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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 lisdeleanorviolation 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, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) 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 respo~sible 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 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 perfor.ed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent 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 lilited to:
<br />. Departlent of Environlental Requlation - Cypress Bayheads, Yetland Areas and Environlentally Sensitive lands,
<br />Water/Wastewater Treatlent
<br />. Southwest Florida Water Kanaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Yater courses
<br />. ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US Environ.ental Protection Aqency - Asbestos abate.ent
<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 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, or violations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such perlit is cOllenced 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""ENCE"ENT 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 />
<br />
<br />:--~~~~~~~:::_::::~_:'COR~::-~~~_~~__________________
<br />
<br />~: OWNER OR AGENT SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF ___~~~________________________
<br />The foregoing instrument was acknowledged
<br />before me this _~~_f~_, 19_~~_ by
<br />
<br />___~~~~--1-~_L~~-~_------------------
<br />who is persc,nall y known to me &r "h6 has
<br />
<br />~odu~ed _______________________________
<br />, 'and who ~eid Rel
<br />
<br />~ ~~~--~-----
<br />~#~-_.
<br />
<br />(Signature)
<br />
<br />
<br />take an oath.
<br />
<br />---~-------------------------------------
<br />
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLI C
<br />
<br />~~,.~
<br />..'"' ,.,
<br />: II
<br />
<br />OliVIA A, LOVETT
<br />NoIao'V Public. S1aI8 01 F10ridI
<br />My Ctmm. EJcpirel Sepl30. 188'
<br />No. ~1iZ'
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF _______~~CL______________________
<br />The foregoing instrument was acknowledged
<br />before me this _~_JF~__, 19_~__ by
<br />
<br />_____~~~~~___L~__au~~~_________________
<br />who is persctl-,ally known to me pr t.,hB hilii
<br />
<br />prDdu~ed _______________________________
<br />as identification and who ~did not
<br />
<br />;;;~~;~~;;;~~~----------
<br />
<br />----------------------------------------
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOT ARY PUBLI C
<br />
<br />,..~~..~ OUVlA A, LOVm
<br />. 'Ii NofaIy Public, Stall of f10ricIa
<br />My Comm. Eapirll Sept~ 3D. 1894
<br />No. CC051a28
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