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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 .ay be lore restrictive than Citv
<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 .ay 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 />cite~ for a lisdeleanor violati~n 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 Depart.ent, (B13l
<br />788-6611.
<br />
<br />Further.ore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor!sl 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 2ephyrhilIs.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE2,
<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 promise 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 inforaation in this application is accurate and that all work will be done in coapliance with all
<br />I a~plicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no worK or
<br />installation has coalenced prior to issuance of a per.it 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 governaental agencies aay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not lilited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water l1anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f De artaent of Health ~ Rehabilitative Services Environaental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />f Environlental Protection AQency - Asbestos abate.ent
<br />I also certify that, if fill aaterial is to be used in Flood Zone "A" or "A,etc.., it is understood that a drainage plan
<br />addressing a "colpensating volule" Nill 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 ~rait prevent the Building Official frot 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 per.it is coaaenced within six aonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tiae the work is cosienced. One 90 day extension of tiie, lay be
<br />alloNed for the perait 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 COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IHPROVEI1ENTS TO \OUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COKKENCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMHENCEHENT".
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />
<br />
<br />E: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />befcl}-e me this
<br />
<br />was acknowledged
<br />19_ by
<br />
<br />STATE OF FLORIDA ,'\ A C' /\ 0
<br />COUNTY OF ~rT~ _
<br />. The foregoing instrument was acknowledged
<br />befol-e me th i s /2 il-f JJARtlt 19 qz. bv
<br />, -'
<br />
<br />who is personally known to me or who has
<br />prc1duced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />WA YAlE k. f)J A-[TOJJ
<br />who is personally known to me Dr who has
<br />produced PL DR w4:3Soset j LP4 4D7-0 ( t= q,)
<br />as identification and who did/did not
<br />take n ~h~ ~_
<br />
<br />(Sign- 'U}JAJ I
<br />
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />NOTARY PUBLIC, STATE OF FLORIDA
<br />My commission expires Jan. 28, 1995
<br />Bonded thru Patterson. Becht Agency
<br />
<br />
<br />
<br />(SignatLll-e)
<br />
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
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