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<br />CONDITIONS OF PERMIT A~FIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS .
<br />The undersigned understands that this penit .ay be subject to "deed restrictions' which .ay be .ore restrictive than City'..
<br />regulations. The undersigned assu.es responsibility for co.pliance with ilny applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor Dr contractors to undertake work, the)! lay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as requirl!d by law, both the owner and contractor tay be
<br />cited for a lisdeteanor violation under state law. If the owner Dr intended contractor are uncertain as to Ilhat licensing
<br />require.ents tay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departtent, 18131
<br />788-6611.
<br />
<br />Further.ore, 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 tay 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
<br />
<br />D. CONSTRUCTION LIEN LAW (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 - Ho.eowner's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and Consuter Affairs. If the applicant is so.eone other than the
<br />'owner', I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the
<br />'owner' prior to cOllence.ent.
<br />
<br />E. CONTRACTOR'S/OWNER'S Ar-FIDAVIT
<br />I certify that all the infor.ation 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 .ade to obtain a per.it to do work and installation 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 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 regulations of other govern.ental agencies .ay apply to the intended work, and that it is
<br />ty responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not litited to:
<br />I DeDartlent of Environtental ReQulation - Cypress Bayheads, Hetland Areas and Environlentally Sensitive lands,
<br />Wlter/Uastewater Treat.ent
<br />I Southwest Florida Water "anaQelent Distric. - Hells, Cypress Bayheads, Wetland'Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, 'Navigable Waterways
<br />f Departlent of Health L Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treattent, Septic Tanks
<br />f US Environtental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood lone 'A" Dr "A,etc.., it is understood that a drainage plan
<br />addressing a .co.pensating volule. will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it issuance.
<br />
<br />A per.it 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, Dr violations of any code. Every pertit issued shall beco.e invalid
<br />unless the work authorized by such perlit is cOI.enced within six tonths 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 co..enced. One 90 day extension of tite, tay be
<br />allowed for the pertit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection .ust be logged during each six tonth period, Dr the project will be considered abandoned.
<br />WARKINS TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CoKKENCEKENT "AY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FIN CING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CDnlENCaI T. MDER $2,50 IN UE DO NOT NEED TO REDO~ AND 2 S ~~ DO ENCE NT',
<br />
<br />
<br />
<br />SIGNATURE: CONTRA OR
<br />
<br />
<br />
<br />
<br />STATE OF flORIDA. u./ _ .J I
<br />COUNTY i1F r Y"-12-1
<br />The foregoing instru~~~as a~knowledged
<br />before mlit this 0<..;5 - Elf 19fL- by
<br />
<br />~. ({( '-~~
<br />who is personally known to me or who has
<br />produced ilo
<br />as identification and who ~did not
<br />take an oa~~ ~~ C!~
<br />
<br />(Sig~ture) <::-;) c. -.L.Q((<O
<br />~ll""~"{/~ I'_D~I
<br />I
<br />(Name Typed, Printed or Stamped)
<br />NOTARV PUBLIC
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF
<br />The foregc,ing .in~r~ was ~..no.Wledged
<br />
<br />befO~JZ::;J-lf:':x::/ ~ by
<br />
<br />who is personally known to me or who has
<br />produced ~u
<br />as-identification and who did/d~,t
<br />
<br />take an oat~(J_1Jl'.~~K, (!~
<br />
<br />(Signature6arr 6G-.e1'L.- 7<.. Co So. 'f. -e ((..
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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<br />..~ 1'lI!Itt-"..
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<br />. .
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<br />";'OF~-.41
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<br />OFFICIAL SEAL
<br />B;l bara R. Costello
<br />My Commis':.i(J" E....)ires
<br />No'! :~ ~ '.',94-
<br />Comm. No. CC 054525
<br />
<br />...........
<br />..:';tolff~" OFFICIAL SEAL
<br />./. ..... .".
<br />r ~ -: Barbara R. Costello.
<br />~ : My Commission Expires
<br />~..... r.4: Nov. 2.1994
<br />;>tt..;rtOFf~".. Comm. No. CC 054525
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