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<br />CONDITIONS OF PERMIT AFFIDAV~T
<br />A~ NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it.ay be subject to 'deed restricti~ns" which aay be aore restrictive than Cjty
<br />regulations. The undersigned assu.es responsibility for co.pliance 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 .ay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is nnt,. licensed as required by law, both the owner and contractor lay be
<br />cited for a lisdeleanor violation under state law. If,the owner or intended contractor are uncertain as to "hat licensing
<br />requirelents lay apply for the intended work, they are advised to'contact. the City' of Zephyrhills Building Departlent, 18131
<br />798-6611.
<br />
<br />Furtherlore, 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 Mill 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 Mork. 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 pertitting 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 - HOleoMner'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.encetent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infortation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no Mork or
<br />installation has cOltenced prior to issuance of a perlit and that all Mork will be perforled to leet standards of all laMS
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governtental agencies lay apply to the intended Mork, and that it is
<br />ty responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />f Departtent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environtentally Sensitive Lands,
<br />Nater/Wastewater Treatlent
<br />f Southwest Florida Nater "anaQetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health l Rehabilitative Services. Environtental Health Unit - Wells, Wastewater Treattent, Septic Tanks
<br />f OS Environlental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone 'A' Dr "A,etc,", it is understood that a drainage plan
<br />addressing a 'cotpensating volule' will be sublitted which is prepared by a professional engineer registered in the State of
<br />F.lorida prior to 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, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frot thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becole invalid
<br />unless the Mork authorized by such per.it is cOltenced within six tonths of issuance, Dr 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.fDr the penH with fee charge of $15.90.. The extension shall be requested in I!riting to the BuildingOffirial. An
<br />approved ins~ction lust be logged during each six tonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR, FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CO""ENCE"ENT, JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT",
<br />
<br />~-"~ ~, /)~~ ..P?T-
<br />SIG ATURE: OWNER 0 AGENT \
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF PA~ 0
<br />The foregoing instrument
<br />before me this OQ...T il
<br />
<br />was acknowledged
<br />, 19...2::L by
<br />
<br />I--~ON o~ De L-Gft DO
<br />who is personally known to me or who has
<br />producedbR\\J G"fC's t---\(8NS~
<br />(~s identification d who did~~
<br />~t e an oath. a
<br />,VJ,-
<br />
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC EEVERLY G. BAR1H
<br />Notary Public, State of F lor ida
<br />My comm. expires July 15. 19:.;;
<br />CCa~7150
<br />
<br />e c---R- Q Jd
<br />SIGNATURE: CONTRACTOR
<br />
<br /><.2-_
<br />
<br />_.
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF P-A~co
<br />The foregoing instrument
<br />. befc,re me th i s Ot!..,- II
<br />
<br />~Ias acknowledged
<br />, 19~ by
<br />
<br />Q,A-RL.- ft. q.t.u>e:-
<br />who is personallY known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />~ JJ-~
<br />
<br />(Signature) ~VERLYG.BARTH
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBL I C BEVERLY G. BARTH
<br />Notary Public, State of Flo~ida
<br />My comm. expires July 15. lh~.G
<br />CGG/150
<br />
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