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<br />CONDITIONS OF PEP~IT AFFIDAVIT,
<br />'A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pe"lit uy be subject to 'deed restrictions' Nhich lay be lore restrictive than City
<br />regulations. The undersigned assules re5ponsibility for cOlpli~n[e with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTQRS AND CONTRACTOR RESP9NSIBILITIE~
<br />If the owner has hired a contractor or c~ntractors to undert~~2 work, they lay be required to be licensed in accordance Nith
<br />state and local regulations. If tht'~nwrlctor is nQt licensed as req~ired by law, both the owner and contractor lay be
<br />cited for a lisdeleanor violation under 5tate IaN. If the ONner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended ,Iork, 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 contractorls) sign portions of the
<br />'Contractor Sections' of this application for which they Nill be respoJ,sible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rijther 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 Lh~ (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 Consuler 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 cOllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in thlS application is accurate and that all work will be done in co.pliance Nith all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby aade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance 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 regulations of other govern.ental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actio'is I .ust tak~ to be in cOlpliance. Such agencies include but are not lilited to:
<br />f Departlent of Environlental ReQulation - Cyprf5s Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Wateri~astewater Treatlent
<br />f Southwest Florida Water ~anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health L Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environ.ental ProtectiDn AQency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone 'A" Dr 'A,etc.", it is understood that a drainage plan
<br />addressing a 'colpensating volule' will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance,
<br />
<br />A perait 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 plan" construction, or violations of any code, Every perlit issued shall becole invalid
<br />unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of SlX aonths after the tile the work is cOI.enced. One 90 day extension of tile, lay be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged durin] each six lonth period, or the project Nill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORi) A NOTICE OF CO~MENCEMENT ~AV RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINAN,~ING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALU,: DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT",
<br />
<br />~~.J eliI' ( J,.J-V.<iJ..
<br />SIGN T RE: OWNER OR AGENT
<br />
<br />~ 6f}A/~
<br />S ATURE: CONTRACTOR
<br />
<br />'-
<br />
<br />STATE OF F~RIDA ~ ? ~~
<br />COUNTY OF )'l)
<br />The foregoing instrumenF was acknowledged
<br />before me th i s A J fLk 1') -..!1!:1- by
<br />
<br />
<br />"
<br />J
<br />
<br />rument was ac~nowledged
<br />fI. ~ Iflo , 19 3..!:L by
<br />
<br />who is personally known to me or who has
<br />producecr--
<br />as identification and who did/did not
<br />
<br />take an oat~~ 9 a.etZ...oq"L./'
<br />
<br />(SignatUl-e) . A~JI
<br />~ ",ba ('(/0 ;4 tiLl /SUn
<br />IName Typed. 'nted or Stamued)
<br />NOTARY PUBL l' '- Notary Public, State of Florida
<br />BA.'.i.lARA A. ALLISON
<br />My Comm. Exp. Mar. 26, 1994
<br />Cumm. No. M 759537
<br />
<br />who is persDna 11 y knDwn to m~ or whc, has
<br />...
<br />prDduced
<br />as identificatiDn and who did/did not
<br />take an oa~~ }I ~l
<br />
<br />(Signatur6) /f 1/1/1 ,
<br />~r.tq /?J1-"" tdf. /;S~ .
<br />(Name Typ~d, Printed Dr Stamped)
<br />NOTARY'PUBLrC
<br />
<br />'4
<br />
<br />Notal")' Public, Stat. of Florida
<br />UA,.l.lAR" A. ALLISON
<br />M)' Comrn. E~p. Mar. 26. 1994
<br />Colli"'. No. M 7!i9537
<br />
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