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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. ' NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peraitaay be subject to "deed restrictions" which lay be .ore restrictive than Ci~~
<br />regulations. The undersigned ass utes responsibility for cOlpliance with 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 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 lisde.eanor violation under ,state law. If the owner or intended contractor are uncertain as to "hat licensing
<br />requireaents lay apply for the intended work, they are advised to contact the City of 2ephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor 15) 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 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
<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 La" - 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 prolise in good faith to deliver it to the
<br />.owner. prior to cOI.enceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaalion in this application is accurate and that all work will be done in coapliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
<br />
<br />Application is hereby aade to obtain a perait to do work and installation as indicated. I certify that no work Dr
<br />installation has cOlaenced prior to issuance of a perlit and that all work Mill be perforled to .eet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies .ay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I aust take to be in co.pliance, Such agencies include but are not lilited to:
<br />f Departlent of Environlental Reoulation - Cypress Bayheads, Metland Areas and Environ.entally Sensitive Lands,
<br />Yater/Wastewater Treat.ent
<br />f Southwest Florida Water "anaoelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Enoineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health' Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US Environ.ental Protection Agency - 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, Dr
<br />set aside any provisions of the technical codes, nor shall issuance of a perait prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall becole invalid
<br />unless the Mork authorized by such perait is cOlaenced within six lonths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six .onths after the tile the work is cOllenced. One 90 day extension of ti.e, .ay be
<br />allowed for the perlit with fee charge of tI5.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection aust be logged during each six lonth period, or the project "ill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT "AY 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 />COKKENCE"ENT. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A .NOTICE OF COKKENCEKENT".
<br />
<br />
<br />~~~
<br />SIGNATURE: OWNER OR AGEN
<br />
<br />~ V;icoLuu /G.L_~7D/e (!o;uS1-
<br />SIGNATURE: CON ACTOR '
<br />
<br />STATE OF FLOR~~
<br />COUNTY OF jt-7fS(? c)
<br />The foregoing instrume~t~ ~/~Wledged
<br />before me this ,~..s~ f ,19 by
<br />'7 / J.- - f
<br />Ie '::> D.e f-' / ~ ~.. -f.'fl A ~"'nS'
<br />who is pe~nally kno~ to/me or who has
<br />produced f (' y- y cn-- C\.-k-t ~ lC'V-.v~
<br />as identification and'wh dId/dId not
<br />~n O,9jh,-~:;7 A
<br />I'--...I<:J>L-~J ~C-( C~3dd
<br />(S!.gna.ture) ," /] I. " .
<br />,j vL cL (> r'<.=LC e () (::., D .L/
<br />(Name T ped, Printed or Stamped)
<br />NOTARY PUBLIC \')T.'i1Y pur;L'::. :;T;~'fl'! OF nORIDA
<br />(;.~i".d:_.'::, ,,', :',:;: tdlY 30. 1 ~94.
<br />;",)l'i.>::D '\'i~..W j~~.y:, .,{: j-''.~;~4.tG.IJNO'ERWRJ.Ti:ri_
<br />
<br />STATE OF FLORID~
<br />COUNTY OF ~,~:>~
<br />. Thli foregc.ing instr~t was acknqwledged
<br />before me this ~S ~:I 19~ by
<br />
<br />'l vl ~(\ ,~
<br />who is personally
<br />pl-c.duced
<br />as identification /did not
<br />take an oa
<br />~
<br />(Signaturev-) '\ (\ \
<br />r:b n .--\-C\ b ~C..? n () S
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />
<br />
<br />~""""" BONIT'& G JONES
<br />:,~if>"'f~~ " .
<br />~*: MY COMMISSION , CC 358365
<br />W EXPIRES: MIIdl22. 1998
<br />Banded TIIIu NalIIy PubIc ~
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