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<br />CONDITIONS OF PEI~IT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this venit lay ~e su~ject to "deed re6tricLions" Milich lay be aore restrictive than City
<br />regulatiolls. The undersigned assUles respolIsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />S. UNLICENSED CONTIU\CTOHS AND CONTHl\C'l'OH RESPONSIBILITIES
<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 OMner and contractor aay be
<br />cited for a aisdeleanor viulation under state law. If the owner or Intended contractor are uncertain as to what licensing
<br />requireJIents lay apply for tile intended lIurk, they are advised tu contact the City uf Zephyrbills Building DepartJent, (813)
<br />788.6611.
<br />
<br />Furlh'erlore, 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 tbe Ulmer 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. 'l'Rl\NSPOHTA'l'ION lMPACT FEES A..ND UTILITY CONNECTION FEES
<br />
<br />D. CONS1'HUCT ION Ll EN L1\W (ClIAPTEH '113, FLOHIlJA STATUTES, AS AMENDED)
<br />I cert;f~~~ihe-appI1canl~-bave been" provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection
<br />Guide" prepared by the Florida Uepartlent of ^griculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />'owner", I certify that I have obtained a copy uf the above described llucuaent and pruaise in good faith to deliver it to the
<br />"owner" pr ior tu COllllencelenl.
<br />
<br />E. ~ONTHJ\C.1'OH I ~LQ!iNER '-S AFfII!AV IT
<br />1 certify tllal all tile inforlation in this applicatirnl is accurate and that all work will be dune in compliance lIith all
<br />appl j cabl e laws regul a ling cuns tructiun, zoning, and land developlent.
<br />I
<br />
<br />^ppl icalion is Ilereby lade to uuLain a perlit to do lIork and installation as indicated. 1 certify that no lIork or
<br />installation has cuaaenced prior to issuance of a perlit and that all work will be perforled to leet standards of all lalls
<br />regulating construction, City cDUes, zoning regulations, and land developlent regulations in the jurisdiction, I also
<br />cerlify that I understand that the regulations of other governaental agencies lay apply to tbe intended work, and that it is
<br />IY responsibility to identify what actions 1 lust take to be in cOlpliance. Such agencies Include but are not lilited to:
<br />t DeparLJent of Environmental Regulation - Cypress Bayheads, Wetland Areas and Bnvironaentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />t South~est Florida Water Hanageaent Uistrict - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seallalls, Docks, Navigable Waterways
<br />* DeparLJent of Health & Rehabilitative Services, Environaental Health Unit - Wells, Wastewater TreaLJent, Septic Tanks
<br />t ~ Enviro~enla~~ec~l.~~~gency - flsbestus auate.lelll
<br />I also certify that, if fill aaterial is to ~e used in fJood Zone "A" or "A,etc,", it is understood that a drainage plan
<br />addressing a "colpensating volUle" will be sub.itled which is prepared by a professional engineer registered in the State of
<br />Florida prior to perait issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed Mith tbe lIork 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 perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becOle invalid
<br />unless the Mark aulhorited by such perlit is cOllenced within six lonths of issuance, or if work authori!ed by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced, One 90 day extension of tLle, aay be
<br />allowed for the perlit Mith 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 lonth period, or the project will he considered abandoned.
<br />WARNING TO OWHER: YOUR FAILURE TO RECORD A HOTICB OF COKHENCEKENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVKKEHTS TO YOUR
<br />PROPERTY, IP YOU IKTEHU TO OBTAIN FINANCIHG, CONSULT WITH YOUR LBNDBR OR AN ATTORNEY BEFORE RECORDING YOUR HOTICE OF
<br />COKHENCEHENT. JOBS UNURR $2,500 IN VALUE UO NOT NEBU TO RECORD AND POST A "NOTICB OF COMMEHCEHENT",
<br />
<br />~~~~~h
<br />-SIGNATURE: ~ER UR flGENT
<br />
<br />~~ (JD~/M-
<br />SIGNATURE: NTRACTOR
<br />
<br />STATE OF FLORIDA t)
<br />COUNTY OF ~ASCO
<br />The foregoing inst.r~ent was aC)Ul~ledged
<br />before me this {)u(j, ,? ( , 19~ by
<br />
<br />PL3flSDf\J1f<-/.- y t No vJ IV
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take oath.
<br />
<br />STATE OF FLORIDA~~ <
<br />COUNTY OF ~Co
<br />The foregoing instrument was acknowledged
<br />before me this 1:}tX;. $1 , 195:1S- by
<br />
<br />[)6~o~I}~'1 ~tJowtJ
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />~ke~'A~~
<br />
<br />(Si~fture) 11 /It'll //
<br />/)fWcIE ~-D::.~v.l:/c-
<br />(Hame TypeLl, PrinteLl or Stamped)
<br />HOT^RY PUBLIC .,""6' BruceAAsbel
<br />*. *My COITlIniSlIion CC748677
<br />\;....~ ExpIres June 22. 2002
<br />
<br />(Slg
<br />
<br />
<br />8;;.L-
<br />Stamped)
<br />..,~, Bruce A Asbe!
<br />*.- *My CommiIsion CC748877
<br />.,.~"..~ Expires June 22, 2002
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