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<br />. CONDITIONS OF PERMIT AFFIDAV} r
<br />~A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it '.ay be subject to .deed restrictions" ~nich .ay be lore restrictive than City
<br />regulations. The undersigned aISUIe. responsibility for co.pliance with any applicable deed fes\rictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSiBILITIES
<br />If the owner has hired a contractor or contractors to undertake wo:rk, they .ay be required to be licensed in accordance with
<br />state and local regulations. If the con(ractor is not, licensed as required by law, both the owner and contractor lay be
<br />cited for a .isde.eanor violation under state law:. If the owner olr intended contractor are uncertain as to Khat licensing
<br />require.ents .ay apply for the intended Nork, ther are advised to contact the City of 2ephyrhills Building Depart.e~t, (813)
<br />788-6611. '
<br />
<br />Further.ore, 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 .ay be an indication that he is not properly licensed and is not e~titled to per.itting privileges in the
<br />City of Zephyrhills.
<br />
<br />C~ TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />, 1
<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 Cons,truction Lien Law - Ho.eowner's Protection
<br />GU\de. prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs.' If the applicant is so.eone other than the
<br />.owner., I certify that I have obtained a copy of the above described docu.ent and protise in good faith to deliver it to the
<br />.owner. 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 cOlpliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
<br />
<br />Application is hereby .ade t~ obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has cO.lenced prior to issuance of a perlit and that all work will be perforled to .eet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulatlons 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 />IY 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 Envir~nlentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />f Southwest Florida Water "anaQeaent District - Wells, Cypress Bayheads, Wetland Area:, ,Altering Watercourses
<br />f Ar.y Corps of EnQineers - Seawalls, Docts, Navigable Waterways
<br />, Departlent of Health & Rehabilitative Services, 'Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />f US Environ.ental Protection AQency - Asbestos abate.ent
<br />I also certify that, if fill .aterial is to be used in Flood Zone .A. or .A,etc.", it is understood that a drainage plan
<br />addressing a .colpensating volu.e. will be sub.it~ed which is prepared by a professional engineer registered in the State of
<br />Florida prior to peTti t 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 per.it prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. ~very pertit issued shall becole invalid
<br />unless the work authorized by such perlit is cOllenced within six .onths of issuance. Dr if work authorized by the per.it is
<br />suspended or abandoned for a period of six .onths after the tile the Mork is cOllencej. One 90 day extension of tile, lay be
<br />allowed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection .ust be logged during each six .onth period, or the project wil! he considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"KENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COKKENCE"ENT. JOBS UNDER $2,500 VA E DO NOT NEED TO RECORD AND POST A "NOTICE OF COHMEN T".
<br />
<br />
<br />
<br />STATE OF FLORIDA .p
<br />COUNTY OF AS W
<br />The foregoing instrument
<br />before me th is Oc ::1-14
<br />
<br />was acknowledged
<br />, 19 q ~ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF fAS GO
<br />The foregoing instrument was acknowledged
<br />befc.re me th is V c..:t- I Y. , 19 9<':' by
<br />
<br />\...H::e~)f..(...~~... p~
<br />who is personally known to me or wAO h65
<br />pr.&a\:l~ed
<br />c:r:5" ldentl t lcatir' and whc. M"Ct/did not
<br />take an oath. ~
<br />
<br />(Signature)
<br />
<br />JEe.CME: \~. p~
<br />-who is personally known to me or who 1.65
<br />I-'Iuduced
<br />as-iacntific6tio ~/did not
<br />take an oath. - ~
<br />
<br />(Signature)
<br />
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />NATALIE SWAN
<br />Notary Public, Stata of Florldt
<br />My Comm. Exp. Oct. 12, 1999
<br />Comm. No. CC 501333
<br />
<br />NATALIE SWAN
<br />Notary Public, State of Florida
<br />My Co'mm. Exp. Oct. 12, 1999
<br />Comm. No, CC 501333
<br />
<br />>-..:...~
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