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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this pertit lay be subject to Ddeed restrictionsD wbieb lay be lOre restrictive than 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 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 lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />DContractor 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 Law - HOIeOIDer's Protection
<br />GuideD 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 />"ownerD prior to cOllencl!IeIlt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in tbis application is accurate and that all work will be done in cOIpliance with all
<br />applicable laws regulating construction, loning, and land developaent.
<br />
<br />Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation bas cOllenced prior to issuance of a pertit and that all work will be perfoIled to !eet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other gDveI1lftl1tal agencies laY apply to the intended work, and that it is
<br />Iy responsibility to identify wbat actions I lUst take to be in cOlpliance. Sueb agencies include but are not lulted to:
<br />* Departlent of EnvironJental Regulation - Cypress Bayheads, Wetland Areas and EnvironJentally Sensitive Lands,
<br />Vater/Wastewater Treatlent
<br />* Southwest Florida Water ManageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* Arly Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health & Rebabilitative Services, EnvironJental Health Unit - Wells, Vastewater Treatlent, Septic Tanks
<br />* US EnvironJental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone DAD or DA,etc.D, it is understood that a drainage plan
<br />addressing a .cOlpensating volUleD will be sublitted wbieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A pertit issued sball be construed to be a license to proceed with tbe work.and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball issuance of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becOla invalid
<br />unless the work authorized by sueb perlit is COIIeDced within six IOnths of issuance, or if work authorized by the pertit is
<br />suspended or abandoned for a period of six IOnths after the till! the work is cOllenced. One 90 day extension of tile, laY be .
<br />allowed for the pertit with fee ebarge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during eaeb six IOnth period, or the project will be considered abandoned.
<br />WARNING TO OWliER: YOUR FAILURE TO RECORD A NOTICE OF COMMKJfCKllEIft' MAY RESULT IN YOUR PAYING 'fIUCH FOR IMPROVEIIKIft'S TO YOUR
<br />PROPERTY. IF YOU IIft'EW TO OBTAIN FINAIICING, CONSULT WITH YOUR LEWER OR AM ATTORNEY BEFORE RECORDING YOUR NOTICH OF
<br />COMMKNCEMKHT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AMD POST A "NOfICE OF COMMENCEMKIft'".
<br />
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<br />sfQ.~rii; MOR AGE1ft' ---~
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<br />STATE OF FLORIDA !/~ <:"o./" _
<br />couny OF f :;) L-- 0
<br />The foregoing inst~ent was acknowledged
<br />before me this ;J, I 7 ' 192b.. by
<br />
<br />STATE OF FLORIDA jJ
<br />coum OF I /1-5' C. (1
<br />The foregoing inst.rum~t was a~~Wledged
<br />before me this :,J--/ 7 ' 19 by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.~J'~ a-~__e-
<br />
<br />(Signature),)!""" ~ /""' n [) 2:
<br />~4 ({. T 0 0 r.....r-ct A
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath. /7' /L:/ a.. _ .
<br />eA.- /T . J~--<-Q-
<br />(Signature) ~" f C"I..,...,...,
<br />IL-. E iT! /uK.)~ --'"\,
<br />(Name Typed, Printed or StillDDedl
<br />NOTARY PUBL... ~~..".. KEITH CORREIA
<br />l!!~''''~ MY COMMISSION' OC 41141'
<br />~. I EXPIRES: May is. 1.
<br />...... 1/' Bonded Thru NoeIIY I'UIlIo tJndllIWIltn
<br />'" '
<br />
<br />
<br />KEITH CORREIA
<br />MV COMMISSION II CC 411416
<br />EXPIRES: May 13. 1999
<br />Bonded lbm NotarY N* lJndoIWllltIS
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