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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />fne undersigned understands that this pertit 'tay 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 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 or 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, 1813}
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is} 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 Departaent of Agriculture and Consuaer 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 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 Environaental ReQulation - Cypress Bayheads, Yetland Areas and Environ.entally Sensitive lands,
<br />Yater/Wastewater Treatlent
<br />f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, 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 Environaental Protection AGency - 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 voluae" 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 Official fro. 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 cOlaenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six tonths after the tile the work is cO'lenced. One 90 day extension of tile, .ay be
<br />allowed for the perlit with 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 lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCEKENT "AY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />
<br />( ),~BS *-:_ ,~OO IN VAllE 00 lilT NEEI ~Tl _ _NCENENT".
<br />
<br />
<br />
<br />SIGllATIIlE. IIMR OR A6EIl ~rnR
<br />
<br />
<br />STAnE OF FlORTOR---;:>~
<br />COUNTY OF
<br />The foregoing ~A~m~lr was ~knOWledged
<br />before me thi 0,. 19~ by
<br />1 ---r
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF ) 'a Jl()
<br />The foregoing ~~trum~nF was acknowledged
<br />before me this~ ~I , 19~ by
<br />
<br />who is personally
<br />produced
<br />as iden i
<br />take
<br />
<br />
<br />me or who has
<br />
<br />
<br />who not
<br />
<br />who is personally
<br />produced
<br />as identif'cation and who did/did not
<br />take h. h _ ~
<br />! '1/J1 . (L,ll)
<br />
<br />11 AI Ai E?J Ih
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLI C
<br />
<br />(Signia;tf1.r:~ - , I
<br />KtlI\...1 hlfNE~AkY
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLI C
<br />
<br />
<br />'i'
<br />
<br />KARl FINNEGAN
<br />8IIdlt of FIoItda
<br />.., ConIn.ICC~~ t8, t_
<br />
<br />~
<br />
<br />KARl FINNEGAN
<br />State of Florida
<br />My Comm.1;xp. Aug. 18, 1995
<br />ICe 13710f0
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