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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A: NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay 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 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 lay be
<br />cited for a lisdeleanor violation under state law. If the owner Dr 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 Dr 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 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 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 - 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 prolise 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 cOlpliance. Such agencies include but are not li.ited to:
<br />f Departlent of EnvironlentaI Requlation - Cypress Bayheads, Wetland Areas and EnvironlentaIly Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water "anaqelent 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 Treat.ent, Septic Tanks
<br />f US Environlental 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 'colpensating volule' will be subaitted 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, Dr
<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 perlit is cOlaenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended Dr abandoned for a period of six aonths after the tile the work is cOIDenced. 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""ENCE"ENT MAY 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 />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />~a~
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />befc,re me this
<br />
<br />was acknowledged
<br />, 19 _ by
<br />
<br />STATE OF FLORI~~
<br />COUNTY OF UC 0 _
<br />. The foregc~ng instrument was ac1rowledged
<br />befc,,-e me this /3-r;L.E.fJ.-, 19~ by
<br />
<br />If ( CI--f.4!LIJ C!.#FrP ~ nLJ
<br />who is personally known to me or who has
<br />prc.duced F/)L '# C! / Ss-- 7'1/ -S-~-'?'\QJc:>
<br />as identification and who did/did not
<br />
<br />t~Da%:, _ ~ .~
<br />r) ~b '< ~ fJ J-
<br />(~ ure)
<br />. B e~77J- B:._ L €-.w ( J
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />who is persc,nall y known to me or whc. has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(Name Typed~ Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />,Uf /lilY PUBLIC, STArE OF FIJJF/; ,
<br />[viy C'JiT:;Tlrss;o:'l 10XpJ2S J,:"1n.:2 , 1 :J,~j5
<br />Bonded thru Patterson - B",Ctlt Ag",ncy
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