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<br />CONDITIONS OF PERMIT AFFIDAV;r
<br />A. NOrICE OF DEED RESTRICTIONS
<br />Th~ ubdersigned understands that this perlit lay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned ilSUIIS responsibility for coapliance 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 with
<br />state and local regulations. If the con{ractor is not licensed as required by law, u)th the owner and contractor lay be
<br />cited for a .isdeleanor violation under state law:. If the owner or intended contractor are uncertain as to lIhat licensing
<br />require.ents tay apply for the intended work, the~ are advised to contact the City of 2ephyrhills Building Departlept, (813)
<br />788-6611. '
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to ha~e the contractor!s) sign portions of the
<br />"Contractor Sections" of this application for which they will be responsible. If you, as the ollner 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 CONNECTION FEES
<br />
<br />. 7
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I tertify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection
<br />&n~de" prepared by the Florida Departtent 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 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 1I0r~ will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade tq obtain a perlit to do Nork and installation as indicated. I certify that no work or
<br />installation has cOlleneed prior to issuance of a perlit and that all Nork Nill be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develDplent 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 />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, Yetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water "anaaeaent District - Wells, Cypress Bayheads, Wetland Areas, ,Altering Watercourses
<br />t ArlY Corps of Enaineers - Seawalls, Docts, Navigable Waterways
<br />t Departlent of Health & Rehabilitative Services. 'Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US Environlental Protection Aaency - Asbestos ahatelent
<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 "colpensating yolule" Nill be sublit~ed which is prepared by a professional engineer registered in the State of
<br />Florida prior to perai t 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 perlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations Df any code. Every perlit issued shall becole invalid
<br />unless the Nork authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six tonths after the ti.e the work is coalenced. 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 in writing to the Building Official. An
<br />approved inspection lust be logged during each six lonth period, or the proiect will be considered abandoned.
<br />WARNIN& TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROVEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COKKENCEKENT. JOBS UNDER $2,500 I DO NOT NEED TO RECORD AN POST A "NOTICE Ot CO"HENCEHE
<br />
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF flR-oSc.o
<br />The foregoing instrument
<br />before me this~ Z~
<br />
<br />was acknowledged
<br />, 19 C1.1\ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF .p f\Sc.o
<br />The foregoing instrument
<br />befclre me th i s ...Jw>e.... 2.3
<br />
<br />~las acknowledged
<br />, 1 9.::!.2.- by
<br />
<br />... ).e.x 0 rNC W, P o.:....-Lif
<br />who is personal I y known to me O<r' who l,as
<br />prQd\iEed
<br />as identificat__~.D a.nd who ~/did not
<br />take an oath. _ af{11it ~~
<br />
<br />(Signature)
<br />
<br />J-Q'!'O~ W, Po.-ku
<br />who is personal:y known to me or who has (
<br />produced
<br />as id."tifi<ilt;~,..) end who di-<I/did not
<br />take an oath. Jjfff~
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI C
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI C
<br />
<br />NATALIE SWAN
<br />Notary Public, State of Florida
<br />My Comm. Exp. Oct. 12, 1999
<br />Comm. No. CC 501333
<br />
<br />
<br />::-,~~,--
<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 />~.
<br />
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