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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit .ay 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 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 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, (813)
<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 />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 lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOltenced 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 />, Departlent of Environlental ReQulation - Cypress Bayheads, Yetland Areas and Environlentally Sensitive Lands,
<br />Yater/Yastewater Treatlent
<br />, Southwest Florida Yater KanaQelent District - Yells, Cypress Bayheads, Yetland Areas, Altering Yatercourses
<br />, ArlY Corps of EnQineers - Seawalls, Docks, Navigable YaterMays
<br />, Departlent of Health & Rehabilitative Services. Environlental Health Unit - Yells, Wastewater Treatlent, Septic Tanks
<br />, 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 subtitted 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, 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 of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such per.it 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 $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection .ust be logged during each six lonth period, or the project will be considered abandoned.
<br />YARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMKENCEKENT. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMMENCEMENT'.
<br />
<br />
<br />s~#--~----- ~~~~~~~~;~S
<br />
<br />~~~~~D~FF~~_____________________
<br />
<br />The foregoing i~trument was acknowledged
<br />before me thiS/f~~~_' 19q_~_ by
<br />
<br />~J~jQ~__~~_1ii1L____________________
<br />who is pe~OnallY-khOWn to me or who has
<br />produced ~JJir.tJu.m::,agfJ.::JlL.:~~--
<br />as ident ication and who did/did not
<br />take an oatt)~+j I [}ti;1L,{)~
<br />
<br />~pt~=~~~!tM~~SLi
<br />
<br />(Na~yped, Printed or Stamped) ,
<br />NOTARY PUBLIC NOTA'RY PUSUC.STATE OF FLORIDA,
<br />MY COMMISSION EXPiRES: NO\/', .:,;. 1993.
<br />aQW;l&Q IJi&l1i!U'AIU eUli,"l.Q Ulig&RWRll'&Rll.
<br />
<br />STATE OF FLORI!lA.
<br />COUNTY OF ___~~~~~~~_______________________
<br />The foregoing instrument was acknowledged
<br />befclre me th i s ~T&rl <.lAJJ. 19 q,Z by
<br />-----------. -----
<br />
<br />__~___~,_~~_Q._!!9~f:!_~______
<br />who is personally known to me or who has
<br />produced ~_~~___~J~______~--
<br />as identification and who didtC:lid n~
<br />t~~"PtY'1. . _ ,_
<br />
<br />~~,---------------------
<br />
<br />(Signature) .T ......,\ .. \
<br />Dc NI>t '-l' "::;>U 1T D I'-J
<br />----------------------------------------
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI C
<br />
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<br />g66 t '8Z 'uer Sal!OX<;! UO!SS!WWO:l ~Vll
<br />\lal~Ol.::l .::10 :31\llS'~)Il8nd ^~Ij lOti'
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