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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />'A. NOTICE. OF DEED RESTRICTIONS ,
<br />Tbe und~rsigned understa~s tbat this perlit .ay be subject to "deed restrictions" which lay be lore restrictive than City
<br />reg~Ja~lon5. The undersigned a55U1e5 responsibility for cOlpliance .ith any applicable deed restriction.. .
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor Dr contractors to undertake work, tbey lay be required to be licensed in accordance wilb
<br />itit. ind IOCil regulations, If the contr.ctor ii not lic.ni.d as required by law, both the owner and contr.ctor lay b.
<br />cited for a lisdeleanor violation under ,state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents .ay apply for the intended MOrk, they are advised to contact the City of 2ephyrhills Building Depart.,nt, (813)
<br />788-6611,
<br />
<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor!s) sign portions of t~
<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 sigD
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to per.itting privileges in lb.
<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 .ith a copy of "Florida's Construction Lien Law - HOleowner's ProtectiDD
<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 tbe
<br />.owner. prior to co..eneeaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation in this application is accurate and that all work 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 per.it to do MOrk and installation as indicated. I certify that no work Dr
<br />installation has co..enced prior to issuance of a per.it and that all work will be perfor.ed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. (also
<br />certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it il
<br />'V responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to:
<br />f DeDartlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Yater/Yastewater Treatlent
<br />t Southwest Florida Water Kanaqe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Ar.y CorDS of EnQineers - Seawalls, Docks, Navigable Yaterways
<br />I DeDartlent of Health l Rehabilitative Services. Environlental Health Unit - Uells, Wastewater Treatlent, Septic Tanks
<br />t US Environ.ental Protection AQency - Asbestos abate.ent
<br />I also certify that, if fill laterial is tD be used in Flood Zone "A" or .A,etc.", it is understood that a drainage plan
<br />addressing a .colpensating yolu.e. will be sublitted which is prepared by a professional engineer registered in the State of
<br />FIDrida prior tD perlit issuance,
<br />
<br />A per.it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, Ir
<br />set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official fro. thereaft.r
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beco.e invalid
<br />unless the work authorized by such per.it is cOI.eneed within six lonths of issuance, or if work authorized by the per.it il
<br />suspended Dr abandoned for a period of six .onths after the tile the work is cO'leneed. One 90 day extension of tilt, .ay be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. AI
<br />approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
<br />YARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CoKKENCEnENT nAY RESULT IN YOUR PAYING TWICE FOR I"PROYEnENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CDKlENCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A .NOT1CE OF COKKENCEnENT".
<br />
<br />I?U C'! /YlJad- ~
<br />
<br />SIGNATURE: OWCER OR AGENT
<br />
<br />~U' V~ IG.L_S.TeI& CfJDS7
<br />SIGNATURE: CONTRACTlm
<br />
<br />oKt.Atioi'1 ,.,
<br />STATE OF1FlBRIBA
<br />COWlTY OF ;rJll (J k s v Jt/
<br />The foregoing instrument was acknowledged
<br />before me this fr\f+'1 l21 ,192:2. by
<br />
<br />
<br />~~~~' ~r~
<br />o is persona mow m or who has
<br />
<br />as identification and'who did~d noj)
<br />take an oath. n _
<br />~ ~ J) rx-... olCl) \..JU).D.o)
<br />(S~gnature) ()
<br />~te..NnA ~w~.s
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA
<br />COUHTY OFrASC()
<br />. The foregoing instr~men}was aCJ'nqwledged
<br />before me this S~t :;;0, 19~ by
<br />
<br />D..R " ~,
<br />o is ersconall
<br />p,-oduced
<br />as identification and who did/did not
<br />
<br />~~ G ~YLL~
<br />
<br />ctSI}Jnature> n ~
<br />()(') n I ~ A- lY '- )0 n '(>.s.
<br />(Name Typed, Printed or Stamped>
<br />NOTARY PUBLI C
<br />
<br />
<br />~ t..e i.) --L
<br />known to~or who has
<br />
<br />,t.'i.!/'n:....., BONITA G. JONES
<br />(.f1.~ MY COMMISSKlN , CC 358356
<br />WJ BoIIIed~:~=--
<br />
<br />~,
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