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<br />CONDITIONS OF PERMtT AFFIDAViT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Th~ uqderllgntd understands that this per.it '.ay be subject to "deed restrictions" wt~th .ay be lorl restrictive than City
<br />regulations. The undersigned assulIs responsibility for co.pliante 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 .ay be required to be licensed in accordance with
<br />state and local regulations. If the con(ractor is not licensed as required by law,' both the owner and contractor .ay be
<br />cited for a .isdeaeanor violation under state law~ If the ONneT or intended contractor are uncertain as to Khat licensing
<br />requireaents lay apply for the intended Nork, the~ are advised to contact the City of Zephyrhills Building Departlept, 1813)
<br />788-6611. ' ,
<br />
<br />Further.ore, if the ONner 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 which they Nill be responsible. If you1 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 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 />, 1
<br />
<br />D~ CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien law - HOleoNner's Protection
<br />G~de" prepared by the Florida Departaent of Agriculture and Consu.er Affairs.' If the applicant is SOleone other than the
<br />"owner", I certify that I bave obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />"oNner" prior to co..encelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all Hork will be done in cotpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade tQ obtain a perait to do work and installation as indicated. I certify that no work or
<br />installation has co..enced prior to issuance of a perait and that all work will be perforled to leet standards of all laNs
<br />regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. 1 also
<br />certify that I understand that the regulations of other governlental agencies aay apply to the intended work, and that it is
<br />ay responsibility to identify what actions I .ust take to be in coapliance. Such agencies include but are not lilited to:
<br />I Deuartlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Enviro.\lentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />I SouthNest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, ,Altering Watercourses
<br />f ArlY Corus of EnQineers - Seawalls, Docks, Navigable Waterways
<br />t Degartaent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection AGency - Asbestos abateaent
<br />I also certify that, if fill aaterial is to be used in Flood 20ne "A" or "A,etc.', i~ is understood that a drainage plan
<br />addressing a "coapensating volule" will be subait~ed which is prepared by a professional engineer registered in the State of
<br />Florida prior to perait issuance. ,.
<br />
<br />A perait issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, Dr
<br />set aside any provisions of the technical codes, nor shall issuance of a perait prevlnt the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such perait is coaaenced within six lonths of issuance, or if Nork authorized by the perlit is
<br />suspended or abandoned for a period of six aonths after the tile the work is cotlenced. One 90 day extension of tile, lay be
<br />allowed for the pertit 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 COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LEHDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COKKENCEKENT. JOBS UNDER $2,500 UE NOT NEED TO RECORD AN POST A "NOTICE OF COHMENCEM ·
<br />
<br />
<br />
<br />STATE OF flORIDA
<br />COUNTY OF ---PAs( 0
<br />The foregoing instrument was acknowledged
<br />before me this '- ~A..t~ 3l , 19C11 by
<br />
<br />..Je~ u..). Po-...rLev
<br />who is personally known to me or ~Iha has
<br />pl"OCJllced
<br />.. i"DAtifi<'~jf ~nd who did(ola no~
<br />take an oath.~;;;C ~
<br />
<br />(Signature)
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF PAS CO
<br />The foregoing irstrument
<br />befcq-e me this 0Uiy 31
<br />
<br />~las acknowledged
<br />, 19.3.:1- by
<br />
<br />0zyorn-.e. W - p~
<br />who is persc1na 1.1 y known to me or ..,111-" hd~
<br />pre6uced, ~
<br />.. id.At,ifi<.t~ ",nd who did id not)
<br />take an oath.~~
<br />
<br />(SignatUl-e)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />NATALIE SWAN
<br />Notary Public. State of Aorida
<br />My Comm. Exp. Oct. 12. 1999
<br />Comm. No. CC 501333
<br />
<br />
<br />NATALIE SWAN
<br />Notary Public, State of Florida
<br />My Comm. Exp. Oct. 12. 1999
<br />Comm. No. CC 501333
<br />
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