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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it .ay be subject to .deed restrictions. which lay be lore restrictive than City
<br />regulations. The undersigned assu.es 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 lisde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />require.ents 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 contractorls) 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.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE9-
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<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 docu.ent 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 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 or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforaed to aeet 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 cotpliance. Such agencies include but are not lilited to:
<br />f Departlent of Environtental ReQulation - Cypress Bayheads, Wetland Areas and Environtentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />f Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Arty 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 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 .colpensating 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 pertit prevent the Building Official froa thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code, Every pertit issued shall becoae invalid
<br />unless the work authorized by such perlit is coaaenced within six lonths of issuance, or if work authorized by the perait is
<br />suspended or abandoned for a period of six lonths after the tile the work is cot.enced. One 90 day extension of tile, aay 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 COKKENCEKENT KAY 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"KENCEKENT. JOBS UNDER $2,500 IN VAL~ DO NOT NEED TO RECORD AND POST A .NOTICE OF COMMENCEMENT..
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<br />,'7 :, /II i
<br />Gdr'~ ( ~~, ~;( .
<br />SII{ATURE: OWN OR AGENT SIGNATURE: CONTRACTOR
<br />
<br />STATE OF flORIDA ,:) S
<br />COUNTY OF I Q C: Q
<br />The foregoing instr.ument was acknowledged
<br />befc.re me th i s :2 ! /r~ ' 19.22L by
<br />'I .
<br />~. r~,\
<br />\) Ct.ll \ C-:' '-.-' (} l0 Q (\,
<br />who is per,scona p ~ knowp to me ,Dr, whct has
<br />produced D R'\ \A, I I- \. 'd ; '1':)(
<br />as identification and who did/~'
<br />take an oath.
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />. The foregoing instrument
<br />befol-e me this
<br />
<br />was acknowledged
<br />19_ by
<br />
<br />who is personally known to me Dr who has
<br />pl-oduced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />{Signature.> /) / - , /i {/I ~- It' / / J (Signature)
<br />r():tLl.t<./_.' lJV'" jl LL<-lf:J:.t..,'h..
<br />(Name Typed~ Printed Dr Stamped) ~ (Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC c..0/~L~~",",l ;::'X/J'I"'S 0 .l<;~/Y NOTARY PUBLIC
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