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<br />CONDITIONS OF PEUMIT AFFIDAVIT
<br />A~ NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it lay be subject to "deed restrictions" which .ay be lOre restrictive than City
<br />. regulations. The undersigned assUles responsibility for cOlpliance with allY applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTMC1'ORS AND CON'l'RAC'l'On RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertale worl, they .ay be required to he 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 .isdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirBlents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Further.ore, if the owner has hired a contractor or 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 OIfIler sign as the contractor,
<br />you are indicating that you, rather Ulan the contractor, are responsible for the work. If tbe contractor wisbes you to sign
<br />as contractor tbat .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'I'ILI'rY CONNECTION FEES ",
<br />
<br />D. CONS TRUC'l' I ON 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 - HOIBowoer's Protection
<br />Guid~" prepared by the Florida Departlent of Agriculture and ConsUlBr Affairs. If the applicant is sOIeone other than the
<br />"owner", I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the
<br />"owner" prior to couencuenl.
<br />
<br />E. CONTRACTORJS/OWNER'S AFFIDAVI'l'
<br />I certify that all the infor.ation 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 lade to obtain a perlit to do work and instailation as indicated. I certify that no wort or
<br />installation bas 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, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverlllental agencies .ay apply to the intended wort, and that it is
<br />IY responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not lilited to:
<br />I DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and Envirolllentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />I Southwest Florida Water HanagBlent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Ar.y Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />I DepartJent of Health & Rehabilitative Services, Envirolllental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I US Envirolllental Protection Agency - Asbestos abatuent
<br />I also certify that, if fill .aterial 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 sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it. 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 tbe 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. Ivery perlit issued shall beCOle invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eltension of tile, liy 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 be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHBNT HAY RESULT IN YOUR PAYING TInCH FOR IHPROVBllBIt'S TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LBNDBR OR AN ATTORNHY BEFORE RECORDING YOUR NorlCl OF
<br />COHHBNCEHENT. JOBS UNDBR $2,500 IN VALUR DO NOT NBBD TO RECORD AND POST A "NOTICE OF COHMINCKHBNT".
<br />
<br />
<br />~Q~~ ~~;;:,~
<br />
<br />. RAnnii: -011II'0 OR AGIlIl'/ S I GIll
<br />
<br />. I
<br />
<br />STATE OF FLORIDA ;:J
<br />COUNTY OF r 1/-5 c c)
<br />The foregoing instrur.ent was acknowledged
<br />before me this ~ ~0 , 19~ by
<br />
<br />STATE OF FLORIDA t?
<br />COUNTY OF f !fS CO
<br />The foregoing instrument was acknowledged
<br />before me this 3/;Lt:> , 19~ by
<br />,
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath. 4f:f ~
<br />
<br />(Signature)
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identif.ica~i~.. d wbo did/did Dot
<br />take an oath. ;~ /1!. ~~c
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed,
<br />NOTARY PUBL
<br />
<br />
<br />
<br />KEITH CO IA
<br />MY COMMISSION' cc 451416
<br />~E EXPIRES: May 13. 1999
<br />:/ BondId 11uu Ho\IIIY PublIc lJndeIwrlt8rI
<br />
<br />
<br />KEITH CORREIA
<br />MY COMMISSION It CC 451416
<br />EXPIRES: May 13. 1999
<br />Bonded Thru NolIIY PubIC UndeIWIItBII
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