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<br />CONDl'!'IONS OF PERMI'l' AFFIDAVI'l'
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive tban City
<br />regulations. The undersigned assUles responsibility for cOlpliance 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 lay be required to be licensed in accordance witb
<br />state and local regulations. If the contractor is not licensed as required by law, both tbe 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 />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if the ONner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of tbe
<br />"Contractor Sections" of this application for which they will be responsible. If you, as tbe OlDer sign as tbe 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 .ay be an indication that he is not properly licensed and is not entitled to peIlitting priVileges in tbe
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND U'!'ILI'fY CONNECTION FEES "
<br />
<br />D. CONSTRUC'l'ION LIEN L'l\W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HoIeoIoer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is SOleODe otber tban the
<br />"owner", I certify that I have obtained a copy of the above described docUlent and prolise in good faitb to deliver it to tbe
<br />"owner" prior to COllenCelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation in tbis application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />I
<br />
<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify tbat no wor1 or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforted to Jeet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in tbe jurisdiction. I also
<br />certify that I understand that the regulations of otber goverDlental agencies laY apply to tbe intended worl, and tbat it is
<br />IY responsibility to identify what actions I lust take to be in co.pliance. Sucb agencies include but are not lilited to:
<br />· Deparllent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treallent
<br />· Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· Departlent of Healtb & Rehabilitative Services, BnviroDlental Health Unit - Wells, Wastewater TreatJent, Septic lan1s
<br />· US EnviroDlental 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 sublitted which is prepared by a professional engineer registered in tbe State of
<br />Florida prior to perlit. issuance.
<br />
<br />. A perlit issued shall be construed to be a license to proceed witb tbe work and oot as authority to violate, cancel alter, or
<br />Bet aside any provisions of the technical codes, nor shall is~u~nce of a per.it prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOle Invalid
<br />unless the work authorized by such per.it is cOllenced within sil 100ths of issuance, or if work authoriled by the perlit is
<br />suspended or abandoned for a period of slllOnths after the tile the work is cOllenced. One 90 day eatension of tile, 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 IOntb period, or the project will be considered abandoned,
<br />WARNING TO ONNER: YOUR FAILURE TO RBCORD A NOTICB OF COHHBNCBHBNT HAY RESULT IN YOUR PAYING RICE FOR IMPROVIIIDrS TO YOUR
<br />PROPBRTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LBNDBR OR AN ATTORIEY BEFORE RECORDING YOUR RorICK or
<br />COHHENCBHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHMENCEIIEJf1'Il.
<br />
<br />t2---e ---// ~~
<br />
<br />,;;/ SIGNATURE: CONTRACTOR
<br />
<br />~~~
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />, I
<br />
<br />STArE OF FLORIDA
<br />COUlfJY OF /19sco
<br />The foregOing instrument was acknowledged
<br />before me this~NC I / , 19 q 7 by
<br />
<br />j{);/I, ~~ r Il/yf:::,
<br />who i~al1Y known to liI!Jor who has
<br />produce .
<br />as identification and who di~~
<br />t~ an oath. d.
<br />~. t9. ~1J//)J7I
<br />(S~nature) r.
<br />C/1Ssordn:; F r7!)Olsb~
<br />(Name Typed, Printed or tamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF F/f5W
<br />The foregOing instrument was aCknowledged
<br />before me this 7:t"'k- II , 19~ by
<br />
<br />J;;AI\- t~ Srn..~
<br />who is~y known to~ or who bas
<br />producea - -
<br />as identification and who did/did not
<br />ta~ an Oath. . () ~,
<br />~ .()1'JaAd 1'tt!J- 'J'- . ..~
<br />(S19Jjature) . ;(
<br />Ca$S.lJr)C/yk. F l.)ool.5~~
<br />(Name Typed, Printed or St ped)
<br />NOTARY PUBLIC
<br />
<br />~I 'u _~e~
<br />~...t' ~ "(10 oA88ONDRA F~'
<br />., ~ ~ CCl5IS1737
<br />, * My '""^"
<br />c;.r, ,. . ExpIIM Apt, 30, '"'uvv
<br />~..~ ;. '1 ~'Ift
<br />":11;r fi ~\{'~
<br />
<br />~"\\' '"11
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<br />
<br />""~ OF f\.a~
<br />
<br />CASSONDRA F OOOLSBV
<br />My CoI..nliMlon CC5l51737
<br />Iixplree AJK. 30, 2000
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