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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 or contractors to undertake work, they aay 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, 18131
<br />788-6611.
<br />
<br />Furtherlore, 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 wbich 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 Departlent of Agriculture and Consuler 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 protise 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 co.pliance. Such agencies include but are not li.ited to:
<br />t Departtent of EnvironlentaI ReQuIation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />t Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health L Rehabilitative Services, Environtental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US Environlental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill taterial is to be used in Flood Zone .A. or .A,etc.., it is understood that a drainage plan
<br />addressing a .cotpensating yolute. 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 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 perlit is co.tenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, lay 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 will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCEMENT KAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A .NOTICE OF COMMENCEMENT..
<br />
<br />
<br />~~~~
<br />
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF 6.... S C r'>
<br />The foregoing instrument was acknowledged
<br />before me this It..'bv.....r'}\1, 19,~ Lby
<br />
<br />--f1()~ ~ ('- \:- ~ h s.. ~
<br />who is personally known to me or who has
<br />produced IJ \' \, ~ V ~ \' ~ "'- ~ ,-("
<br />as identification and who di did not
<br />
<br />ta~ an os;:- ~
<br />~ ~lIe.~?~hU
<br />(SignatuJt,~tOMM:SSION EXPIRES MAY 19,1995 't!f
<br />bONOo) THRu AG.:;~T'_ ;,Oi.,RY El:l.o<1HtAGI
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOT ARY PUBLI C
<br />g.E:A.e I(E:
<br />
<br />L
<br />
<br />NIW LT
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF PA SeD _
<br />. The foregoing instrument was acknowledged
<br />befr:.re me this /2TI-/ FEf319~ by
<br />
<br />L-E: OIJ R )JAIJL- T
<br />who is personally known to me Dr wh1 has .\
<br />produced h OR 11/430 5::3w i;.~~D G 97..1
<br />as identification and who did/did not
<br />take ~ oath.
<br />AD..d~r -'
<br />(SignatLr.-e)
<br />DD!JA oJ. .<; lJTI oD
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC NOTARY PUBLIC S
<br />My commIssIOn e'x ,TATE OF FLORIDA
<br />D.._-, Pires Jan 28 19
<br />......lOed thru Patterson _ 8 . ht' 95
<br />ec Agency
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