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<br />CONDITIONS OF PER~:T AFFIDAVIT
<br />A. ~OTICE OF DEED RESTRICTIONS
<br />The und~rligned understa~1 that this per.it '.ay be subject to "deed restrictions' which .ay b~ lore restrictive than City
<br />regulatlonl. The underSigned al5Ule5 responsibility for co.pliance with any applicaoi& deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONS~BILITIES
<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 coB('ractor i~ not licensed as required by law, both the owner and contractor .ay be
<br />cited for a .isde.eanor violation under state law'. If the owner or intended contractor are uncertain as to what licensing
<br />require.ents .ay apply for the intended work, the~ are advised to contact the City of Zephyrhills Building Depart.ent, (813)
<br />788-6611.' i'
<br />
<br />Further.ore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor(s} sign portions of the
<br />"Contractor Sections. of this application for .hich 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 work. If the contractor wishes you to sign
<br />as contractor 'that .ay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the
<br />City of Zephyrhills. '
<br />
<br />- 7
<br />
<br />_~C~ TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D~ CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I tertify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - Ho.eowner's Protection
<br />60,de" prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs.' If the applicant is so.eone other than the
<br />.olner., I certify that I have obtained a copy of the above described docueent and pro.ise in good faith to deliver it to the
<br />"olner" prior to co..ence.ent.
<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 ~ill be done in co.pliance with all
<br />applicable laMS regulating construction, zoning, and land develop.ent.
<br />
<br />Application is bereby .ade tQ obtain a per.it to do work and installation as indicated. I certify that no work Dr
<br />installation has cOllenced prior to issuance of a per.it and that all Mork Mill be perfor.ed to .eet standards of all laNS
<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 govern.ental agencies .ay apply to the intended work, and that it is
<br />.y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not li.ited to:
<br />f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive lands,
<br />Water/Wastewater Treat.ent
<br />f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, ,Altering Watercourses
<br />f Ar.y Corps of EnQineers - Sealalls, Docks, Navigable WaterMays
<br />f Depart.ent of Health & Rehabilitative Services. -Environ.ental Health Unit - Wells, WasteNater Treat.ent, Septic Tanks
<br />f US Environaental Protection AQency - Asbestos abate.ent -. ,,','
<br />I also certify that, if fill .aterial is to b~ used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "colpensating volule. lill be sub.it~ed Mhich is prepared by a professional engineer registered in the State of
<br />Florida prior to penit issuance. ;'
<br />
<br />A per.it issued shall be construed to be a license to proceed lith the work and not,as authority to violate, cantel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official fro! thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beco.e invalid
<br />unless the lork authorized by such per.it is co..enced within six tonths of issuance or if Nork authorized by the per.it is
<br />suspended or abandoned for a period of six .onths after the tiee the work is cOllenced. One 90 day extension of ti.e, .ay be
<br />alloNed for the perlit lith fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during eacbsix .onth period, or the project will be considered abandoned.
<br />WARN INS TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT KAY RESULT IN YOUR FAYING TWICE FOR I"PROVE"ENTS TO YOUR
<br />PRDPERTY. IF YOU INTEND TO DBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CO"" CE"ENT. JOBS UNDER $2,500 ALUE DO NOT NEED TO RECORD A POST A "NOTICE OF COMMENCE"ENT".
<br />
<br />
<br />
<br />STATE OF flORIDA
<br />COUNTY OF PAS c.o
<br />The foregoing instrument
<br />before me this OGr 14
<br />
<br />was acknowledged
<br />, 19~ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF P-Pt5@
<br />The foregoing instrument was acknowledged
<br />befclre me this Dr f-l ~, 19~ by
<br />
<br />OM
<br />who is personally has
<br />produced
<br />as identificatio~dAWh:_~/did not
<br />take an oath. ~"2ivo.-,
<br />
<br />(Signature)
<br />
<br />
<br />J El2.c (Yl f:, v:> . (.1 AeUJL
<br />~o-rs personally known to m~r who
<br />produced
<br />as identificatiJn
<br />take an oath.
<br />
<br />has
<br />
<br />
<br />~
<br />
<br />who ~/did not
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI C
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI C
<br />
<br />
<br />NATALIE SWAN
<br />Notary Public. State of Florida
<br />My Comm. Exp. Oct. 12. 1999
<br />Comm. No. CC 501333
<br />
<br />
<br />NATALIE SWAN
<br />Notary Public. State of Florida
<br />My Comm. Exp. Oct 12. 1999
<br />Comm. No. CC 501333
<br />
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