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<br />CONDITIONS OF J .;RMIT AFFIDAVIT
<br />A.., NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peflit lay be subject to Ddeed restrictions. which 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 what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (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 />.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 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 be~ provided with a copy of .Florida's Construction Lien Law - HDleowner's Protection
<br />Guide. prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOleone otber tban the
<br />.0wnerD, I certify that I bave obtained a copy of the above described docUlent and prolise in good faith to deliver it to the
<br />"ownerD prior to cOllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />appliCable lalfs regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a peflit to do Ifork and installation as indicated. I certify that no work or
<br />installation has COIIenced prior to issuance of a perlit and that all Ifork will be perfofled to leet 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 goverDlental agencies lay apply to the intended Ifork, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />* Departlent of Environlental Regulation - Cypress Baybeads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US EnviroDlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "AD or MA,etc.D, it is understood that a drainage plan
<br />addressing a .cOlpensating VOlUleR Ifill be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit. issuance.
<br />
<br />A perlit 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 frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peflit issued sball becOle invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOntbs after tbe tile the work is c08enced. One 90 day extension of tile, laY be
<br />allowed for the peflit with fee charge of $15.00. The extension shall be requeste~ in writing to the Building Official. An
<br />approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMHEHCHHHNT HAY RESULT IN YOUR PAYING 'lIiICE FOR IHPROVHHHNTS TO YOUR
<br />PROPERTY. IF YOU INfBND TO OBTAIN FINANCING, CONSULT WITH YOUR LODER OR AN AnORNEY BEFORE RECORDING YOUR NOTICE OF
<br />N . JOBS U R IN VALUE DO NOI NEED '1'0 RECORD AND POST A "NOIICE OF COHMBNCHHENT".
<br />
<br />
<br />(1L /!L/~) ?/Leh.
<br />
<br />~NATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA ()
<br />coum OF to :x>> D
<br />The foregoing instrument was acknowledged
<br />before me this If) t~.Q. ,193k. by
<br />
<br />~-S()c ..~)e ~Q\.{)((e...
<br />who is ~ersonally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />t;~e an o,atb.'1 ~ \ . )
<br />~~~rt;r-Lrl.JU;../Ull1L~ (\JJS
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA
<br />coum OF Pinellas
<br />The foregOing instrument was acknowledged
<br />before me this October 22~ 19~ by
<br />
<br />John L. Wallace
<br />who is personally known to me or who has
<br />produced N/A
<br />as identif" ation d who ~/did not
<br />take an h...
<br />
<br />~i:&~~ll~~ KEll Y EVELYN HERNANDEZ
<br />=*: ':.: MY COMMISSION II 00109423 EXPIRES
<br />~~ .~j September 25, 1998
<br />--I~~' BONDED THRU TROY fAIN IIlSUIlANCE. N::.
<br />
<br />(Signature)
<br />Lisa G. Biglin
<br />(Name Typed, Printed
<br />NOTARY PUBLIC
<br />
<br />
<br />" L.I8A (l. BA*
<br />W"" o...IIIIIIICIf. CC ~
<br />· ~"SXP1AE8 DEe ao.,"
<br />8ClIIOEO T1'4NJ
<br />A1\Nf1'1C ~ co.. IJlolt:
<br />
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