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<br />CONDITIONS OF PEnHI'!' AFFIDAVIT
<br />~. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for cOlpliance wiLh any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRl\C'l'ORS AND CON'l'Rl\C'l'OU RESPONSIBILI'!'IES
<br />If the owner has hired a contractor or contractors to undertake work, 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, both the owner and contractor lay 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, Lhey are advised Lo contacL the City of Zephyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contracLor or contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for which Lhey will be responsible. If you, as the OIfner 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 perlitting privileges In the
<br />City of Zephyrhills.
<br />
<br />c. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ~~
<br />
<br />D. CONSTRUC'l'ION LIEN Lf\W (CHAPTER '/13, FLOIUDA s'rA'rUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOIeOlfner'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 COllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />1\
<br />
<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no worl or
<br />.installation has cOllenced prior to issuance of a perlit and that all work will be perfotled to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that Lhe regulations of otber goverDlenLal agencies lay apply to tbe intended worl, and that it is
<br />Iy responsibility to identify what actions I lust Lake Lo be in cOlpliance. Sucb agencies include but are not lilited to:
<br />· Departlent at EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroRlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />· Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· Arl' Corps of Engineers - Seawalls, Docks, Navigable WateIlfays
<br />· Departlent of Health' Rehabilitative Services, HnvirOnlental HealLh Unit - Wells, Wastewater Treallent, Septic Tanks
<br />· US invironlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is underatood that a drainage plan
<br />addressing a "colpensating volUle" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it. issuance.
<br />
<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 tecbnical 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 perlit issued sball becOIB invalid
<br />unless the Mork authorized by such perlit is 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 eltension of tile, IIJ 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 IOntb period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHRNCEHRNT HAY RESULT IN YOUR PAYING twlCR FOR IHPROVKKBNTS TO YOUR
<br />PROPERTY. IF YOU INTRND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BRFORB RICORDING YOUR MOIICI OF
<br />COHOINClftKRT. JOBS OlDER 12,500 IN . DO lOt HEED .0 R!CON. AN. PUS. . 'NOlICR OF ~
<br />
<br />
<br />~~
<br />
<br />. I'
<br />
<br />STATR OF FLORIDA
<br />COUNTY OF t{}~(~
<br />The fOregOing. iJlP~~U'1 was acknowledged
<br />before me this . , 19-9.Y by
<br />
<br />At~{s/)r1 fvJ1Jllfl
<br />who is personanYlnown to me or who has
<br />produced
<br />as iden ification and not
<br />tak aUt.
<br />
<br />
<br />STATR OF FLORI2
<br />COUNTY OF a~o
<br />The foregoing i strumen was ac!l!\owledged
<br />before me this' , 19 q~ by
<br />
<br />or who has
<br />
<br />
<br />(S ture) Christina M.'cone
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Sig
<br />
<br />Christina M. Cone
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~lo'/.y P~q~ CHRISTINA M CONE
<br />~. rr o' ry!y COMMTSSiON # CC 530210
<br /><!l. ~5,.1 s>'
<br />':f? 0:;1.'1>'>' EXPIRES February 13, 2000
<br />1-8CX'r3-NOTARY Fla. Notar, Service & Banding Co.
<br />
<br />~....V.YP:;l:rL.
<br />~ t:-N1 ~.
<br />I/!,~,.,...c:.
<br />-;:'.I'f"o~V-~
<br />1.flOO-3,NOT ARY
<br />
<br />CHRISTINA M. CONE
<br />~'Y CO~'~',l" s.ON # CC 530210
<br />EXPl RES, February 13, 2000
<br />Fia. Notary SElfVIce & Bonding Co~
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