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<br />CONDITIONS OF PEI~IT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understand~ Lhat thiSjieiijt lilY be subject to "deed resLrictionslt whiell lay be lOre restrictive than City
<br />regulations. The undersigned assllles responsibility Cor cOlpliance wiLh any applicable deed restrictions.
<br />
<br />B. UNLICENSED CON'l'RAC'l'OnS AND CON'I'HAC'I'On HESPONSIBILrl'IES
<br />If the owner has IIired a contractor or conLracLo18 to undertale work, they lay be required Lo be licensed in accordance with
<br />state and local regulations. If the conLracLor is not licensed as required by law, ~oLh the owner and contractor lay be
<br />cited Cor a lisdeleanor violaLionunder state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirl!Jlents lay apply Cor Ule intended worl, Lhey are advised to contact the City of ZepJlyrliills Building Depart.ent, (813)
<br />788-6611.
<br />
<br />FurtheClore, if the owner has Jlired a contractor or contractors, lie is advised to have tile 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, ratller tllan 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 Zephyrllills.
<br />
<br />C. 'l'Iu\NSPon'I'ATION IMPACT FEES AND UTILITY CONNEC'l'ION FEES " "
<br />
<br />D. CONS'l'RUC'l'ION LIEN L'I\W (CIIAP'l'ER '/13, FLOIUDA s'rA'rUTES, AS AMENDED)
<br />I certify tha~ihe applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOleowner's Protection
<br />Guidelt prepared by the Florida Departlent of Agriculture and Consuler ncCairs. If the applicant is sOleone other than tbe
<br />"oNnerlt, I certify that I have obLained a copy of the above described doculenl and prolise in good faith to deliver it to tbe
<br />"owner" prior to co..enCelent.
<br />
<br />E. CONTRAC'l'On' S/OWNER' S AFFIDAVI'I'
<br />I certify that all the inforlation in this application is accurate and tbat all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />I
<br />
<br />Application is hereby lade to obtain a perlit to do work and instailation 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 eonstruction, City codes, zoning regulations, and land deveIoplent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governJental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust tale to be in cOlpliance. Such agencies include but are not lilited to:
<br />· Deparllent of Environmental Regulation - Cypress Bayheads, Wetland Areas and EnvironJentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />· Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />A DepartJent of I/ealth , Rehabilitative Services, EnviroDlental Healtb Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />t US EnvironJental Protection Agency - Asbestos abate.ent
<br />I also certify that, if fHl laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "colpensating voIllIelt will be sublitted wbicll is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit. 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 is~u~nce of a perl it prevent tile Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery perlit issued shall becOIe invalid
<br />unless the work authorized by such perlit in cOllenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned Cor a period of six IOnths after tile tile the work is cOllenced. One 90 day eltension of tile, Jay be
<br />allowed for the perlit with Cee 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 IOnth period, or the project will be considered abandoned.
<br />WARHIHG TO OWHER: YOUR FAILURE TO RECORD A HOTICH OF COKHEHCKHHHT KAY RESULT IH YOUR PAYIHG TWICE FOR IHPROVEKKHTS TO YOUR
<br />PROPERTY. IF YOU IHTEHD TO OBTAIH FIHANCING, COHSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RBCORDIHG YOUR NOTICH OF
<br />COKHENCEHENT. JOBS UNDER $2,500 IH VALUE IJO NOT NEED TO RECORD ANU POST A "NOTlCH O~OKHHHCHHBNT".
<br />
<br />/ /~
<br />~1f ~ ____ u<"_
<br />SIGRAruft~ER OR IGB~ ~~ SIGKA'U~OR'RACI ~
<br />
<br />STATE OF FLORIDA
<br />COUHTY OF p,,-, ,0
<br />The foregoing instrument was acknowledged
<br />before me this J 2.. J 2.9 , 19!LL by
<br />
<br />who is ~e~i~na~y Ijf~!~'g, me or who has
<br />
<br />produced
<br />as identification and who did/did not
<br />take an oatil. '
<br />
<br />(Signature)
<br />
<br />
<br />STATK OF FLORIDA
<br />COUHTY OF ~Lil
<br />The foregoing instrument was acknowledged
<br />before me this 1"')'2.:':) , 1997 by
<br />
<br />~Wl' L _. JlJi Nan
<br />who is personally k.nown to me or who has
<br />produced
<br />as identifi~. ti w W"~~~Wh~/did not
<br />take all oath~~ .
<br />
<br />(Signature)
<br />
<br />(Narne Typed,
<br />NOTARY PUBLIC
<br />
<br />(Narne Typed, Printe
<br />~
<br />NOTARY PUBLIC ..~
<br />1
<br />
<br />
<br />A~LOri 10.
<br />~ PulllC
<br />My ctmm. ftDl, ~
<br />Comm~.~o, 't
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