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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlitlay 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 CONTRACTpR RESPONSI~1LITIES
<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 ~y law, both the owner and contractor lay be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractoi'ire 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 contractorlsl 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 />Guide" 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 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 laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby .ade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOI.enced 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 .ay 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, Wetland Areas and Envir~nle~t~lly Sensitive Lands,
<br />Water/Wastewater Treat.ent ';
<br />f Southwest Florida Water "anaQe.ent District - Wells, Cypress Barheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<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 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, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Officijl 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 work authorized by such perlit is cOI.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 with fee charge of SI5.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT "AY RESULT IN YOUR P YING T~ICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. YOU TO OBTAIN F ANCING, CONSULT WITH YOUR LENDER OR AN A1TORNEY. RECORDIN~ YOUR NOTICE OF
<br />COItMENCE~ J $ 500 I lUE DO NOT NEED TO RECORD AND POST A. ~CE -' 1'1" CEI'IENT";
<br />
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<br />S A URE: CONTRACTOR
<br />
<br />
<br />~~~~~O~FF~~____________________
<br />
<br />The f~regoing inst~: was aC~Dowledged
<br />before me this _~~_~ 19_~~y
<br />
<br />;;h~~;:?;;~S'~~h;;
<br />
<br />produced ___LCLt)~12------------------
<br />as identification and who did/did not
<br />
<br />~~~/~:L___
<br />
<br />ISig ture) . _ 13 L, -
<br />____~~B~~-~--_~-~-__-~~~i--------
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC UBLlC STATE OF FLO~I~~
<br />",",ARY ~, "ires J(II1. 28. l~)' J
<br />My commlsSIOI1. e:<P p~~h~ AW:r.cv
<br />. ...+ ::>rcon - ........'-'......
<br />,Bonded thrU Pil"" ~
<br />
<br />
<br />~~~~~yO~FF~~~~____________________
<br />
<br />The f"O. regccing ins~ment was ackn~lwledged
<br />before me thi~~_~~__, 19_~~ by
<br />
<br />~ / -....:j.. /~ \
<br />___ __ _ ..a~-..?~!:- '.----.-~-
<br />who is erso~ally kn~wn to or ho has
<br />produced __.A:::.ll:::!/2c;,,-<J.---------,------------
<br />as identification and who did/did not
<br />
<br />~:~:aQi~&A~E:L
<br />~~~~:~~~~r_;f___!:3~___~~~~~________
<br />
<br />IName. Typed, Printed or Stamped)
<br />
<br />NOTARYPUBt:..IC
<br />N'JiARY PUBLIC, STAfE OF f,,,.' ,
<br />\iy commissio\' ~xpires J;.~n. 2 ,1 -' j
<br />onded thru PdtttJr~:;.on ~ 8echt i:'>.g':
<br />
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