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<br />CONDITIONS OF PERMIT AFFIDAViT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit .ay be subject to .deed restrictions" which lay be lore restrictive tha~ City
<br />regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor Dr contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations. If,thl contractor is not licensed as required by law,both'the owner' and contractor lay be
<br />cihd fora ~isdl!leanor villIat~on under siate law. If the ONner or intended contractor are uncertain. as to Ilha~ licensing
<br />requirelents aay apply for the'intended Ilork, they are advjsed to 'contatt' the City of tephyrhilts Building Departaent, (813)
<br />788-6611 .
<br />
<br />Fu~therlore, if the owner has hir~da contractor Dr contractors, be is advised to have the coritract~r(s} sign portions of the
<br />"Contractor Sections. of this application for which they will 'be responsible. if you, as the owner sign as the contractDr,
<br />you are indicating that you, rather than the contractor, are responsible for the worK. If the contractor Nishes you to sign
<br />as contractor that aay 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 - Hoaeowner's Protection
<br />Guide. prepared by the Florida Depart.ent of Agriculture and Consuaer Affairs. If the applicant is sOleone other than the
<br />.owner., I certify that I have obtained a copy of the above described docu.ent and protise in good faith to deliver it to the
<br />.owner" prior to cotlencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all 1l0rK Nill be done in cotpliance with all
<br />applicable laNS regulating construction, zoning, and land developaent.
<br />
<br />Application is hereby lade to obtain a perlit to do Nork and installation as indicated. I certify that no work or
<br />installation has coatenced prior to issuance of a perlit and that all Nork will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdic1ion. I also
<br />certify that I understand that the regulations of other governlental agencies aay apply to the intended work, and that it is
<br />ay responsibility to identify what actions I aust take to be in coapliance. Such agencies include but are not lilited to:
<br />f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />t Southwest Florida Water "anaQ~lent District - W~lls, Cypr~ss Bayheads, Wetland Areas, Altering' Watercourses
<br />f ArlY Corps of EnQine~rs ~ Seawalls, Docks, Navigable Wat~rways
<br />f D~partlent of Health & Rehabilitative S~rvic~s, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I US Environtental Protection AQency - Asbestos abat~l~nt ,
<br />I also certify that, if fill .aterial is to be used in Flood Zone .A. or "A,etc.', it is understood that a drainage plan
<br />addressing a "colpensating volule. Mill be sublitted which is prepared by a professional engineer registered in the state of
<br />Florida prior to per.it issuance.
<br />
<br />A perlit issued shall b~ constru~d to b~ a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the t~chnical codes, nor shall issuance of a per.it prevent the Building Official froa thereafter
<br />requiring a correction of errors in plans, construction, Dr violations of any code. Every pertit issued shall becole invalid
<br />unless the Mork authorized by such p~r.it is COI.enced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths aft~r the tile the work is cO.lenc~d. One 90 day extension of tile, aay be
<br />allowed for the pertit.'Hith fee charge "f$15.00. The extensiDn shall be requested in writing to the Building Official. An
<br />approved inspection luSt be logged during each six lonth period, Dr the project wi 11 be considered abandoned.
<br />WARNING TO OWNER: YOUR, FAILURE TO RECORD A NOTICE OF COK"ENCEKENT KAY RES~LT',IN YOUR PAYING TWICE FOR)KPROVEKENTS 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 VALUE DO NOT HEED TO RECORD AND POST A "NOTICE OF COMMENCE"ENT".
<br />
<br />'<2~Q Jj~ ~ ~
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />~- ~ GJJ~
<br />SIGNATURE: CONTRACTOR
<br />
<br />------
<br />
<br />who i personally
<br />produced
<br />a de Itification
<br />ake~
<br />
<br />(Signature)
<br />
<br />
<br />was acknowledged
<br />, 19~ by
<br />
<br />STATE. OF FLO~DA
<br />COUNTY OF as C D
<br />. The foregc.i ill] . i ns trumel1t
<br />befcq-e me th i s ';b - v
<br />
<br />
<br />has
<br />
<br />STATE OF FlO~~
<br />COUNTY OF ~'C)
<br />The foregoing instrument
<br />before me th i s ,\'1::- (\
<br />
<br />or who has
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />~.."y PUn,
<br />+<:)~i'
<br />
<br />"Ii"
<br />. .
<br />. .
<br />
<br /><I'~ ~<:)~
<br />I'c OF fl\l~
<br />
<br />TARA N ALFORD
<br />My Commission CC263392
<br />Expires Mar 09.1997
<br />Huokleberry Associates Inc
<br />800-422-1555
<br />
<br />, t."V PU,
<br />+()~(i' TARA N ALFORD
<br />
<br />"iI. My Commission CC263392
<br />
<br />. . Expires Mar 09. 1997
<br />
<br />. . Huckleberry A"social... Inc
<br /><I' ~
<br />~.... ~~ 800-422-1655
<br />'t OF f\.\l
<br />
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