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<br />CONDITIONS OF PERMIT AFFIDAVl';
<br />~. ~OTICE OF DEED RESTRICTIONS
<br />The undersigned undersbnds that this peraitaay be subject to .deed restrictioDli. IIhic:h aay bi lore riistrictive than .city'
<br />regulations. The undersigned alsu..s responsibility for co.pliance Mith any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor Dr contractors to undertake Mork, they lay be rr~uired to be licensed in accordance Mith
<br />state and local regulations. If the contractor is not licensed as required by lall, both the owner and contractor aay be
<br />cited for a .isde.eanor violation under state la~. If the owner or intended contractor are uncertain as to what licensing
<br />require.ents .ay apply for the intended work, theV are advised to contact the City cf 2ephyrhills Building Departaept, (813)
<br />788-6611. "
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorls) 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 peraitting 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 tertify that I, the applicant, have been provided with a copy of "Florida's Constru~tion Lien Law - HOleowner's Protection
<br />Gi\de. prepared by the Florida Departlent of Agriculture and Consuler Affairs.' If t~E applicant is sOleone other than the
<br />.owner., I certify that I have obtained a copy of the above described doculent and plotise in good faith to deliver it to the
<br />.owner. 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 ..ill be done in cOlpliance lIith all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade 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 perait and that all work will be perforled to leet standards of all laNs
<br />regulating construction, City codes, zoning regulations, and land developlent regula, ions in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies lay apply to the intended Nork, and that it is
<br />IY responsibility to identify what actions I lust tate to be in cOlpliance. Such agencies include but are not liaited to:
<br />f Deoartlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, ,Altering Watercourses
<br />f ArlY CorDs of EnQineers - Seawalls, Docts, Navigable Waterways
<br />f Deoartlent of Health & Rehabilitative Services. 'Environlental Health Unit - Wells, Wastellater Treataent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abate.ent
<br />I also 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 volule. ,ill be sublit~ed which is prepared by a professiDnal 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 Nork and not,i3 authority to violate, cancel alter, Dr
<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 perait issued shall becole invalid
<br />unless the Nort authorized by such perlit is cOllenced within six lonths of issuance, or if Nork authorized by the perait is
<br />suspended Dr abandoned for a period of six lonths after the tile the work is COllencp.d. One 90 day extension of tile, lay be
<br />allowed for the perlit witb fee cbarge of $15.00. The extension shall be requested iJ writing to the Building Official. An
<br />approved inspection lust be logged during each six lonth period, Dr the project Nill be considered abandoned.
<br />WARNING TO OUNER: YOUR FAILURE TO RECORD A NOTICE OF CO"KENCEKENT, KAY RESULT IN YuUR PAYING TWICE FOR IMPROVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY DEFORE RECORDING YOUR NOTICE OF
<br />CD EHCEKENT. JOBS UNDER $2 IN AlUE DO NOT NEED TO RECORD ND POST A "NOTICE QC COHMEN I
<br />
<br />
<br />--
<br />
<br />
<br />~
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF (J -A S a::>
<br />The foregoing instrument was acknowledged
<br />befol-e me th i sj)c:l-I L, 19 ~ b by
<br />
<br />...J eflb ~ W. y.; fH2.lt-€:iL
<br />who is pel-sc1liali'y known to me or whet-I.e.5
<br />prs Ehu: ed
<br />as-id"'tifi<.ti~ who GOeIdid not
<br />take an oath. .~
<br />
<br />(Signature)
<br />
<br />STATE OF flORIDA
<br />COUNTY OF () A .:> t..O '
<br />The foregoing instrument was acknowledged
<br />before me this (')('-*-14>_, 19_'1(e by
<br />
<br />J~Me: ~.
<br />who is personally known
<br />,.p.F-6d""...c::J
<br />a~ ;MontifiEation
<br />take an oath.
<br />
<br />.p A-U- t.IL
<br />
<br />to me or wnu I Jr"::>
<br />
<br />(Signature)
<br />
<br />
<br />d+e+did not
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed,PriT~ed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />NATAliE SWAN
<br />Notery Public, Stete of Florid.
<br />My Comm, Exp. Oct. 12. 1999
<br />Comm, No. CC 501333
<br />
<br />
<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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