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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this periit ~al 0~ suoject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assules responsib~lity for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNL I CENSED CONTRACTORS AND CONTRACTOR F:ESPI)NS I B I LIT I EE,
<br />If the owner has hired a contractor or ~ontractors 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 zay be
<br />cited for a aisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-bb 11 .
<br />
<br />Furtheraore, if the owner has hired a contractor or contractorst he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for which they Hill 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 H1PACT FEES AND UTILI TY CONNECT I ON FEE.2.
<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 - Hoteowner's Protection
<br />GuideD prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. if the applicant is sOleone other than the
<br />Downer', 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 cO'lenceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIr
<br />I certify that all the infortation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby tade to obtain a perait to do work and installation as indicated. I certify that no work or
<br />installation has coatenced prior to issuance of a pertit and that all work will be performed to leet standards of all laws
<br />regulating construction, City codes, zoning regtlations, and land developient regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern.ental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in compliance. Such agencies include but are not liaited to:
<br />f Departlent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environ;entally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />f Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Aray Corps of EnQineers - Seawalls, Docks, Navigable Waterways '
<br />f Depart.ent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abatement
<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 "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 />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 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 beeole invalid
<br />unless the work authorized by such pertit is cOltenced within six months of issuance, or if work authorized by the pertit is
<br />suspended Dr abandoned for a period of six lonths after the tile the work is comienced. One 90 day extension of ti~e, lay be
<br />allowed for the periit with fee charge of it5.00. The extension shall be requested in writing to the Building Official, An
<br />approvedo inspection lust be logged during each six lonth periodt Dr the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHMENCEHENT HAY 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 />CD"E'CE'E'T. JOBS ""ER "~"~DT 'EED TO RECD'D "~ ~
<br />
<br />
<br />
<br />SIG"~ ~ - SIG"TURE, CONTRACTOR
<br />
<br />STATE OF FLORID
<br />COUNTY OF
<br />The foregoing instrumel was acknowledged
<br />before me this aI''.! /3, 19-.!1.:3by
<br />
<br />NEl-.SOAJ 7?ytvfr.JN
<br />who is.jJersonallv knoi.m to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />tak~t~~ ~ I ~
<br />
<br />(Signatun:?)
<br />k 11 n-I / I~ ~ JJ J' :/2; P-t.ovJ .JJ
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />~
<br />
<br />STATE OF FLORID}l .
<br />COUNTY OF t:. A :;.. eAJ
<br />The foregoing instrument was acknowledged
<br />befcl\-e me this ar./fJ J3~ 19~ by
<br />
<br />)1/;.) ~ AJ~ (U A tJ
<br />who IS personally known to me Dr who has
<br />produced -
<br />as identification and who did/did not
<br />ta~(e ~ .o_<;t~.~. .,.,
<br />~ jJ,bv-~
<br />(Signature)
<br />I<A 7/-1 LC t2-1J J, ..!l4tJ Ai
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
<br />~
<br />
<br />KATHLEEN .!.
<br />State of ie' c_
<br />"'eomm. Exp, f.;: <,' ,J
<br />... eomm.'CC 095!,:7
<br />
<br />~
<br />
<br />KATHLEEN J. BR J~I
<br />State of F!ori':J::
<br />My Comm, Exp. April 2, ,:;3
<br />Comm. II CC 0958' 7
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