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<br />CONDITIONS OF PERM!T AFFIDAVlT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that tbis peraitaay be subject to 'deed restrictions' which lay be lore restrictive than City
<br />regulations. The undersigned aSlUIeS responsibility for co.pliance with any applicable deed restrictions,
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tbe owner bas bired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations. If the confractor is not licensed as required by law, both the owner and contractor .ay be
<br />cited for a lisdeleanor violation under state law~ If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departle~t, (813)
<br />788-6611.'"
<br />
<br />Furtherlore, 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 will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, ratber 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 />CA 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, bave been provided with a copy of "Florida's Construction lien law - HOleowner's Protection
<br />6~\de' prepared by the Florida Departlent of Agriculture and Consuler Affairs.' If the applicant is so.eone 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 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 HorK will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade t~ 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 will 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 govern.ental agencies lay apply to the intended work, and that it is
<br />.y responsibility to identify what actions I lust take to be in cOlpliance. Such a~encies include but are not lilited to:
<br />f Departlent of Environlental Reaulation - Cypress Bayheads, Wetland Areas and Environaentally SeQsitive lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water "anaaeaent District - Wells, Cypress Bayheads, Wetland Areas, ,Altering Watercourses
<br />f ArlY Corps of Enaineers - Seawalls, Docks, Navigable Waterways
<br />f Depart.ent of Health & Rehabilitative Services. 'Environ.ental Health Unit - Wells, Wastewater Treat_ent, 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' Dr "A,ete.", it is understood that a drainage plan
<br />addressing a "colpensating voluae' will be sublit~ed whieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perait 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 per_it prevent 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 perlit is cOllenced within six lonths of issuance, Dr if Mork authorized by the perlit is
<br />suspended or abandoned for a period of six tonths after the tile the work is coalenced. One 90 day extension of tile, .ay be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested ~Il writing to the Building Official. An
<br />approved inspection lust be logged during each six lonth period, Dr the project will ~e considered abandoned.
<br />WARNING TO DWNER: YOUR FAILURE TO RECORD A NOTICE OF COM"ENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FIHANCIN6, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CD"" CE"ENT. JOBS UNDER $2,500 I E NDT NEED TD RECORD AND POST A "NOTICE OF COKKENCE"E
<br />
<br />
<br />
<br />~D(y\e. W. ~b,/Yle,y
<br />who is personall y ~mown to me or wtlU hCl~
<br />prnl"h Iced ' ' "
<br />~ id."ti'icati~d who did(lfid n~
<br />take an oath. ~~
<br />
<br />(Signature)
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF .p A:sco
<br />The foregoing instrument was acknowledged
<br />befc.re me this __--luJ'1 ..3l 19~ by
<br />
<br />h6~~ V). .p~
<br />who is persc.nall y known to me ()f"'- WilLI lld:l
<br />pr.Qduced ~
<br />~ isclotific:atioll and who dl did nCI '
<br />take an oath. ~~
<br />
<br />(Signature)
<br />
<br />STATE DF flORIDA
<br />COUNTY OF PASc..o
<br />The foregoing instrument
<br />before me this Jul'..j 3l
<br />
<br />was acknowledged
<br />, 19 Q'1 by
<br />
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />NATALIE SWAN
<br />Notary Public, State of Florida
<br />My Comm. Exp. Oct. 12, 1999
<br />Comm. No. CC 501333
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI C
<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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