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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A~ NOTICE OF DEED RESTRICfIONS
<br />The und~rsigned understands that this per2it lay be subject t~ 'de2d restrictions' which .ay'b~ lore -restrictive tha~ city
<br />regulatIons. The undersigned assules responsibility for cOlpli~~ce Nith any apf;;~rlble deed restricti~ns. .
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ONner has hir,ed a contractor Dr ct!ntradors to undertake Nork, they ~~be --;~quired ttl be licensed in accordance Nith
<br />state and local regulations. If tIle centractor is no~, licen~~~ as required by laN, both the ONner and cDntradDr lay be
<br />cited for a lisdeleanor violation under state IaN. It the ONner Dr intended cDntractor are uncertain as tD what licensing
<br />requirelents lay apply for the intended Nork, they are advised to contact the City of 2ephyrhills Building Departlent, (8131
<br />788-6611.
<br />
<br />Furtherlore, if the ONner has hired a contractor or contracto..s, he is advised to h~ve the contractDrlsl sign portions of the
<br />'Contractor Sections' of this application for Nhich they Nill 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 NorK. If the contractor Nishes 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 Nith a copy of 'Florida's Construction Lien LaN - HOleoNner's Protection
<br />Guide' prepared by the Florida Departlent-of Agriculture and Consu.er Affairs. If the applicant is sOleone other than the
<br />'owner', I certify that I have obtained a ~opy of the above described dDcu.ent and pro.ise in gDod faith to deliver it to the
<br />'oNner' prior to cOllence.ent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all NorK NiIl be done in co.pliance Nith all
<br />applicable laNs regulating construction, zoning, and land develop.ent.
<br />
<br />Application is hereby lade to obtain a perlit to do Nork and installation as indicated.' I certify that no Nork or
<br />installation has cOI.enced prior to issuance of a perlit and .'hat all Nork Nill be perforled to leet standards of all laNs
<br />regulating construction, City codes, zoning regulations, and land develDp.ent regulatiDns in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies .ay apply to the intended wDrk, and that it is
<br />'Y responsibility to identify what actions I lust take to be in cotpliance. Such agencies include but are not li.ited to:
<br />f Departlent of Environ.ental ReQulatiDn - Cypress Bayheads, Wt~land Areas and Environlentally Sensitive Lands,
<br />Water/WasteNater Treat.ent
<br />f Southwest Florida Water "anaQelent District - Wells, Cypress Barheads, Wetland Areas, Altering Watercourses
<br />f Arty Corps of EnQineers - SeaNalIs, Docks, Navigable Waterh~Ys
<br />f Departtent of Health & Rehabilitative Services. Environ.ental Health Unit - Wells, WasteNater Treatlent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abat~lent
<br />I also certify that, if fill taterial is to be used in Flood Zone 'A' Dr 'A,etc.', it is understood that a drainage plan
<br />addressing a 'colpensating volu.e' will be sublitted Nhich is prepared by a professional engineer registered in the State Df
<br />Florida prior to pertit issuance.
<br />
<br />A per.it issued shall be construed to be a license to proceed with the wDrk and nDt as authDrity 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, or violations of any code. Every perlit issued shall becole invalid
<br />unless the Nork authorized by such per.it is cOI.enced Nithin six tonths of issuance,!, Dr if work authorized by the per.it is
<br />susp~nded or abandoned for a period of six lonths after the tite the Nork is co.teneed. One 90 day extensiDn of tile, lay be
<br />alloNed for the per.it with fee charge of $15.00. The exten,ion shall be requested in writing tD the Building Official. An
<br />approved inspection lust be logged during each six tonth period, or the project Nill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COH"ENCEHENT. JOBS UNDER $2,5 0 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COHHENCEHENT'.
<br />
<br />
<br />. Sl~~~
<br />
<br />
<br />
<br />
<br />who ~s personally known to me or who has
<br />produced
<br />as identification and who B+e/did not
<br />take an oath .~/ _. _ . . /) )~. ;P _ .
<br />.;4:Z:I:J:. J:.L /~ ~ .Jy~r~, fx...J
<br />(Signature)
<br />k flr 77-1 LE E: Ai .J. Mm .] AJ
<br />(Name Typed, FYinted or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLO
<br />COUNTY OF
<br />The for.. oing ~~~en7 was acknowledged
<br />b,=ftH'= 1lI~ this , 19!i:.!:L by
<br />
<br />-YELS, D IV R Y fI1 A";
<br />who is personally known to ma or who has
<br />produced
<br />as identification and who ~/did not
<br />take an oath.
<br />
<br />(Signature)
<br />/(11 TN L EEIJ J: 73P;wJ Ii.-
<br />(Name Typed, 'Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />~~~'.'. <
<br />0.. '0
<br />.~
<br />
<br />KATHLEENJ.BA
<br />SIal.. of Florida
<br />MrComm. Exp._ApriI2, 19.
<br />Comm. . CC 095611
<br />
<br />
<br />1r
<br />
<br />KA T~ >:?oWN
<br />( ;,
<br />
<br />, "'=~U~i:9.
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