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<br />CONDITIONS OF PERMIT AFFIDAVIT'
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlitlay be subject to .deed restrictions. which lay be lore restrictive than City
<br />regulations. The undersigned assutes responsibility for cOlpliante Mith 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 lay be required to be licensed in accordance Mith
<br />state and local regulations. If the contractor is not licensed as required by laM, both the owner and contractor lay be
<br />cited for a lisdelea~r violation under state law. If the owner or intended contractor are uncertain as to "hat licensing
<br />requireleots lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, 18131
<br />788-6611.
<br />
<br />Furtherlore, if the OMner has hired a contractor or contractors, he is advised to have the contractor(sl sign portions of the
<br />.Contractor Sections. of this application for Mhich they Mill 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 Mork. 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 FEES
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<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713~ FLORIDA STATUTES~ AS AMENDED)
<br />I certify that I, the applicant, have been provided Mith a copy of .Florida's Construction Lien LaM - HOleoMner's Protection
<br />Guide. prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />.0Mner., I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />.owner. prior to cOllencelent.
<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 developlent.
<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 cOltenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laMS
<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 Mork, and that it is
<br />IY responsibility to identify what actions I lUSt take to be in coapliance. Such agencies include but are not lilited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, ~etland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water "anaqelent District - Wells, Cypress Bayheads, ~etland Areas, Altering Watercourses
<br />f ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health 1 Rehabilitative Services, Environlental Health Unit - Wells, WasteMater Treatlent, Septic Tanks
<br />f US Environaental 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 "colpensating volule. Mill be sublitted Mhich 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 becole invalid
<br />unless the work authorized by such perlit is cOltenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the Mork is cOllenced. One 90 day extension of tile, lay be
<br />allowed for the perlit Mith 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 Co"nENCE"ENT ftAY RESULT IN YOUR PAYING TWICE FOR I"PRoYE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CDIt"ENCE"ENT. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A .NOTlCE OF CDIttlENCE"ENT..
<br />
<br />
<br />!J20~Jv-- f1}C~
<br />
<br />SIGNATURE: OIlNER OR A NT SIGNATURE: CO ACTOR
<br />
<br />was acknowledged
<br />, 19 ~ by
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF t (L <:., c-O
<br />The foregoing instrument
<br />befc,re me this J J' 1c5<
<br />
<br />STATE OF FLORIDAc-~
<br />COUNTY OF ' Un...:::....(I 1)
<br />The foregoing instrument
<br />before me this 1/- /~
<br />
<br />was aC~~ledged
<br />, 19 by
<br />
<br />I . ~ (). ~-t'" \ . ~o." 1"'\
<br />who is personally known to me or who has
<br />produced r e rSc> n () L t~ lL. 1"\D ( ~ ") n
<br />as identification and wh dld/dld not
<br />t~~ an. oat.h. i #'
<br />(-A/. A... ~ /J?--/l ~ ~
<br />/
<br /><Rignature)
<br />(' .\--. r 1. S -\- I. e.. L . \'Y"""\ n. ~ 0 I
<br /><Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~.A. ~-e.(...lY\nnl)
<br />who is personally known to me or who has
<br />produced CPt'" .<,(""\ .Vi I \ ~ k~_'()o( .', IJ
<br />as identification and who ld/did not
<br />
<br />t~~':,;~t~~ X 7J7AJ~
<br />/
<br />(SAgnature)
<br />( '.hri:S+i e_ L. lIJntJo,,-
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />OFFICIAL NOTARY SEAl:
<br />CHRISTIE L MAJOR
<br />NorARY PUBLIC STATE OF FLORIDA
<br />MY COMMISSION NO. CC316103
<br />COMMISSION 100>. SEPr 15 199'7
<br />
<br />FI<:IAL NOT Y SFAL
<br />CHRIS11E L MAJOR
<br />NorARY PUBLIC STATE OF FLORIDA
<br />COMMISSION NO. CC316103
<br />MY COMMISSION EXP. SE!'T 15,199'7
<br />
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