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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RFSPONSIBILITIES
<br />If the owner has hired a contractor Dr contractors to undertake work, they may 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 />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, they are advised to contact the City of Zephyrhills Building Depart.ent, (BI3)
<br />7BB-bb 11.
<br />
<br />Furtherlore, 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 lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of ZephyrhilIs.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES.
<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 Construction .Lien LaM - HOleowner's Protection
<br />Guide" 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 prolise in good faith to deliver it to the
<br />.owner" prior to cOleencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work Dr
<br />installation has cOllenced prior to issuance of a perlit and that all work will be performed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern.ental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />f Depart.ent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and EnvironlentaIly Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departeent of Health l Rehabilitative Services, Environeental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abateeent
<br />I also certify that, if fill laterial is to be used in Flood Zone 'A" or "A,etc.., it is understood that a drainage plan
<br />addressing a "coepensating volule" will be sublitted which is prepared by a professional 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 work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a ~erlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beeole invalid
<br />unless the work authorizej by such perlit is co.eenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tiee the work is cOlienced. One 90 day extension of ti~e, lay be
<br />allowed for the pertit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />C"""':'E"EHT'~:~:':::ER '2,"0 IN YA UE HOT NEED TO RECDRD AND P~T';: ~~::~E'~
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<br />
<br />
<br />SIG~~RE: CONTRACTOR /
<br />/
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoin? ~nstru~ent
<br />bC"'c,r me th 1 s '--J6'1.- - ,#-? ,
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<br />STATE OF FLORIDA ~. J ~
<br />COUNTY OF (}-4-
<br />The foregoi.8~stntm~nt was acknowledged
<br />
<br />b;t;:;;'rj~-;;' 19l1 by
<br />
<br />who is ~r~nnallY kn~wn to me or who has
<br />produced
<br />as identification and who d~d/did not
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<br />t~m:,tt~ /(. C~L1
<br />
<br />(,$..;. ignature) --:
<br />t: 11 f.l..f6 (J Ii... i4 / ~ C c..) c / (- t.- ~- 0
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />vias ac knovJl edged
<br />, 19i:L- by
<br />
<br />who is personally kno n to me Dr who has
<br />produced
<br />as identification and ':I.b.~d/did mot
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<br />t; c--.
<br />te. al"iJ c.' at h. I;) /? J /)/1
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<br />t.%ignatLlre) <~ /, _. .~
<br />JJ A/2.1:J fl (.2. r!l: 1-<. ' ,. Ii' r r'" t:-. V u
<br />
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />....,';ft~.."'" BARDADA R. COSTEllO
<br />~. .~ "'"""
<br />!~: !~ MY COMMlSSKlN (I CC 401518
<br />~ EXPIRES: November 2. 1998
<br />BondlId Thru NolaIy Public UnderM1l8r8
<br />
<br />I~~t~ B.4.RBARA R. COSTEllO -.-11
<br />E*i 11 MY COMMISSION (I CC 4015iJ It
<br />~ / EXPIRES: November 2, 1998 .11'
<br />Bonded 1bru NolaIy Public lInIIerwritBrs
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