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<br />CONDITIONS OF PEI~IT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'he und~r'igned under'ta~, that thi, per.it .a, he ,uh)ect tn 'deed rnstriction,' which .ay be ..re re'trictive than City
<br />regulatIons. rhe undersIgned assUles responsibility for cOlpliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACl'OHS AND CON'I'RAC'I'OH HESPONSIBILITIES
<br />IC the ...er ha, hired a contractor or cootractor, to under tale worl, they "y be reg,ired to be licensed io accordance .Ith
<br />'tate and local rog,lation" CC the cnntractnr i, nnt licen'ed a, required by ]a., both tbe owoer aod cootractor IO, be
<br />cited Cor a .i'de.eanor violation under 'tate la.. IC the noner or Intended contractor are uncertain as to .hat ]icen'ing
<br />reguir..ents "y appi, Cnr lhe intended 1IOrl, the, are advi,ed to contact the Cit, oC Zeph,rhiIl, Building Departoent (813)
<br />788-6611. ,
<br />
<br />Fur tberoore , if the owner has hired a contractor or contractors, he i, advised to have the cootractore,) sign portion, oC the
<br />'Contraclor Section,' oC thi, application Cor .hieb they .i]1 be re',""sible. CC you, as the DIner sign as lbe contractor,
<br />,ou are indicating that you, ralher than the co,traclor, are respossible Cor the IOrl. CC tbe contractor .ishes you to sign
<br />as cootractor that sa, be an indication that he is not properly licensed asd is not entitled to peroittisg privileges In the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPOHTATION IMPACT FEES AND UTILITY CONNECTION FEES ,"
<br />
<br />D. _CONS'I'RU~N LIEN L1\W (CIIAP'I'ER "13, FLORIDA STA'l'UTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ Hoaeowner's Protection
<br />Guide" prepared by the Florida Deparl8ent of Agriculture and Consu.er Affairs. If the applicant is sOleone other than the
<br />"olfJJer", 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 Lo couencelent.
<br />
<br />E. CO~~OR'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, zoning, and land develop.ent.
<br />I
<br />
<br />Application is hereby .ade to obtain a perlit to do work and instailation as indicated. 1 certify that no work or
<br />installation has coaaenced prior to issuance of a per.it and that all work will be perfor.ed to .eet 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 governlental agencies lay apply to tbe intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not li.ited to:
<br />t Deparllent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treal8ent
<br />t Southwest Florida Water Hanage.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Ar.y Corps of Engineers - Seawalls, Docks, Havigable Waterways
<br />t De arllent of Health << Rehabilitative Services Environlental Health Unit _ Wells, Wastewater Treallent, Septic Tanks
<br />t US Environlental Protection Agency - Asbestos abate.ent
<br />I also certify that, if fIll lateriaI is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "coapensating volu.e" 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 per.it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frDl thereafter
<br />requiring a correction of errors in plans, construction, or vloiations of any code, Every pertit issued shall beCOle invalid
<br />unless the work authorized by such per.it is co..enced within Sil IOnths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of Sil IOnths after the tile the work is cOllenced. One 90 day extension of tiae, aay be
<br />allowed for the perlit with fee charge of $15.00. The eltension 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 HOTICR OF COHKEHCRKRHT HAY RESULT IH YOUR PAYIHG TWICE FOR IHPROVRKRHTS TO YOUR
<br />PROPERTY. IF YOU IHTEHD ro OBTAIH FIHANCIHG, CONSULT WITH YOUR LEHDER OR AH ATTORHEY BEFORE RECORDING YOUR NOTICE OF
<br />COHHEHCEHHHT. JOBS UHDER $2,500 IH VALUE DO HOT HEED TO RECORD AND POST A "HOrICE OF COHKKHCKHENT".
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<br />slll,~OR t} ~ SIrfiJ.E:~roR -13 .~
<br />
<br />STArE OF FLORIDA Ii)
<br />COUHTY OF r' Il ~ L (:)
<br />The foregOing instrument was acknowledged
<br />before me this a&.t; '} , 19~ by
<br />
<br />~E/lboI.JAUi( t.f\/If/tIJJ
<br />w 0 is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />ta~ an oath.
<br />~A,~
<br />(Si~nat~re) _
<br />~t- 1+, 1!t5l7b(.,
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STArE OF FLORIDA P ~
<br />COUHTY OF flJ C. 0
<br />The foregoing instrument was aC!gpwledged
<br />before me this 11t.f~ ,} , 19~ by
<br />
<br />P r;/lJDtJtl-UA{ {GNlJ~
<br />who is personally known to me or who bas
<br />produced
<br />as identification and who did/did not
<br />~ an oath.aJ.xJf2...
<br />.AAU A I
<br />(Sl~ature)
<br />. '/LAJof.. J1, II~(;&
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~ ~ Bruce A Asbel
<br />:111 *tfr.J Commission CC748m
<br />''!'.... Expires June 22. 2002
<br />
<br />... BnlC8 A Asbel
<br />::~""tfr.J CommiIIIOnCC7MII
<br />,tI!.... Explm..... 22. 2ClO2
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