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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The Undersigned und.r.I,nds Ib,l Ibl. ..r.11 soy be .ubJ.cl 10 'deed r'.lriction.' >bleb soy be sor. reelricti.. than Clt,
<br />regulations. rhe undersigned assUles responsibility for co.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTJmCTOn 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 contractor is not licensed as required by law, both the owner and contractor lay be
<br />cited for, .I.d......r vl.I,li.. und.r .1'1. I... . If !be ....r or 1.lended coolracl.r 'r. uncertoi. as to obat 11....lag
<br />r.guir....ts soy 'pply for lb. Inl.nded oorl, lb., 'r. odvi..d In conlocl lb. Cily of Z.pbyrhill. Building Deiortsest. (813)
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />'Conlractor Secti.... of lbiB 'pplication for odtieb lb., .iII be respon.ibl.. If,.,.. as the usner .iga as the cootractor,
<br />you are indicating that you, rat'ler than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that .ay 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 U'l'ILl'rY CONNECTION FEES ",
<br />
<br />D. CONS1'RUC'l'ION LIEN L'1\W (CHAPTER 713, FLORIDA STA'rUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of .Florida's Construction Lien Law _ HoIeowner'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 couencelent.
<br />
<br />E. CONTRACTORrS/OWNER'S AFFIDAVl'r
<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 />I
<br />
<br />Application is hereby .ade to obtain a per.it 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 perfofled to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the juriSdiction. I also
<br />certify that I understand that the regulations of other goveIDIental agencies lay apply to the intended wort, and that it is
<br />.y responSibility to identify what actions I .usl take lo be in cOlpliance. Such agencies include but are not lilited to:
<br />· Departlent of BnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroRleDtally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />t Southwest Florida Water HanagBlent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· De artJent of Health & Rehabilitative Services EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />t US EnvirODlental Protection Agency - Asbestos abatBlent
<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 volUle" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit. issuance.
<br />
<br />. A per.it issued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
<br />Bet aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frQl thereafter
<br />requiring a correction of errors in plans, construction, or vioiations of any code. Everl per.it issued shall hecOJe invalid
<br />unless the work authoriled by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the peClit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day Bltension of tile, III be
<br />allowed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection .ust be logged during each six IOnth period, or the project will he considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURB TO RBCORD A NOTICB OF COHHBNCEHBNT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVBIIDrS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LINDER OR AN AnORIBY BEFORE RECORDING YOUR NOTICE OF
<br />COHHENCEHBNT. JOBS UNDER $2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A "NOTICE OF COHIIBIiCBllBHf".
<br />
<br />
<br />
<br />SIGlt\TUIlI~ (~~ ~ SIGIt\t1JIIl: LOOlIYRICTOIl
<br />
<br />
<br />srATE OF FLORIDA /) LL4 /_ ?l
<br />COUNTY OF r rr ../ LA:./
<br />The foregoing inst~ent was acknowledged
<br />before me this 1( ,)-.7 , 19--ZX by
<br />
<br />srArE OF FLORIDA .t?A r ~
<br />COUNTY OF L-!r..;. ~
<br />The foregoing instrument
<br />before me this tf?/)-7
<br />
<br />was aCknowledged
<br />, 19~ by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification
<br />take an oath.
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identif.ica~d W.bo ~~
<br />take an oath. ~
<br />
<br />(Signature)
<br />
<br />(Signature)
<br />
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI
<br />
<br />
<br />, ~'l:lu.. KEITH CORREIA
<br />. ~"'$\ MY COMMISSION' CC 451416
<br />*l EXPIRES: May 13. 1999
<br />Bonded 11mI NolaIy NIIIc l.IndIlIwrIt8rs
<br />
<br />
<br />KEITH CORREIA
<br />MY COMMISSION' CC 451416
<br />EXPIRES: May 13. 1999
<br />",- Bonded TIlru NolaIy PubIc ~rs
<br />
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