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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 RESPONSIBILITIES
<br />If the owner has hired a contractor orc.ontractors to undertake work, they lay be required to be li~ensed in accordance with
<br />state and local regulations. If the contractor is n~t Iitensed as requited by law; b~th lhe owner and' cbntractor'lay be
<br />cited for a lisdeleanor vioIatiQn~nder state law. If theo..n~ or intende~ cont~actor are uncertai.n .a~ to what licensing
<br />requirelents lay apply for- the intended work, they ar~ ad~ised to'cllntact the' 'tH9 of Z~phyrbtl1s Bunaing Dep~rtteiltj IB131
<br />7BB-6611.
<br />
<br />Furthertore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 tay be an indication that he is not properly licensed and is not entitled to pertitting 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 - Hoteowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuter 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 protise in good faith to deliver it to the
<br />"owner. prior to cO'lence.ent.
<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 co.pliance 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 Dr
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perfor.ed to .eet 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 govern.ental agencies lay apply to the intended work, and that it is
<br />'Y responsibility to identify what actions I .ust take to be in cOlpliance. Such agencies include but are not Ii.ited to:
<br />f Departlent of Environtental Requlation - Cypress Bayheads, Yetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water "anaqelent District - Wells, Cypress Bayheads, YetIand 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 Environ.ental 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 "co.pensating voluae" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to pertit issuance.
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instr ment was acknowledged
<br />before me this __ __ ____, 19____ by
<br />
<br />
<br />A pertit 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 perait prevent the Building Officijl frol thereafter
<br />requiring a correction of errors in plans, construction, Dr violations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such pertit is cOI.enced within six lonths of issuance, Dr if work authorized by the pertit is
<br />suspended Dr abandoned for a period of six tonths after the tite the work is co..enced. One 90 day extension of ti.e, .ay 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 .ust 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""ENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR IHPROVEHENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CDK"ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CO""ENCEHENT".
<br />
<br />__________[M+~
<br />
<br />E: CONTRACTOR
<br />
<br />SIGNATURE: OWNER OR
<br />
<br />//
<br />
<br />
<br />did/did not
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF ~,q_~_~_~____________________________
<br />The foregoing instrum~nt was ack~owledged
<br />before me this ___1_~____, 19I:~~ by
<br />
<br />_~ALJ_~~___if~__~~fl~_____________
<br />who is personally known to me or who has
<br />produced ~~L~~_~____bL~_€~~~_______
<br />as identification and who ~did not
<br />
<br />~:~:Gt:~at~ ".t~::r~_uL~~~~_--
<br />(Signa~""'~=>="'"' , ~
<br />____E.b..LZ:..d.6..e:.:rE--{~2..--uJ~-ALS-I::..f2 -
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI C
<br />
<br />n to me or who has
<br />
<br />(Name Typed, Printed
<br />NOTARY PUBLI C
<br />
<br />t(G'T',~.":" [" " ~ :--= ':,'l7 r:~c~ iD.\.
<br />r~1Y cC}i'..L;,-,t:,_.'hj.~:};', ~~}..,~;'~.'':''_'_3: r::::'!. )~~, 1~'94.
<br />BONDED TllR'V r"c/zl.:li rL~LIC U~"iDER'yVRrfERS.
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