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<br />CONDITIONS 01' fEIU4IT AFFIDAVIT
<br />,.... HO'1'ICr: OF DEED USTRIC"rIONS
<br />The undersigned under.tands that thi8 pe~t nay be subject to ~deed restrictions- which .
<br />may be more restrictive than e~ty rQqulat~on.. The undersigned assumes te.pons1b1lity for
<br />compliance with any applicable deed testrlctions.
<br />B. UNLICIHSED OONT~CTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner haa hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in aceo~ance with state and local regulations. If the contractor 1s not
<br />licen.ed as required by law, both the owner and contractor may be cited tor a ~.d...anor
<br />violatioD under state law. Ir the owner or intended contractor are uncertain as to what
<br />licens1n9 requirements may apply for the intended work, they ~re advised to contact the
<br />City of Zephyrhill. Building Department, 813-788-6611.
<br />Purthezmore, it the owner has hired a contractor or contractors, he 18 advised to have the
<br />contractor(s) 8ign portions of the "Contractor SectIons- of tnI_ application for which they
<br />will be rc~pon.1ble. It you, .~ the owner s1gns a8 the contractor, you are indicatin9 that
<br />you, rather than the contractor, are responsible for the wo~k. If the contractor wishe.
<br />you to sign a. contracto~ that may be an ind1cation that h. i. not properly licensed and i8
<br />not entitled to pezm1tcing priv1legee in the City of Zephyrhill..
<br />C. TRQSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUIOII LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMlNDED)
<br />I certify that I, the applicant, have been provided with. copy of -Florida'. Construction
<br />lien Law - Homeowner's Protection Guide" prep.~od by the ~lorida D8par~nt of Agriculture
<br />and Conauser Affaire. If the applicant 1. .o.eone other that the .owner-, I cerlfy that I
<br />have Obtained a copy of the above described documenc and pr~.e ~n good faith to deliver
<br />it to the ~owaer. prior to commencement.
<br />E. COHTMCTOR' S/OWHER' S AFnDAVIT
<br />I certify that all tho information in thia application 18 accurate and that all work will
<br />be done 1n cDmF~1ance with all applicable lawa regulating construction, zoning, and land
<br />develop.-nt.
<br />Applicac10n 1. hereby made to obtain a permit to do work and installation as indicated. I
<br />certify that no work or installation has commenced prior to issuance of a pe~t and that
<br />all work will be perfor,med to ~ot .tandarda or all lawa regulating construction, City
<br />codea, zoning regulation., and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies may apply to
<br />the intended work, and that it is my responsibility to identify what action. r,muat take to
<br />be 1n coapl1ance. such agenci.. include but are not l~ted tOI .Department of
<br />Enviroumental Regulation-Cypre.s BayheadB, Wetland Areaa and EnVironmentally Sen.itive
<br />L.nd., Water/Wastewater Treatment
<br />.Southwe.t Florida Water Manag...nt Dietrict-Wells, Cypress Bayhead., Wetland Ar...,
<br />Altering Watercoursee
<br />*Army corps of Engineers-Sea.all., Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative Service., Environmental Health Unit-WelI8,
<br />W.etewater Treat..nt, Septic Tanka
<br />*u.s. Environmental Protection Agency-~be.to. abat...nt
<br />I alao certify that, if fill material i. to be used in Flood Zone ~AN or ~A.etc... ~t is
<br />understood that a drainage plan add~a8.ing a .compensating volume- will be submitted which
<br />1. prepared by . profe.s1onal engineer registered in the State ot ~loridA pr10r to pe~t
<br />i..uance.
<br />A pe~t i..ued ahall be con.trued to be a license to proceed with' the wo~k and not ..
<br />authority to violate, cancel, altar, or .et aaide any provi.1ona of the technical codea,
<br />nor shall issuance of a pe~t prevent the Building Official from tharaafter requiring a
<br />correctiop of errore in plans, construction, or violation. of any code. SVery p.~t
<br />1..ued ahall become invalid unle.. tbe we k authorized by such perndt is commenced within
<br />six month. of issuance, or it work autno zed by the permit is suspended or abandoned for a
<br />period of .ix RaOntbe atter the time the ork i. co_need. one 90 clay extena10n of tilDe
<br />may be allowed for the p.~t with fee arge of $15.00. The exten.1on .hall be reque.tad
<br />in writing to the auilding offlcial. approved inspection muat be logged dur1ng each slx
<br />RaOnth period, or tho proj ct will be natdored abandonad.
<br />WAmlIHG TO OIQlElh YOUR LU '1'0 ORn A NO'1'ICE OF COMMENCBHBNT HAY DaULT IN YOUR
<br />PAYINe TWICE FOR ~ SOY PROPERTY. IF YOU IN'1'END TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LDDER 0 BE RE RECORDING YOUR NOTICE OF COJOlEltCIHENT. JOBS UNDER
<br />$2,500 III - NEE lID AND POST AaOF ~~
<br />
<br />
<br />
<br />SIGIIA:rURI<. 'I~~R '
<br />
<br />STATE OF !'LOIUDA STATE OF FLORIDA II;" I . //~
<br />COUHTY OF COUN'l''i OF If.:. ~
<br />The foregoing inatrument was acknowledged The foregoing inatrument w.. acknowledged
<br />aaron me thi..:i:!!L day of AuaU.!JT . 1!l91 Before me th1e ? 7 ttcl day of Jtll)l , 19..2.8
<br />by c..~Rl~ ~l+~N by W"'l'nQ M Will t
<br />(name of per.on. aCknowledged) (name of penon acknowledged)
<br />ptwbO 18 personally known to me, or ~ho i. personally known to me, o~
<br />
<br />Dwho ba. p~oduc.d Dwho ha.
<br />(type of identification)
<br />and whoCdid O(d1d not take an oath.
<br />
<br />Z~ (!. cI&-
<br />
<br />Signature of person taking acknowledgement ng acknowledgment
<br />
<br />?~ ME:LA- C. l...u.K€.
<br />Name typed, printed or stamped
<br />
<br />
<br />
<br />typed, printad-or .'t:~.d
<br />
<br />ta' 'II.
<br />~~" PlWne/a C Wee
<br />* ~ * My Comm".1Ofl CC609292
<br />,~.~ ElCplI'M ~ber 19, 2000
<br />..~...
<br />
<br />NO'I'MY PUBLIC. STATE Of flORIDA
<br />JULE KENNEDY
<br />COMMISSION" CC649536
<br />EXPIRES 6/1612001
<br />BONDED THRU ABA 1-888-NOTARY1
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