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<br />COND~TIONS _, ~RMIT AFFIDAV!f
<br />A. . NOTICE OF DEED RESTRICTIONS
<br />Th. und.rligntd understands that this perlit 'lay be subject to 'deed restrictions' w~:ch lay be lore restrictive than City
<br />regulations. lb. undersigned aSSUle5 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 lay be re~uired to be licensed in accordance with
<br />state and local regulations. If the contractor i~ not licensed as required by law,' Loth the owner and contractor lay be
<br />cited for a lisde.eanor violation under state law'. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended Mork, the~ are advised to contact the City of Zephyrhills Building Departlept, (813)
<br />788-6611. '
<br />
<br />Furtherlore, if the ONner has hired a contractor or contractors, he is advised to have the contractorls) 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 Zephyrhills.
<br />
<br />C~ TRANSPORTATION IMPACT FEES AND UTILITY CONNECT:ON FEES
<br />
<br />, 7
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<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 law - Ho.eowner's Protection
<br />GO~de' prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs.' If the applicant is SOleone other than the
<br />'owner', I certify that I have obtained a copy of the above described docu.ent and prosise in good faith to deliver it to the
<br />'owner' prior to cOlaence.ent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation in this application is accurate and that all Hork Mill be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
<br />
<br />Application is bereby lade tQ obtain a perlit to do work and installation as indicat~d. I certify that no work or
<br />installation has coa.enced prior to issuance of a perlit and that all work will be perfor.ed to .eet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
<br />ay responsibility to identify wbat actions I lust take to be in co.pliance. Such agencies include but are not li.ited to:
<br />f Depart.ent of Environ.ental Requlation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water "anaqeaent District - Wells, Cypress Bayheads, Wetland Areds, ,Altering Watercourses
<br />t ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />t Depart.ent of Health ~ Rehabilitative Services. 'Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environaental Protection AQency - Asbestos abateaent
<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 'coapensating volule. will be sub.it~ed which is prepared by a professional engineer registered in the State of
<br />Florida prior to perait issuance. "
<br />
<br />A per.it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, Dr
<br />set aside any provisions of the technical codes, nor shall issuance of a perait prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beeole invalid
<br />unless the work authorized by such perlit is COllenced within six tonths of issuance, or if work authorized by the perait is
<br />suspended or abandoned fOT a period of six lonths after the tile the work is cO.lenc.d. 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 i~ 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 COMMENCEMENT KAY RESULT IN YOU~ ~AYING 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 />CO NCEMENT. JOBS UNDER $2,500 I U DO NOT NEED TO RECORD A D POST A 'NOTICE OF ~OH"ENCE '
<br />
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF f ASLO _
<br />The foregoing instrument was acknowledged
<br />befc'l-e me th i s ..~ 2.;:) , 1932- by
<br />
<br />, ~ e....ro 1Y\A?' w. -Pc:l.-r1u>x
<br />who is pel-sc1na! Iy known to me or uh,' haG
<br />f3reElut:ed
<br />a::> idealti ric:aticlI and who -d+d-/did nClt
<br />take an oath. 1;fafcdU ~
<br />
<br />(SignatUl-e)
<br />
<br />STATE OF flORIDA
<br />COUNTY OF PPrS( 0 '
<br />The foregoing instrument was acknowledged
<br />before me thisdU-lU.. 23 , 19.:12- by
<br />
<br />.leI'U'NL W. kvr-rA>x'
<br />who is personally known to me or ~h9 h35
<br />praduEcd
<br />as ideRtifiEa:~ .and who ~/did not
<br />take an 0 a th. -IJ1l1QJtL Sz,ua.",,---
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLI C
<br />
<br />
<br />~-
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<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 />NATALIE SWAN
<br />Notary Public, State of Florida
<br />My Comm, Exp, Oct. 12. 1999
<br />Comm, No, CC 501333
<br />
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