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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A.. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit aay ~~ su~ject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assules re5ponsibility for cOlpli~nc~ ~ith any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor Dr contractors to undertake work, they lay be required to be iicensed in accordance with
<br />state and local regulations. If the'contr\ctor is net licensed ~s fp.quired by law, both the owner and contractor lay be
<br />cited for a lisdeleanor violation under state law. If the owner Qr 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 Departlent, (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 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 L~W (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 Departlent of Agriculture and COP-suler 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 cOltencelent.
<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 developtent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to isslidnce 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 regulltions of other governlental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actio,js I lust take to be in co~pliance. Such agencies include but are not lilited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentafly Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water ManaQelent District - Wells, Cypress Bdyheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departaent of Health ~ Rehabilitative ;;ervices. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "AI! or "A,etc.", it is understood that a drainage plan
<br />addressing a "coapensating volute" will te sublitted 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 pertit prevent the Building Official frot 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 lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six tonths after the tite the work is cOI.enced. One 90 day extension of tile, lay be
<br />allowed for the perlit Hith 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 COMKENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IHPROVEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR tENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COKKENCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COM"ENCEHENT".
<br />
<br />~.;.- ;y' -e.. ~
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />x::~ ~'. ~~ ~ 0)_
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA (\
<br />COUNTY OF .t: a..&e-v
<br />The foregoing instrument was acknowledged
<br />befc'l-e me th i s r: ~AlQ \ , 19..i.3L by
<br />
<br />keu ~ r::<,o h p \" l-s
<br />who ~ersc;na 11 y k nowll..)to me or whc. has
<br />produce
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF 04L0
<br />The fDregoing instrument
<br />befcq-e me th i 5 ~ \
<br />
<br />Ro
<br />
<br />y
<br />
<br />vias ac knovJ I edged
<br />, 19~ by
<br />
<br />utl'\
<br />who 1S pel-se.na
<br />produced
<br />a~ identification and who did/did
<br />
<br />tak~ ~~/J
<br />
<br />(Signa I-e)
<br />
<br />
<br />to me Dr who has
<br />
<br />not
<br />
<br />
<br />No'ary I"ublle. State 01 Florid.
<br />;Ar,ET BLACKWELL
<br />~, . Comm,~. E'"'l~
<br />cm'!!"No. 2
<br />amfjeo/
<br />
<br />(Name Typed, Prin
<br />NCTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />StrS9Z~ O:":l '0.' 'WUJO:) !
<br />96'81'6 'ax3 ."'''''';) ~l'"
<br />1,.:1" .,..')V1B !. :1'''\';
<br />IPI,Qbj JO "'<I'J '~lIqnol ~'.ION ,. ~
<br />
<br />.~~."""I;o.,.~
<br />
<br />r~~' ..vo:.. -=~bIlC. Sht. of Florida
<br />
<br />" "~"ET BLACKWELL
<br />, .... M}i Comm. Exp. 9-18-96
<br />(~./~, Comm, No. CC 226545
<br />
<br />..... '. ~..._...
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