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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit 'Iay be subje~t to "deed restri~tions" which lay be lore restrictive than City
<br />regulations, The undersigned assules responsibility for ~olplian~e with any applicable deed restrictions. .
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a ~ontractor or contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and lo~al regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
<br />cited for a lisdeaeanor 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, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsJ 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 indi~ating that you, rather than the contractor, are responsible for the work, If the contractor wishes you to sign
<br />as contractor that may 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 FEE2.
<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 Constru~tion Lien Law - HOleowner's Protection
<br />Guide" prepared by the Florida Departaent of Agriculture and Consumer Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the
<br />"owner" prior to coalencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation 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 aade to obtain a perait to do work and installation as indicated, I certify that no work or
<br />installation has cOlaenced 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 coapliance. Such agencies include but are not lilited to:
<br />f Departlent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />f Southwest Florida Water "anaQeaent 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 AQen~y - Asbestos abateaent
<br />I also certify that, if fill aaterial is to be used in Flood Zone "A" or "A,etc,", it is understood that a drainage plan
<br />addressing a "coapensating voluae" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perait 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 becole invalid
<br />unless the work authorized by such per.it is cOlaenced within six months of issuance, or if Nork authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tiae the work is cOltenced, One 90 day extension of tile, .ay 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 lonth period, or the project Nill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCE"ENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEKENTS TO YOUR
<br />PROPERTY. I YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN AT Y BEFORE RECORDING YOUR NOTICE OF
<br />COKKENCEKE , JOBS NDER $2 IN VALUE DO NOT NEED TO RECORD AND POST A"N IC OF "EHCEKENT",
<br />
<br />
<br />
<br />STATE OF FLOR~
<br />COUNTY OF ~---D
<br />The foregoing instrument
<br />before me this ~L)
<br />
<br />was acknowledged
<br />, 19..2?2 by
<br />
<br />STATE OF FlOR~~
<br />COUNTY OF ~:>__
<br />The foregoing instrument was acknowledged
<br />before me this ~ , 19~ by
<br />
<br />who is personally known 1;.D me or who has
<br />produc~d ~YC-/""'S Lc~~cC
<br />as identification and who did/did not
<br />
<br />t.k~p':~ ~-;tv~
<br />
<br />(Si~% c ~ ..
<br />6?~ ,rl'/r . W/I"u
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />IIIOTAaY PUBLIC STAT! OF FLOiio'
<br />~ OOMHISSION EXP. MAR,19.1994
<br />aoNDBD THRU GENERAL INS, UNO.
<br />
<br />who is pel-sonall y knownz Ill!? en' whc, has
<br />produced ?~-I y~ . C!~.5 G
<br />as identif'cation and who did/did not
<br />take al
<br />
<br />
<br />flIt)'1' AIrY PT.
<br />IW QO 7BtlC S'l'A'l'l'!' 0
<br />.8Otm :l'tMISSION ,~';p " l' ?WR11h1
<br />,.liD JtfRI} Ch:'i;'~'~1 NAP, 1 q,; :)')4'
<br />, .., '. ~ [!>,i.(; II;;:>.
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