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<br />CONDITIONS br-- PERMIT AFFJ:DA'v':,T
<br />A. '-NOTICE OF DEED RESTRICTIONS
<br />The unden~gn,d un~erstands that this penitlay be subject to "deed restrictions" which laY be lore relitrictive than City
<br />regulations. The undersigned alSUHS responsibility for co.pliance with anyiippli;:able deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake Mork, they ma}' be reqJired to be licensed in accordance with
<br />state and local regulations. If the contractor i~nDt licensed as required by law, both the owner and contractor .ay be
<br />cited for a lisdeleanor violation under state law'. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, ther are advised to ,:ontact the City of Zephyrhills Building Depart.ept, (813)
<br />788-6611. "
<br />
<br />FurtherlDre, if the Dwner has hired a cDntractDr Dr contractDrs, 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 Zepllyrhills. '
<br />
<br />C~ TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />7
<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 Departlent Df Agriculture and Consuler Affairs,' If the applicant is so.eone other than the
<br />'Dwner', I certify that I have obtained a copy of the above described docutent and protise in good faith to deliver it to the
<br />"owner' priDr to cD..ence.ent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlatiDn in this application is accurate and that all work .Iill be done in cOlpliance with all
<br />applicable laMS regulating construction, zoning, and land develop.eRt.
<br />
<br />ApplicatiDn is hereby lade tQ Dbtain a perlit tD do work and installation as indicated. I certify that no Mork Dr
<br />installation has cD.lented priDr tD issuance of a per.it and that all Mork will be perfor.ed to leet standards of all laMS
<br />regulating construction, City codes, zDning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulatiDns of other governlental agencies .ay apply to the intended Mork, and that it is
<br />IY respDnsibility tD identify what actions I lust take to be in cOlpliance. Such agencies include but are not Ii.ited to:
<br />f DeDartlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and EnvironlentaIly Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />t Southwest Florida Water "anaQetent District - Wells, Cypress Bayheads, Wetland Areas, ,Altering Watercourses
<br />f ArlY Corps Df EnQineers - Seawalls, Docks, Navigable Waterways
<br />t Depart.ent Df Health & Rehabilitative Services. 'Environlental Health Unit - Wells, WasteMater Treataent, Septic Tanks
<br />f US Environlental ProtectiDn AGency - AsbestDs abatelent
<br />I alSD 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 'colpensating volu.e" will be sub.itJed Mhich is prepared by a professiJnal engineer registered in the State of
<br />FIDrida prior tD perli t issuance.'
<br />
<br />A per.it issued shall be cDnstrued tD be a license to proceed with the work and not,as authority to violate, cancel alter, or
<br />set aside any prDvisions of the technical codes, nor shall issuance of a per.it prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, cDnstruction, or violatiDns of any code. Every perait issued shall becoae invalid
<br />unless the work authorized by such perlit is cOI.enced within six 'Dnths of issuanCE; or if work authorized by the per.it is
<br />suspended or abandDned for a period of six lonths after the tile the work is cOllenc~j. One 90 day extension of ti.e, .ay be
<br />allowed for the per.it with fee charge Df $15.00. The extension shall be requested ill writing to the Building Official. An
<br />approved inspection lUSt be IDgged during each six IDnth period, or the project will be considered abandoned,
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"KENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROYEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORN~V BEFORE RECORDING YOUR NOTICE OF
<br />CO"KENCEKEHT. JOBS UNDER $2,500 VAtU DO NOT NEED TO RECORD A D POST A "NOTICE OF COHKENCE
<br />
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF PAS(.O
<br />The foregoing instrument was acknowledged
<br />before me this~, 19~(o by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF 'P fr~GO
<br />The foregoing instrument
<br />befc.re me this Dc;t-,"';
<br />
<br />was acl:nowledged
<br />, 19~ by
<br />
<br />(Signature)
<br />
<br />
<br />who Q.HI./did not
<br />~~
<br />
<br />.j~rn~ (..t,)~ p~
<br />who is personally known to me or w~ Aa~
<br />pr9 Eh:.u:: ed
<br />-fl.:> iBf:nHfiCa1.:c'fja7f WhO. -e+d/did nClt
<br />take an oath. t:zJfal.ti-~
<br />
<br />(Signature)
<br />
<br />l \eYLC>(hG: CO. p~
<br />who is personally known to me ~ rih~ ~s
<br />~1.&L.c::d
<br />a
<br />take an oath.
<br />
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLI C
<br />
<br />
<br />NATALIE SWAN
<br />Notary Public. State of Florida
<br />My COA'lm. Exp. Oct. 12. 1999
<br />Comm, No, CC 501333
<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 />
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