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<br />CONDITIONS G~ PERMIT AFFIDAVIT
<br />Pi.. NOT I CE: OF DEED RESTR I C'- IONS
<br />The undersigned understands that this perlitlay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned allUles responsibility for co.pliance Nith any applica,'~e deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor Dr contractors to undertake Nork, 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 ONner and contractor lay be
<br />cited for a lisdeleanor violation under state laN:. If the owner or intended contractor are uncertain as to IIhat licensing
<br />requirelents lay apply for the intended Mork, the~ are advised to contact the City of Zephyrhills Building Departae~t, (813)
<br />788-6611. ' '.
<br />
<br />Furtberlore, if the owner has bired a contractor or contractors, he is advised to hav~ the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for wbich 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 Nor:; If the contractor Nishes 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 - HOleoNner's Protection
<br />&U~de' 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 docu.ent 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 1I0rk 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'collenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regula'lons 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 lilited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Envirr~lentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water "anaQeaent District - Wells, Cypress Bayheads, Wetland Are;s, ,Altering Watercourses
<br />f ArlY Corps of EnQineers - SeaMalls, Docks, Navigable Waterways
<br />f Departlent of Health ~ Rehabilitative Services. 'Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environ.ental Protection AGency - Asbestos abatelent
<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 "colpensating volule" will be sublit~ed which is prepared by a professiv.lal engineer registered in the State of
<br />Florida prior to perli t issuante. .
<br />
<br />A perlit issued shall be construed to be a license to proceed with the Nork 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 of any code. Every perait issued shall becole invalid
<br />unless the work authorized by such perlit is cOlleneed 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 tile the work is CO.lence~. One 90 day extension of tile, lay be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested ill 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 />WARNIN& TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"KENCEKENT KAY RESULT IN YOL~ PAYING TWICE FOR IKPROVEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNE" BEFORE RECORDING YO NOTICE OF
<br />COK"ENCE"ENT. JOBS UNDER $2,50 E DO NOT NEED TO RECORD A D POST A "NOTICE O~ COMMENCE"
<br />
<br />
<br />
<br />STATE OF flORIDA
<br />COUNTY OF D A ~c.D
<br />The foregoing instrument was acknowledged
<br />before me this "Ju.N..- 23 , 19 C)'7 by
<br />
<br />,Je/o~ w. PCLr\Ux~
<br />who is personall y ~mown to me or uhf) h3~
<br />produced
<br />ao i~eQ'ifi.~" and who ~did no'
<br />take an oath_ _~~_
<br />
<br />(Signature)
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF PAs~o
<br />The foregc,ing i.lstrument
<br />befol-e me this t"Lu-1'Ll1 2.-3
<br />
<br />~las ac know I edged
<br />, 19~ by
<br />
<br />Jex~ ~ . Pa.xlev
<br />who is personally known to me or.wh~ ha~
<br />prGd~ced _
<br />.. i~.A'ifi<'~~d who~did no'
<br />take an oath.~~ ~
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />NATALIE SWAN
<br />Notaif' Pu blic, 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 />
<br />:;::>:~
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