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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait aay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assuaes 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 aay 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 add contractor aay be
<br />cited for a aisdeaeanor violation u~der state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (8131
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a 'contractor or contractors, he is advised to have the contractor(sl sign portions of the
<br />"Contractor Sections" of this application for .hich they lIill be responsibie. 'If you, as' theolner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor lIishes 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 - Hoaeollner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />"ollner", I certify that I have obtained a copy of the above described docutent and protise in good faith to deliver it to the
<br />"ollner" prior to cOllencelent.
<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 lalls regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do lIork and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all Mork lIill 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 coapliance. Such agencies include but are not lilited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastellater Treatlent
<br />f Southllest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterllays
<br />f Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abatelent
<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 "colpensating volule" will be sublitted IIhich 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 lIith 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 perlit prevent the Building Offici~l 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 lIork authorized by such perlit is cOltenced within six lonths of issuance, Dr if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the lIork is cOllenced, One 90 day extension of tile, lay be
<br />allowed for the perlit with 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 lontb period, or the project will be considered abandoned,
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR I"PROVEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COK"ENCE"ENT. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCE"ENT",
<br />
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA ~ S /'
<br />COUNTY Of _______~~___':_~________________
<br />The foregoing instrume~~f~as ~knowledged
<br />before me this ~Z1!1~~ 19_~_ by
<br />
<br />STATE OF FLORIDA
<br />
<br />COUNTY OF ______________________________________
<br />The foregoing instrument was acknowledged
<br />before me this ___________, 19_____ by
<br />
<br />__~Q~~~_______~Jl~_~____________
<br />who is personally known to me or who has
<br />produced j{_~__~{___~L2~_~~JP~~~~~ \
<br />as identification and who did/did not(E ~)
<br />tak~ an ..oai~ 1
<br />
<br />__~d_-_-_____~---------------------
<br />
<br />(Si9!l~ture)J rll . \
<br />W/JA . .:;;.u 1T D/v
<br />---------.--------------------------------
<br />(Name Typed, Printed or Stamped)
<br />
<br />NOTARY PUBLIC NOTARY PUBLIC, STATE OF FLORIDA
<br />My commission E:xpires Jan 28 1995
<br />Bonded thru Patterson - Be~ht Agency
<br />
<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 />----------------------------------------
<br />
<br />(Signature)
<br />
<br />----------------------------------------
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI C
<br />
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