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<br />CONDl'f IONS OF PEHMl'l' 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 CON'I'RAC'I'On RESPONSIBILITIES
<br />If the owner 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 />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />reguirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611. .
<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 tbe contractor wisbes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES I~
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<br />D. CONSTRUCI'ION LIEN IinW (CHAPTER 713, FLORIDA STATUTES1 AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of .Florida's Construction Lien Law - HOIeOWDer's Protection
<br />Guide. prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOI8one 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 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 will be done in cOlpliance with all
<br />applicable laws regulating construction, laning, and land developlent.
<br />I I
<br />
<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that DO work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all 1818
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDlental agencies lay apply to tbe 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 liJited to:
<br />I DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />I Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />I DepartJent of Health & Rehabilitative Services, EnviroDlental Healtb Unit - Wells, Wastewater Treatlent, Septic lanks
<br />I US EnvironJental Protection Agency - Asbestos abatelent
<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 .cOIpensating volUle" will be sub.itted 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 .ith tbe 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 prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or vloiations of any code. Every perlit issued aball beCOl8 invalid
<br />unless tbe work authorized by such perlit is cOllenced .ithin six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a periOd of six IOnths after the tile the work is cOllBnced. One 90 day eltension of tile, la' be
<br />allowed for the perlit with fee charge of $15.00. Tbe extension shall be reguested in writing to the Building Official. An
<br />approved inspection lust be logged during each sil IOnth period, or the project .ill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTlCE OF COMMENCEN! HAY RESULT IN YOUR PAYING twiCE FOR IHPROVBIIBIIS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN AnORIEY BEFORE RlCORDING YOUR DICE OF
<br />COHMENCEHKNT. JOBS UNDER $2,500 IN VALUE DO NOT NEKD TO RECORD AND POST A "NOTICE OF COHMBNCBKKNT".
<br />
<br />
<br />Sl~~ s~~A1M
<br />
<br />
<br />STATK OF FLORIDA~
<br />COUNTY OF LLl5"eCJ
<br />The foregoing instrument was acknowledged
<br />before me this ~rJe /1, , 19ZL- by
<br />
<br />IY/ Ifte'(t /J'1o,.,} J;;f /(,e (" #'
<br />,!ho is perso ally known to me or who bas
<br />produced
<br />as identification and who did/did not
<br />take oatb.
<br />
<br />STATE OF FLORI~
<br />COUNTY OF t2:l.s-e. D
<br />The foregoing instrument was acknowledged
<br />before me this cfuNe /b , 19~ by
<br />
<br />rJIJ 11(<. f V t(Y1 0,.) bl4,Ul'(",.....,
<br />~bo is pers6nally known to ~e or who has
<br />produced
<br />as identification and who did/did not
<br />tak an oath.
<br />
<br />
<br />
<br />JAMES A. STONE
<br />Notary Public, State of Florida
<br />My comm. expires May 16, 1999
<br />CC 446560
<br />
<br />( ame Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />JAMES A. STONE
<br />Notary Public, State of Florida
<br />My comm. expires May 16, 1999
<br />CC 446560
<br />
<br />( e Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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