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<br />CONDITIONS OF PERMIT AFFI~AVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The#unders~gned understands that this perlit .ay be subject to "deed restrictions. ~hi,h lay be lore restrictive than City
<br />regulations. The undersigned iSSUle1 responsibility for co'pliance with any applicah!e 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 tD be licensed in accDrdance 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 Dr intended contractor are uncertain as to Khat licensing
<br />requirelents lay apply for the intended work, the~ are advised to contact the City of Zephyrhills Building Departle~t, (813)
<br />788-6611. ' ,
<br />
<br />Further.ore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for which they Mill 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 per.itting privileges in the
<br />City of Zephyrhills. '
<br />
<br />C~ TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<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~w - Ho.eowner's Protection
<br />G~\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 protise 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 Kork will be done in cOlpliance with all
<br />applicable laMS regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade tQ obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work Mill be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent 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 lilited 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 Kanaaelent District - Wells, Cypress Bayheads, Wetland Area5, ,Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health & Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection AGency - Asbestos abatelent
<br />I also certify that, if fill laterial is to b~ used in Flood 20ne .A" Dr "A,etc.., it is understood that a drainage plan
<br />addressing a "colpensating volule" will be sublit~ed which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it 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 of any code. (very perlit issued shall becole invalid
<br />unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended Dr abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, 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 project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COK~NCE"ENT KAY RESULT IN YO~: ~AYIN6 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 />CD CEMENT. JOBS UNDER $2,500 I E NOT NEED TO RECORD AN POST A .NOTICE OF COMKENCEK
<br />
<br />
<br />
<br />STATE OF flORIDA
<br />COUNTY OF PAs CD
<br />The foregoing instrument was acknowledged
<br />before me this ~lilif3\ , 19 en by
<br />
<br />.Je.ro f\'\ L 0J ' fhx le%-
<br />who is personally known to me or uRe has
<br />preaucad
<br />as idRntifi~ati~n and who did~n~
<br />take an oath. 1~ ~
<br />
<br />(Signature)
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF ()f\~{)
<br />The foregoing ~nstrument was acknowledged
<br />before me this ~3\ , 19~ by
<br />
<br />~~ <.,0. PGVv"-6Y'
<br />who is persc,nally known to me c,r--wlll.' 1,<:\$
<br />prrodyt:ed
<br />as-identlf\caLi~and who didZaid not:>
<br />take an oath. ~afaLZL~
<br />
<br />(Signature)
<br />
<br />(Name Typed, PrJnted Dr Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />NATALIE SWAN
<br />Nolary Public, Slale of Florida
<br />Mv Comm. Exp. Oct. 12, 1999
<br />Comm. No. CC 501333
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />NATALIE SWAN
<br />Nolary Public, Stale of Aorida
<br />Mv Comm. Exp. Oct. 12, 1999
<br />Comm. No. CC 501333
<br />
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