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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit 'Iay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor Dr contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations. If the tontractor is not licensed as required by law, both the owner and contractor lay be
<br />cited for a lisdeleanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, 18131
<br />788-6611.
<br />
<br />Furtherlore, 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 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" HOleowner's Protection
<br />6uide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone 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 cOlleneelent.
<br />
<br />E. CONTRACTOR'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 developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforled 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 governlental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lUst take to be in cOlpliance. Such agencies include but are not lilited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, Metland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docts, Navigable Waterways
<br />f Departlent of Health ~ Rehabilitative Services. Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abateaent
<br />I also certify that, if fill aaterial is to be used in Flood Zone "A" Dr "A,etc.., it is understood that a drainage plan
<br />addressing a .colpensating volule" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, caneel alter, Dr
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter
<br />requiring a correction Df errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such perlit is coalenced within six lonths of issuance, or if work authorized by the perait 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 iJith fee charge of tI5.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six aonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"~NCEftENT "AY RESULT IN YOUR PAYING TWICE FOR I"PROYE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEN~ TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COft"EMCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CO""ENCE"ENT".
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />,~C?: ~74<<4~
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUMTY OF PA'Sc...o
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19 _ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF PAS <:..0
<br />The foregoing instrument was acknowledged
<br />befc.re me th i s \,~~ Tit,.,., 19 ~ by
<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 />R\c.."~~t> ~. Q.~ f\~mA~
<br />who is personally known to me or who has
<br />produced ~L bR.\\JER.IS Llc...E"~SE'
<br />as identifica . In and who did/did not
<br />,e an oath
<br />
<br />(Signature)
<br />
<br />
<br />....u It; ::.fAfl:. uf flORIU'
<br />.UII-\.K'r ~ ". 2 1992
<br />'ny r-nmmission expires oct. ,
<br />(Name Typed, Pf"t'ntll!\:tl'- PM~&,..:nt AAellv'
<br />
<br />NOTARY PUBLI C
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI C
<br />
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