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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 .ay be lore restrictive than City
<br />regulations. The undersigned assuaes responsibility for co.pliance 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 .ay be
<br />cited for a .isdeaeanor 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 Depart.ent, 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 aay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the
<br />City of Zephyrhills,
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~
<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 - Ho.eowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If the applicant is so.eone other than the
<br />"owner", I certify that I have obtained a copy of the above described docu.ent and promise 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 develop.ent.
<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 co..enced prior to issuance of a perlit and that all work will be perfor.ed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction, I also
<br />certify that I understand that the regulations of other govern.ental agencies aay apply to the intended work, and that it is
<br />IV responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to:
<br />f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, ~etland 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 Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Depart.ent of Health L Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />f US Environaental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flc~j Ztne "A" or "A,etc.., it is understood that a drainage plan
<br />addressing a "colpensating volule" Mill be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to pertit issuance.
<br />
<br />A per.it 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 frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beco.e invalid
<br />unless the work authorized by such perlit is cOltenced within six tonths of issuance, or if work authorized by the pertit is
<br />suspended or abandoned for a period of six aonths after the tite the work is coaDenced, One 9Q day extension of tile, lay be
<br />allowed for the pertit 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 .onth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT "AY 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 />CO""ENCE"ENT, JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT.,
<br />
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<br />ISNATURE: CONTRACTOR
<br />
<br />
<br />STATE OF FLORIDA ,~
<br />COUNTY OF
<br />The foregoing inst
<br />before me this
<br />
<br />
<br />STATE OF FLORIDA~
<br />COUNTY OF <\- CLc....,c...c)_
<br />The foregoing instrument was ac~~ledged
<br />before me this Ll-L.~ , 19_ by
<br />
<br />\ Oh~ ~P-r
<br />who is pe sonal..lY k to me er whcr has
<br />produced ~\ V p_r """-.., ) 1 cer-. <::~p->
<br />as identification d who did/did not
<br />ta ,'e an t
<br />
<br />
<br />
<br />nat nf C
<br />c- ,'LL fl~Y\
<br />(Name Typed, Printed or st mp2d)
<br />NOTARY PUBLIC
<br />ROOMY PUBLIC STMB CP FLClUDA
<br />Mr Ca4MISSION EXP. JULY 11,1995
<br />Bafl)ED 'lIIlW GJDIB1Wi US. uti).
<br />._~
<br />A
<br />
<br />re) C'
<br />I L' ~ ,orr--I"oo.-l-D,.......,
<br />(Name Typed, Printed or S~amped)
<br />NG1 ARY PUB~~ STATE ~ n,(IUI)A. ,
<br />NO'lAIU: t'u ION BXP. JULY U,l- '
<br />MY ceH4ISS __.......y: DIS UlID.
<br />BONDED 'l81W -- · .J
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