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<br />CONDITIONS OF PEI~IT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" wllicll lay be lOre restrictive than City
<br />regulatiolls. The undersigned assUles responsibility Cor cOlpliance wilh any applicable deed restrictions.
<br />
<br />B. UNLICENSED CON'l'RAC'l'OnS AND CON'l'llAC'l'OH HESPONSIDILI'l'IES
<br />If the owner has l!ired a contractor or contractolS to undertale worl, they lay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, bot/I tile owner and contractor lay be
<br />cited Cor a lisdeleanor violation under state law. If t/Ie owner or intended contractor are uncertain as to what licensing
<br />requirl!lents lay apply Cor the intended work, they are advised to contact the City of ZepbyrbiUs Building Departlent, (813)
<br />188-6611.
<br />
<br />Furtherlore, if the olfner lias Ilired a contractor or contractors, he is advised to have tile contractor(s) sign portions of the
<br />.Contractor Sections. oC tllis application Cor which they Ifill be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather Ulan L1le contractor, are responsible for the Ifork. If the contractor wishes you to sign
<br />as contractor that lay be an indication tllat he is not properly licensed and is not entitled to perlitting priVileges in the
<br />City of Zephyrhills.
<br />
<br />C. 'l'RANSPOU'l'A'l'ION IMPACT FEES AND U'l'ILI'l'Y CONNEC'l'ION FEES " "
<br />
<br />D. CONS'!'UUC'l'ION LIEN LnW (CIIAP'l'EH 713, FLOIUDl\ S'fA'l'UTES, AS AMENDED)
<br />I certify tllat 1, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HOleowner's Protection
<br />Guide" 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 doculent and prolise in good faith to deliver it to the
<br />"owner" prior to co..enCl!Ient.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in tbis application is accurate and that all Ifork will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, 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 law8
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify tbat I understand that tIle regulations of otber goverRlental agencies lay apply to tbe intended work, and that it is
<br />IY responsibility to identify what actions I lust lale to be in cOlpliance. Such agencies include but are not Iilited to:
<br />· Deparlllent of EnvirORlental Regulation - Cypress Bayheads, Wetland Areas and EnviroRlentally Sensitive Lands,
<br />Water/Wastewater Treallent
<br />· Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Ingineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of lIealth & Rehabilitative Services, Invirolllental Health Unit - Wells, Wastewater Treal:llent, Septic Tanks
<br />t US Envirolllental Protection Agency - Asbestos abatl!lent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a draInage plan
<br />addressing a "colpensating voluae" will be sublitted which 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 tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the tec/mical codes, nor shall is~u~nce of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery per.it issued sball beCOle invalid
<br />unless the work authorized by such perlit ia cOllenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day e1tension 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 IOnth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICH OF COHHENCEHHNT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVKKRHTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR HOTICK OF
<br />COIIIIKIIC!II T. JOOS IJIIJIR 12,500 I VALlIR DO IIOT HEIiIl TU RKCllJiU ARU POS'Zh" . I
<br />
<br />---- W/
<br />
<br />S SIGNATURE: CONTRACTOR
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF p~S( 0
<br />The foregoing instrument
<br />before me~this 1)11 (l
<br />I
<br />r
<br />
<br />(Signature)
<br />
<br />
<br />was acknowledged
<br />, 19'j 'b by
<br />
<br />STATK OF FLORIDA
<br />COUNTY OF P I\S' D
<br />The foregoing instrument was acknowledged
<br />before me thi m }2-L, 19~ by
<br />I (
<br />.~
<br />who is ersonally or who bas
<br />produced
<br />as identification
<br />take an oath.
<br />
<br />~~. ':<;,
<br />.. ..
<br />o -
<br />Z f'!
<br />
<br />OUVlA A. LOVETT .
<br />Notal'f Pulllic, ::itate of FlOrida
<br />My ammo expire~ Jul-.;, 28.2000
<br />:-~:nITi No. CC~7~916
<br />
<br />(Signature)
<br />
<br />(Name 'l'yped,
<br />NOTARY PUBLI
<br />
<br />
<br />who is pe
<br />produced
<br />as identification
<br />take an oath.
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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