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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. .NOTICE OF DEED RESTRICTIONS.
<br />The undersigned understands that this perlit lay be subject to .deed restrictions. which lay be lore restrictive than Lity
<br />regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. -
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ONner has hired a contractor or contractors to undertake Nork, they lay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
<br />cited for a lisdeleanor violation under state IaN. If the ONner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended Nork, they are advised to contact the City of Zephyrhills Building Departlent, (8131
<br />788-6611.
<br />
<br />Fur therlore , 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 will be responsible. If you, as the ONner 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 ZephyrhilIs.
<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 - HoaeoNner'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 prolise in good faith to deliver it to the
<br />"oNner. 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 Nork 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 Dr
<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 governlental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, Yetland Areas and Environlentally Sensitive lands,
<br />Yater/Wastewater Treatlent
<br />f Southwest Florida Water "anaoelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abateaent
<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. 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 plans, construction, or violations of any code. Every perait 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 six lonths after the tile the work is cOllenced. 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 during each six lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER~ YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROVEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COKKENCEKENT. JOBS UNDER $2,500 IN VAL E DO NOT NEED TO RECORD AND POST A .NOTICE OF COKKENCEKENT".
<br />
<br />
<br />
<br />STATE OF FLORIDA D. () ,1 .
<br />COUNTY OF t' (}-^-fQ--i
<br />The foregoing instrument was acknowledged
<br />before me this ~L ?(p( , 19Q<.{ by
<br />
<br />, d CAiJ-Vv'f cJ. !<?!i
<br />
<br />who is personally known to me Dr who has
<br />produced
<br />as identification and who ~did not
<br />t~. ,anoa.th.'~f: C!~
<br />1~!tJ) jj"'fL ~ I~.
<br />(~ignature)
<br />k;lt1L(~,"':'AA.K . C-o~ \"T;?{rl-O
<br />(Name Typed, Printed or Stamped)
<br />NOT ARY PUBLI C
<br />
<br />....~~.~t:'\ OFFICIAL SEAL
<br />-: Jt! 1 Barbara R, Costello
<br />: . .. My Commission Explr..
<br />\,.~ r -dt1 Nov. 2, 1994
<br />.....1'tOPf~........ Comm. No. CC 054525
<br />.......
<br />
<br />STATE OF FLORIDA r'
<br />COUNTY OF \)~
<br />The fo.regoing ~trument was acknowledged
<br />befor~ /' t.hiS1'-'-/ ~ 19ff- by
<br />
<br />,-~LAL~-r (/LI, ~
<br />who is personally known to me or who has
<br />produced
<br />as identification and wh~/did not
<br />tak~n o'%th. \~ /)-e.-t1/J
<br />QtG'Ofc(;Lu./ h!..... L. ~~
<br />
<br />(S t.?5~l~~(~~t4 cp". CD 5 TEet- '---(:y
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI C
<br />
<br />.....~...f
<br />
<br />I"~~~\ OFFICIAL SEAL
<br />
<br />: I M Itllrbllr. R. Costello
<br />\~ '-41 Y CommiSSion El<pires
<br />..."'top FI!1";.. Nov. 2, 1994
<br />......... COfW".., No CC 0
<br />' 54525
<br />
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