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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 CONTRACTOR RESPONSIBILITIE~
<br />If the owner hi' hired a contractor Dr contractors to undertake work, 'ohey lay be required to be licensed in accordant. 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, (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 />I ,
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDASTA~TES, AS AMENDED)
<br />I certify that I, the applicant, have been providld with a copy ~f "Flori~a's Construction lien law - HOleowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the appli~ant is soaeone other than the
<br />"owner", I certify that I have obtained a copy of the above described docuaent and prolise in good faith to deliver it to the
<br />"owner" prior to cOlaenceaent.
<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 coapliance 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 perait and that all work will be perforaed to aeet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governaental agencies aay apply to the intended work, and that it is
<br />ay responsibility to identify what actions I aust take to be in coapliance. Such agencies include but are not liaited to:
<br />f Departaent of Environaental ReQulation - Cypres5 Bayheads, Wetland Areas and Environaentally Sensitive lands,
<br />Water/Wastewater Treataent
<br />f Southwest Florida Water "anaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Aray Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departaent of Health 1 Rehabilitative Services, Environaental Health Unit - Wells, Wastewater Treataent, Septic Tanks
<br />I US Environaental Protection AQency - 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 volule" will be subaitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perait 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 Offici~l 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 perait is cOllenced within six lonths of issuance, or if work authorized by the perait is
<br />suspended or abandoned for a period of six aonths after the tile the work is cOllenced. One 90 day extension of tiae, lay be
<br />allowed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection aust be logged during each six aonth 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 IHPROYE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COftKENCE"ENT, JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CO""ENCE"ENT".
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<br />--Si6~R-A~~----------------
<br />
<br />~~~~yO~FF~~~S;_~_______________________
<br />
<br />The foregoing instrument was acknowledged
<br />before me this F~J2__~__, 19~~ by
<br />
<br />___'11.~~~~illQ..~n~(-__----._-----
<br />who is personally knlMn to m~ or who has
<br />produced _.:f~~i~d..a.-'"D:\..~~~-~J:::.\.S--~~&
<br />as identification and who ~did not
<br />tak n ~at . ~
<br />
<br />(Si~~Urr -Jj \
<br />_______lI_~U._ . .L_Gr:LJn.n.CU.L--------
<br />(Name Typed, Printed or Stamped)1
<br />NOTARY PUBLI C
<br />
<br />
<br />
<br />,;.~ il., :JI~l,:. s,H~U I: ((1RIDA.
<br />l\1 { ,-u,,,,,,,S~IO::::J i::xi"'mES; MAR: 3, 1994.
<br />S(')ND~~ THRU NOTARY PUBL.tc UNOe:RWRITER~
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<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />
<br />COUNTY OF ______________________________________
<br />The foregc.ing instrument was acknowledged
<br />before me this ___________, 19_____ by
<br />
<br />".-----.-'. ,'- -...------------..------------
<br />who is persc.na 11 y known to me or whc. has
<br />produced _______________________________
<br />as identification and who did/did not
<br />take an oath.
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<br />
<br />(Signature)
<br />
<br />----------------------------------------
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI C
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