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<br />A. NOTICE OF:
<br />T~t ~ndlr~igned under'
<br />regulations. The uod
<br />
<br />CONDITIONS OF pERMIT AFFIDAVrr
<br />DEED RESTRICTIONS
<br />nds that this ptuitlay be subject to "deed restrictions" Wi'lCh laY bi' lore restrictive thin City
<br />igned alSUIlS responsibility fOT co.pliance with any applica~l~ deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor Dr contractors to undertake work, they lay be r~~lired to be licensed in accordance with
<br />state and local regulations. If the confractor i~not license~ as required by law\ both the ONner and contractor lay be
<br />cited for a lisdeleanor violation under state law'. If the ollner or intended contractor are uncertain as to Khat licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City ~f Zephyrhills Building Departlept, (813)
<br />788-6611. ,:
<br />
<br />Furtherlore, if the ONner has hired a contractor or contractors, he is advised to ha':~ the contractorts) sign portions of the
<br />"Contractor Sections" of this application for which they will be responsible. If yo'., as the ONner 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 ~ntitled to perlitting privileges in the
<br />City of Zephyrhills. .
<br />
<br />.-C.. TRANSPORTATION IMPACT FEES AND UTILITY CONNECl ION 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 L~N - HOleowner's Protection
<br />GU,de" prepared by the Florida Departlent of Agriculture and ~onsu.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 po'olise in good faith to deliver it to the
<br />"owner" prior to cO'lencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work 'Jill be done in co.pliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby .ade tQ obtain a perlit to do work and installation as indica~}d. I certify that no work or
<br />installation has cOllenced prior to issuance of a perait and that all Nork Nill be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developtent regurations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governtental agencies .ay ~(p)y to the intended work, and that it is
<br />'Y responsibility to identify what actions I lust take to be in cOlpliance. Such a~~ncies include but are not lilited to:
<br />f Departtent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Envir "Ientally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />f Southwest Florida Water HanaQeaent District - Wells, Cypress Bayheads, Wetland Areds, ,Altering Watercourses
<br />f ArlV Corps of EnQineers - Seawalls, Docks, Navigable WaterNays
<br />f Depart.ent of Health & Rehabilitative Services. 'Environlental Health Unit - Well~\ ~;5tewater Treatlent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill laterial is to b~ used in Flood Zone "A" or "A,etc.., it is understood that a drainage plan
<br />addressing a "colpensating volule" will be sublit~ed which is prepared by a professi~r.al engineer registered in the State of
<br />Florida prior to penit issuance.'
<br />
<br />A perlit issued shall be construed to be a license to proceed with the work and not,3s authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a pertit prev'~t the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. ;very per.it issued shall becole invalid
<br />unless the work authorized by such perlit is cOllenced within six tonths of issuance: ~r if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the Nork is COllen,eJ. One 90 day extension of tile, tay be
<br />allowed for the per.it with fee charge of $15.00. The extension shall be requested 10 writing to the Buildir.g Official. An
<br />approved inspection lust be logged during each six lonth period, or the project wil~ be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHtlENCEHENT KAY RESULT IN Y~;) PAYING TIIICE FOR IIIPROVEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNE~ BEFORE RECORDING YOUR NOTICE OF
<br />COHHENCEtlENT. JOBS UNDER $2,50 V UE DO NOT NEED TO RECORD A POST A .NOTICE O.F ~~EKCE"E~
<br />
<br />
<br />~(;) ~
<br />
<br />CONTRAt:TOR
<br />
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF P A:x:..o
<br />The foregoing instrument was acknowledged
<br />befcI,-e me' th i 5 ,J J ~ j ..31 , 19 -9.L by
<br />
<br />Juo~ uJ. POJ'leY
<br />who is persc,nally known to me clr WilL.I l,c:i::;
<br />prnrl11f:'sd ..-
<br />.. id.Rtific'~_n.f and who di<l@idnoD
<br />take an oath~ _...:~~
<br />
<br />(Signature)
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF P A::, c. 0
<br />The foregoing instrument was acknowledged
<br />before me this ~ -3.l ,19 C(l by
<br />
<br />J-e-ro~ w~ p~
<br />who is personal 1 y known to me o\"'~wlll.J Ita:::>
<br />p.J=oBl:1ccd
<br />as iacRtificati~09l3nd who did~ no~,
<br />take an oath. -- G., ~
<br />~-y-
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTA
<br />
<br />
<br />(Name Typed, P... nted 0\- 5 tamped)
<br />NOTARY PUBLIG
<br />
<br />
<br />NATALIE SWAN
<br />Notary Public, State of Florida
<br />My Comrri, Exp. Oct. 12, 1999
<br />Comm. No. CC 501333
<br />
<br />NATALIE SWAN
<br />Notary Public. Slate of Florida
<br />My Comm. Exp, Oct. 12. 1999
<br />Comm. No. CC 501333
<br />
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