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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />ri. NOTICE OF DEED RESTRICTIONS
<br />The und";rsigned understands that th"j~'per.il~ayb~-~ubject tD "deed restrictions" which .ay be Inre restrictive tha~ City
<br />regulatil.\ns. The undersigned assuees respnnsibility for compliance with any applicable deed restrictions.
<br />
<br />B. W"L I CENSED CONTRACTORS __Br:!I.L.r;JJ!nBl~GI.QR_-R"~p.r::.Q!,J~.I B_1 ~IIl~J:i
<br />If the owner has hired a cnntractor l.\r cl.\ntracturs to undertake wDrk, they may be required to be licensed in accurdance with
<br />state and local regulatinns, If the contractDr is nut licensed as required by law, bDth the owner and cl.\ntractl.\r eay be
<br />cited for a .isde.eanor violatiDn under state law. If the owner Dr intended cuntractur are uncertain as tu what licensing
<br />reQuire.ents lay apply fl.\r the intended wDrk, they are advised tl.\ cuntact the City of Zephyrhills Building Depart.ent, (BI3)
<br />7BB-/;611.
<br />
<br />Furtherll.\re, if the owner has hired a cDntractl.\r ur cuntractors, he is advised tl.\ have the cDntractur(s) sign pl.\rtiDns uf the
<br />"Cuntractur Sectinns" Df this applicatiDn fnr which they Mill be respDnsible. If YI.\U, as the owner sign as the cDntractor,
<br />yuu are indicating that ynu, rather than the cDntractur, are respDnsible fur the wDrk. If the cuntractDr wishes YDU tn sign
<br />as cDntractDr that .ay be an indicatinn that he is not prDperly licensed and is not entitled tl.\ per.itting privileges in the
<br />City uf lephyrhills.
<br />
<br />C. TRANSPORTATION ~/'1F'ACT FEES {")N!L!J.LLUJ_:_:CJ,~.QI'mECTJm(_EEE"?,
<br />
<br />D. ~ONSTRUCTION LIEN LA~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been prDvided with a copy of "Flurida's ConstructiDn Lien Law - HOleowner's PrDtectiDn
<br />Guide" prepared by the Florida Depart.ent Df Agriculture and Consuler Affairs. If the applicant is SDleDne uther than the
<br />" Dwner " , I certify that I have Dbtained a CDPy l.\f the abDve desrribed dDcu.ent and prDMise in gl.\Dd faith tl.\ deliver it to the
<br />"Dwner" priDr tD cDI.enrelent.
<br />
<br />E. CONTRACTOR' S/Ol-JNER ' S AFF 1.Df:lY-I.I
<br />I certify that all the infDreation in this applicatil.\n is accurate and that all wl.\rk will be done in cD.pliance with all
<br />applicable laws regulating cDnstruction, zoning, and land deveIDp.ent.
<br />
<br />ApplicatiDn is hereby eade tD obtain a per.it tD do wnrk and installatinn as indicated. I certify that nD wDrk l.\r
<br />installatil.\n has cDI.enced pril.\r tD issuance nf a per.it and that all work will be perfor.ed tn leet standards of all laws
<br />regulating constructil.\n, City codes, znning regulatinns, and land develnpeent regulations in the jurisdiction. I also
<br />certify that I understand that the regulatil.\ns Df Dther guvern.ental agencies eay apply tD the intended work, and that it is
<br />.y respDnsibility tD identify what actiDns I lust take tl.\ be in cDepliance. Such agencies include but are not li.ited to:
<br />, Depart.ent Df EnvirDneental ReQulation - Cypress Barheads, Wetland Areas and EnvirDn.entally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />, Southwest Florida Nater "anaqelent District - Wells, Cypress Bayheads, Hetland Areas, Altering WatercDurses
<br />f ArlV Corps Df EnQineers - Seawalls, Docls, Navigable Waterways
<br />, Departlent Df Health & Rehabilitative Services, Environ.ental Health Unit - Hells, Wastewater Treatlent. Septic Tanks
<br />, US Environ.ental Protection Aqencv - AsbestDs abate.ent
<br />I also certify that, if fill laterial is tu be used in FluDd lone "A" Dr "A,etc.", it is understDnd that a drainage plan
<br />addressing a .colpensating volute" Kill be sublitted which is prepared by a professiDnal engineer registered in the State of
<br />FIDrida priDr tD per.it issuance.
<br />
<br />A perlit issued shall be construed tn be a license tD prDceed with the work and not as authDrity to violate, cancel alter, or
<br />set aside any prnvisions of the technical codes, nur shall issuance Df a per.it prevent the Building-Official frot thereafter
<br />requiring a correctiDn nf errDrs in plans, construction, Dr viulations of any cDde, Every perlit issued shall becl.\.e invalid
<br />unless the wDrk authDrized by such per.it is cDe.enced within six 'Dnths of issuance, or if work authorized by the per.it is
<br />suspended Dr abandoned fnr a period of six IDnths after the ti.e the wDrk is cO'lenced. One 90 day extension of ti.e, lay be
<br />alluwed fDr the pertit with fee charge of SI5.00. The extensiDn shall be requested in writing tD the Building Official. An
<br />approved inspectiun lust be lugged during each six 'Doth period, Dr the pruject will be cDnsidered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE 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 />COMMENCEMENT. JOBS UNDER S2,500 IN VA 0 NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />/i
<br />/ I y
<br />" a4e~/{A---1
<br />SIGNATURE: OHNER OR AGENT SIGNATURE: CONTRACTOR
<br />
<br />
<br />STATE OF FLORIDA /J
<br />COUNTY OF //1.:5t 0
<br />The foregoing instrument was acknowledged
<br />before me this /<<>~~Potl 19 '1,j, by
<br />
<br />(%tA2fA.Ji!c. Jjrrv IS
<br />who is{gersclnliliy~~~~ to me or who has
<br />produced
<br />as identification and who did,(dTd nc~
<br />take an oath/:f\ . ff./ /Y --
<br />- ^ ( -Lf'-;n<.A.- - ( -'- 4-
<br />(Signature) _ _
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOT ARY PUBL I C
<br />4.~"'" DONNA J. cmv
<br />(~T~" ,~ MY COMMISSION' CC317761 EXPIRES
<br />~\ i t September 22. 1997
<br />.~ II . ~ BONDED THRU TROY FAIN INSUIWlCE,INC,
<br />, ..
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />who is persDnally known tD me or who has
<br />pl-oduced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />t~OT ARY PUBLI C
<br />
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