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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit 'lay be subject to .deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assults responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR 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 owner and contractor lay be
<br />cited for a .isdeleanor violation under state IaN. If the owner or intended contractor are uncertain as to what licensing
<br />require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, 1813)
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorls) sign portions of the
<br />.Contractor Sections. of this application for which they will be responsible. If you, as the owner 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. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction lien law - Ho.eoNner's Protection
<br />Guide" prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs. If the applicant is so.eone 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 cO.lencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation in this application is accurate and that all work will be done in co.pliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
<br />
<br />Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has co..eneed prior to issuance of a per.it and that all work will be perfor.ed 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 govern.ental agencies .ay apply to the 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 lilited to:
<br />. Depart.ent of Environ!ental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive lands,
<br />Water/Wastewater Treatlent
<br />. Southwest Florida WatEr "anaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />. Ar.y Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />. US Environlental ProtEction AQency - Asbestos abate.ent
<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 .co.pensating 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 per.it issued shall bE construed to be a license to proceed with the work and not as authority to violate, cancel alter, Dr
<br />set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official frol thereafter
<br />requiring a correction uf errors in plans, construction, or violations of any code. Every perlit issued shall beco.e invalid
<br />unless the work authorized by such per.it is co..enced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, lay be
<br />allowed for the perlit fjith 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 .onth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CO""ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A .NOTICE OF CO""ENCE"ENT".
<br />{
<br />
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />was acknowledged
<br />, 19~ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />STATE OF flORIDA
<br />COUNTY OF PAS. c....O
<br />The foregoing instrument
<br />before me this ,- \ 0
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />1=~~~ 1=It.1\. ~'?
<br />who is personally known to me or who has
<br />produced bQ.\\l~ S L1 ("EJ.)S.~
<br />as' ntification and who did/did not
<br />ta e n 0 tho
<br />u..
<br />ISlgnature)
<br />'DE.l:!>B IE. 1\. ROb:>~LL
<br />IName Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<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.
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI C
<br />
<br />,ul Ai'n' I"UHLlG, ::HATI:. UF I-L<JW\IJI\
<br />My commission expires Oct. 2. 19i1~
<br />r>'''11eYi thru Patterson. Becht A.lnol
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