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<br />CONDITIONS OF PERMIT AFFIDAVl;
<br />.A., ~OTICE OF'DEED RESTRICTIONS
<br />The undersigned understands thit this perlit .ay be subject to "deed restrictions" ~hl~h I~y be .Iore restrictive than City'
<br />regulations. The undersigned alsuaes responsibility for co.pliance 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 may be required to be licensed in accordance with
<br />state and IDcal regulations. If the confractor is not licensed as required by law, both the owner and contractor lay 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, theX are advised to contact the City o~ Zephyrhills Building Departlept, 18131
<br />788-6611. ' ,
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to h~ve the contractorlsl sign portions of the
<br />'Contractor Sections' of this application for which they will be responsible. If YOJ, 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 ~ntitled to perlitting privileges in the
<br />City of Zephyrhills. '
<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 certify that I, the applicant, have been provided with a copy of 'FIorida's Construction Lien Law - HOleowner's Protection
<br />G&~de' prepared by the Florida Departlent of Agriculture and Consuler Affairs,' If the applicant is sOleone other than the
<br />'owner', I certify that I have obtained a copy of the above described doculent and protise 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 Nork will be done in co.pliance with all
<br />applicable laMS regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade tQ obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be pErforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regula.ions in the jurisdiction. 1 also
<br />certify that I understand that the regulations of other governlental agencies lay apply to the intended Mork, and that it is
<br />IY responsibility to identify what actions I lUSt take to be in cOlpliance, Such agencies include but are not li.ited to:
<br />f Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Envirunaentally Se~sitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Kanaoeaent District - Wells, Cypress Bayheads, Wetland Arla5, ,Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rehabilitative Services. 'Environlental Health Unit - Well~, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection AGency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone 'A- or "A,etc.", i; is understood that a drainage plan
<br />addressing a 'colpensating volule- lill be sublit~ed which is prepared by a professivnal engineer registered in the State of
<br />Florida prior to penit 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 prev(~t the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, Dr violations of any code. Every pertit issued shall becole invalid
<br />unless the lork authorized by such perlit is cOltenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended Dr abandoned for a period of six lonths after the tile the work is cos.enced. One 90 day extension of ti.e, lay be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOU~ PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNE\ BEFORE RECORDING YOUR NOTICE OF
<br />CD KENCEKENT. JOBS UNDER $2,50 VAlUE DO NOT NEED TO RECORD AND POST A -NOTICE O~ COHKEN ·
<br />
<br />
<br />
<br />was acknowledged
<br />, 19 ~ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF p..Pr.s c....o
<br />The foregc,ing ilo.strument
<br />before me this ()cj-14
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF P PI ~ <..D
<br />The foregoing instrument
<br />before me this [)cJ-lY.
<br />
<br />was acknowledged
<br />, 19~ by
<br />
<br />(Signature)
<br />
<br />J E12..O MlZ uJ. (J~
<br />who is pel-selDa 11 y known to me clr-wn~. I,,,::,
<br />p-F6e1uced
<br />as i~."tHlc.Ll'~r:md who oH-fj/did not
<br />take an oath. (~~
<br />
<br />(Signature)
<br />
<br />j~DM~ U). t/~€..l2.-
<br />who is personally known to me or +lhu hCl~
<br />pr.oj;!l.Iced
<br />a 0 ~. afd A ~o ~~~id not
<br />take an oath. ~ ~
<br />
<br />(Name Typed, Pr~1ted or Stamped)
<br />NOT ARY 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 />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />NATALIE SWAN
<br />Notary Public. State of Aorida
<br />My C.omm. Exp. Oct. 12, 1999
<br />cO"1m. No. CC 501333
<br />
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