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<br />CONDI'l'IONS OF PEHMI'l' AFFIDAVI'l~
<br />A. NOTICE OF DEED RES'l'HIC'l'IONS
<br />lhe undersigned understands that this p'"it may b. subject to "deed restrictions" whieb "y b. .ore restrictive tban City
<br />regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED, CONTRACTORS l\ND CON'l'RAC'l'OR RESPONSIBILITIES
<br />If the oliner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
<br />cit.d for a .i sd..eanor ,i 0 la tion under s ta t. law. If tile nwner or in tend.d contractor are uncertain as to what licensing
<br />requireJJenLs Jlay apply [or ,the intended work, Lhey are ,advised to contact the City of Zephyrhills Building Deparuent, (813)
<br />788-6611.
<br />
<br />Furthenore, if the owner has hired a contractor or contractors, he is advised to have tlle 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 may be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. 'l'HANSPOH'l'A'l'ION IMPACT FEES AND U'l'ILI'l'Y CONNEC'fION FEES
<br />
<br />D. CONS'l'RUC'l'ION LIEN LAW (CIIAP'l'ER 713, FLORIDA S'fA'fU'l'ES, AS AMENDED)
<br />I certify that I, the applicant, have been provided Wit/I a copy of "Florida's Construction Lien Law _ HOleowner's Protection
<br />Guide" prepared by the Florida DepartJlent of Agriculture. and ConsuJler Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described document and pro_ise in good faith to deliver it to the
<br />"owner" prior to cOllJlenCeJJent.
<br />
<br />E. CON'l'RACTOR'S/OWNER'S l\FFID~
<br />I certify that all the inforllation in this application is accurate and that all work will be done in cOJlpliance with all
<br />applicable laws regUlating construction, zoning, and land development.
<br />
<br />Application is hereby Jade to obtain a penit to do work and installation as indicated, I certify that no work or
<br />installation has cODenced prior to issuance of a peult and that all )jork will be perforraed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies lay apply to tbe intended work, and that it is
<br />my responsibility to identify what actions I lIust take to be in compliance. Such agencies include but are not lilited to:
<br />i DeparbJent of Environmental Regulation - Cypress Bayheads, Wetland Areas and EnvironJJentally Sensitive Lands,
<br />Water/Wastewater TreaLNent
<br />i Southwest Florida Water Management District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />i Army Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />i De artJent of Health & Rehabilitative Services Environmental Health Unit _ Wells, Wastewater TreatJent, Septic Tanks
<br />i US Environmental Pro~~~!~gency _ Asbestos abateJJellt
<br />I al,o c.rlify that, il 1111 .at.rial is to b. us.d in 'Iood Zone "" ur "~,etc.', It Is ~der't~ that a dra~~e pian
<br />addressing a "c"pensating vol".' wiJJ b. sub.itt.d wlrich is prepared by a Prolessional engineer register.d in the State 01
<br />Florida prior to permit issuance.
<br />
<br />
<br />, pmi t i "ued shaJJ b. cons trued to b. a license to proceed . i th tire work ~d not aa authority to ,ioiate, cancel al ier, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter
<br />reguiring a correction of errors in plans, construction, or ,iUlations 01 any rod.. Every per.it issued shaJJ beco.. ~valld
<br />unless the 'ork authorized by such per.it is co..enced .ithin six DOnths 01 issuance, or II work authorizad by the pet.it is
<br />susp.nd.d or abandoned for a p.riod of si, .onths alter the tl'e the .ork is COOIenced. One 90 day eztension of ti.., lay be
<br />allo.ed for lhe pernit with fee charge of li5.00. Ihe extension shall be reguested in writing to the Building Official. An
<br />approved inspection must be logged during each six lonth period, or the project will be considered abandoned.
<br />WARNIN, 10 ONNER: YOUR FAILURi 10 RECORU A NOIICR OF COMMiNC!NENI HAY RRSULI IN YOUR PAYING flICK FOR IKPROVKHNHlS TO YOUi
<br />PROPER Y. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICB OF
<br />COMMEN EHENT. JOBS UNVER $2,500 IN VALVE DO NOT NEED TO RECORD ANV POST A "NOTICE OF COHHEHCEHENT",
<br />
<br />
<br />-SiGH"~
<br />
<br />
<br />STATE OF FLORIDA -4
<br />. COUHn OF Zj7-.:?t 6
<br />/ The foregOing instr~.:nt was acknowledged
<br />/ before me this ~/.3', 19 J ~ by
<br />
<br />7N()/J11:f" _~E .?;,.,+/.)
<br />who 18 personally known to me ~
<br />produced
<br />o.S j d.mtific~tion ~Ild who EHtl-/did not
<br />take an ?ftj;.l~
<br />
<br />( Signat~tqCL~
<br />
<br />C/tt;J?vr J) ?'~~
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />~v'" ~ C;J;l,RL~S D POOLE
<br />"iii! ", eo"""'..oo cc",,,,,
<br />* * [;;1,.... Feb, 14, 1Qg8
<br />80nded by HAl
<br />"-'.flt/H",.,.f>'t eOO-422.1655
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF ~~~/~~?~
<br />The foregOing ins:~ent was ac~wledged
<br />before me this X.~_._, 19.)1.. by
<br />
<br />f!#/fZ~.<E.r .JJ. ~AE
<br />who is personally known to me
<br />
<br />~du~ea ____________________
<br />
<br />ao iycnt{ficatioft: and who d:i:do/ id not
<br />11
<br />
<br />...y,v 'ii,
<br />~'~.'.I'.
<br />..~.. DEBBIE BROCKiNO/ilOUQI;
<br />* * My ComrmSSlOn CC~O
<br />~ 1';'0( Expires Nov 28,1997
<br />'frfQF f~Q"'"
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