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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it tay 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 tay 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 lisdeteanor 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 2ephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorts) 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 .ay 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
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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 - Hoteowner's Protection
<br />Guide" prepared by the Florida Departtent of Agriculture and Consu.er 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 cOI.encelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accllrdt~ 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 pertit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a pertit and that all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and lina d!veloptent regulations in the jurisdiction. I also
<br />certify that I undp.r~tand that the regulations of other governmental agencies lay apply to the intended work, and that it is
<br />IY responsibility to'identify what actions I Inst take to be in cOlpliance. Such agencies include but are not lilited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, ~etland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Trrat.ent
<br />f Southwest Florida Water KanaQelent Distr~ct - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of EnQineers - Seawalls, Docks, ~:avigable Waterways
<br />t Departlent of Hea;l~h L Rehabilitative SerYices~ Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US Environ.ental P~.tection Aqency - Asbestos abatetent
<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' .ill be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<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, 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 errurs in plans, construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such per.it is cOllenced within six lonths of issuance, or if work authorized by the per.it 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 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 ATTORNEV BEFORE RECORDING YOUR NOTICE OF
<br />COKKENCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A" TICE OF COHHENC T'.
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<br />STATE OF FLORIDA ~
<br />COUNTY OF ll.A-<:-c.> '
<br />. The foregcting illtrument
<br />befc,re me this n. . ~&
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing in?trument was acknowledged
<br />befc.re me th i s..:;:/d. ,;(0 , 19 ~.;1. by
<br />
<br />~/?~
<br />
<br />who i~personally known to me or who has
<br />produced
<br />as identification nd who did/did not
<br />
<br />::::n::u::~,:y ","c, .""t:~ '
<br />
<br />My (om;ni5::L:~ E:~~::0; t~.iid 2, 199;:'-
<br />(Name Typetr",de'fJr~,~'ft~d.I~'Fn'SIt'"amped)
<br />NOTARY PUBLIC
<br />
<br />was acknowledged
<br />19~ by
<br />
<br />F ko../'l t S.TR o'^ T
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC No~arv P:.:~'it, ~:?'" :l ,. ,~d
<br />My (0;;1',:,."':'C'1 r' W, 19'9;
<br />8on,;;,eJ 'Inl~l ir()v Idir; ;11 ".ddllC;;; inc.
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