - Homeowner's Protection
<br />Guide" prepared by the Florida Depart_ent of Agriculture and Consuler Affairs. If the Bpplicant is sOle6ne other than the
<br />"Dwner", 1 certify that 1 have (.btained a. cripy of the above described dClcullent and prtlnlise in good fai th to del iver it to the
<br />"oNner" priDr to cDllencelent.
<br />
<br />~ 1 .; .: 7 I
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the infDrlation in this application is accurate and that all Hork will b~ done in compliance with all
<br />applicable iaws regulating construction, zoning, and land developDent.
<br />
<br />Application is hereby Jade to obtain a perlit to'do work and install~tion as indicated. I certify that no work or
<br />installation has COI.enced prior to issuance of a pertit and that all work will be performed to ~eet standards of all laws
<br />regulating construction, City codes, zDning regulatiDns, and land develDpment regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern.ental agencies ~ay apply' to the intended work, and that it is
<br />IY responsibility t(, identify what actions I lust take to be in compliance. Such agE?flcies include bllt ~Ie ne.t Jillited to:
<br />
<br />. ~..... >
<br />I Depart.ent of Environmental Renulation - Cypress Bayheads, H~tland Areas and EnvirDnmentally Sensitive l3nds,
<br />Water/Wastewater Treat.ent
<br />I SouthNest F1Drida Water' ManaQelent District - Wells; Cypress Bayheads, Hetland Areas, Altering HatercOUTsES
<br />f Arty Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent Df Health ~ Rehabilitative Services, Environmental Health Unit - Hells, Wastewater Treat~en~, Septic Tanks
<br />f US Environllental PrDtectiDn AQency - Asbestos abatement
<br />
<br />I also certify that, if fill laterial is to be used in Hc.od ZClne "A" Cor "A,etc.', it is understeleld \I.~t a drainage plan
<br />addressing a "colpensating volute" will be subtitted Hhich is prepared by a prDfE?ssielnal engineer reqist~ied in the State of
<br />Florida prior to permit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to viol;te, cancel alter, or
<br />set aside any provisions of the technical cDdes, nor shall issuance of a p~r~it prevent the Building Offici.1 frol thereafter
<br />requiring a correction of errors in plans; cDnstruction, or violations of any codE? Every per~it issll~d ~hall becole invalid
<br />unless the wc.rk authclrized by such perlit is cc.amenced within six months c.f issuance, e,r if l-Ie.1 f; alltl.c'll;:ed by the per.it is
<br />suspended or abandoned for a period of six _onths after the tiJe the Hork is co~men[ed. One 90 day e:te~sioll of tile, lay be
<br />allowed for the per~it with fee charge Df $15.00. The extension shall be requested in Hriting to lh~ Building Official. An
<br />approved inspection aust be logged during each six IDnth period, Dr the project Hill be cDnsidered ~b~IJdon~d.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO' NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />SIGNATURE_~b.~.,L~ /g~~1 SIGNATURd1.~~A~/4d.Jk (!",.."
<br />OWNER OR AGE~-~~ CONTRAC~
<br />
<br />NOTARY AS TO '--flY\ . I " . (j) /:' ~ ~ 4
<br />molNER OR AGENT _1.!~--X_'c6..:jjj!.g----,-- .
<br />Merry L. A~ett '
<br />MY COMMISSION EXPIRES__]2E~_12~_1221_------
<br />
<br />DATE__~~~~~-~~L-~y-~-------------------
<br />
<br />~~~~:~C~~R ~~_'t{;,!!J!1b-_tJieMJ-
<br />~ Merry L:~A;~tt
<br />MY COMMISSION EXPIRES__}3~~_1121221----
<br />
<br />DA TE ___~c::.:?._~~,-_lJJ}----------------,-------
<br />
<br />CD ......, L. ACKETT
<br />j t.f( COMMISSIoN , CC2S3538 EXPIRES
<br />-.ry 15. 1997
<br />. . . . ~TIIII'I'IllW~~:~, .
<br />
<br />.,.~.. MEMV L. AOt<ETT
<br />j."il~~ MY COMMISSION' ~ EXPIRES
<br />", ~ ; t JfnlIIIY 15. 1187
<br />~4;~, it llONllIO TlRI11lIW fAIN lIIIIJlIANCl. INC.
<br />
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