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<br />. CONDITIONS OF PERMIT 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 CONTRACTOR RESPONSIBILITIES
<br />If the owner h~s 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 what licenSing
<br />requireaents aay apply for the intended work, they are advised to con~a~l'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 "hich they "ill 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 CONNECTION FEES ~'\'
<br />
<br />D. CONSTRUC'I'ION LIEN U\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 _ Hoaeowoer's Protection
<br />Guide~ prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sQl80ne 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 COHenceaent.
<br />
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVI'l'
<br />I certify that all the inforlati,on.in this application is accurate and that all "ork'will' be done in COIpliance with all
<br />applicable la"s regulating construction, zoning, and land deve~op'ent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and instaifation as indicated. I certify that no wort or
<br />installation has cOllenced prior to issuance of a perlit and that all worl will be perf oIled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify tbat I understand that the regulations of otber governaental agencies aay apply to tbe intended wort, and that it is
<br />IY responsibility to identify "hat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />* Departlent at EnviroDlental Regulation - Cypress Bayheads, Vetland Areas and EnviroDlentally Sensitive Lands,
<br />Vater/Vastewater Treatlent
<br />* Southwest Florida Vater Hanageaent District - VeIls, Cypress Bayheads, Vetland Areas, Altering Vatercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable WateClfays
<br />* Departlent of Healtb & Rehabilitative Services, EnviroDlental Health Unit - VeIls, Wastewater Ireatlent, Septic rants
<br />* US EnviroDlental Protection Agency - Asbestos abateaent
<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 wbicb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit. issuance.
<br />
<br />
<br />. A perlit issued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall is~u~nce of a perlit prevent the Building Official frUl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall beCOle in,alid
<br />unless the work authorized by such perlit is cOIIenced within six IOnths of issuance, or if work authoriled by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eltension of tile, IIY 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 tbe project will be considered abandoned.
<br />VARNING TO OIlIER: YOUR FAILURE TO RECORD A NOTICE OF COHHHNCHHBff'l HAY RESULT IN YOUR PAYING NICE FOR IHPROVIIIDl'S TO YOUR
<br />PROPERTY. IF YOU IH'lIlND TO OBTAIN FINANCING, ,CONSULT WITH YOUR LENDER OR AN AnORIHY BEFORE RECORDIHG YOUR 1f000lCE OF
<br />ClIIIRtlCJJIIIi.o JOBS UIID 12,500 'IN VALllIl 00 IIOf NEIlD 10 RRCllIID NID ~ ~. . 0 I
<br />
<br />
<br />
<br />, SIGNATURE: con CTOR
<br />
<br />STATE OF FLORIDA
<br />COUNn OF P 1I.s c--v
<br />The foregOing instrument was aCknowledged
<br />before me this ..sePT S?,. 19 --9.L by
<br />
<br />IV eLSo J.J R Y f.-I A-J.J
<br />who is personally known to me gr whe has
<br />iU;gll'I'C"8d
<br />as idE:IIUIit;....118R and who tU4/did not
<br />
<br />take~~j~ fj.~
<br />(Signature) . ..
<br />~I\T\{LEBJ J. -:r?Rf)7~),J
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF P lis C-O
<br />The foregOing instrument was aCknowledged
<br />before me this $c:..--pj f , 19 '17 by
<br />
<br />JJ c:.7-S0 N 7::: Y jl( It AJ
<br />who is personally known to me or whe has
<br />pl'o<.hnrl
<br />~9 id9n.i~'n~tiAft and who did/did not
<br />
<br />tak~ Z ~'h.<W
<br />(Sign ture) . J . . '"--;;? r>. \)
<br />~-Arnl ~_ ::.::I" ~N
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />:\~I\l "u8
<br />."'ti<'~
<br />~1iiI:
<br />
<br />./'~ Of f\.O~
<br />
<br />KATHLEEN J BROWN
<br />My COlTlrTlisaion CC449029
<br />Expires Apr. 02.1999
<br />
<br />:\~I'Y PU8
<br />+()n"~
<br />.'tt )Sj;jf *
<br />~~.,~
<br />".1'. ~'O
<br />'tOf ,\.0
<br />
<br />KATHLEEN J BROWN
<br />My Commission 00449029
<br />Explrec Apr. 02, 199s
<br />
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