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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peraitaay be subject to 'deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assuaes 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 contractrrs 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 aay be
<br />cited for a aisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6bl1.
<br />
<br />Furtheraore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is} 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 Departaent 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 docueent and promise in good faith to'deliver it to the
<br />'owner" prior to co.eenceaent.
<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 cOlpliance with all
<br />J a~plicable laws regulating construction, zoning, and land developaent.
<br />
<br />Application is hereby aade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cO'lenced 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 />.y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />f Departtent of Environtental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />f Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection AQenty - Asbestos abatetent
<br />I also certify that, if fill taterial is to be used in Flood Zone 'A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "co.pensating volule" will be subtitted 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 ~erlit prevent the Building Official froD 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 suth perlit is COlteneed within six tonths of issuance, or if work authorized by the permit is
<br />suspended or abandoned for a period of six .onths after the tiae the work is cOltenced. One 90 day extension of tile, ~ay be
<br />allowed for the pertit 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 aonth period, or the project will be considered abandoned.
<br />WARNING TO OIlNER: YOUR FAILURE TO RECORD A NOTICE OF CO"HENCEHENT KAY RESULT IN YOUR PAYING TWICE FOR lHPROVEHENTS TO 'lOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />
<br />
<br />[~~;:;;zaNOT ~ED TO ~[ORO 'N;;:~'
<br />
<br />~IGNR :. OWNER OR 'GENT SIGNATURE: [oNTRA OR
<br />
<br />-.J?'R..e VIl.',JJjtJH/E<'; S~'
<br />
<br />who is persc'na~J\"'l!~(~~11 to me ~ who
<br />) ,~,\ , ^ '-f,;., .
<br />produced '.. - .. r. ' .
<br />as ident' f##1'clJ'") and<~1 did/did not
<br />t I ~h<'; . . '-',',
<br />at(e. .~a 0 ~.f -!<:/J \' /j:}~. 7--.
<br />... -+. ~:~
<br />'rB'l~latLll-e % ~"'" .>.:...~ ,~'
<br />19r ~ -? _.. .." ~ .":
<br />~ .1'( ............ <:1-. .....~,'
<br />//:,/ Or r \. ~ \,~....;::.
<br />(Name Typed, Pl"i:llllkecl,.\\'t.r Stamped)
<br />NOTARY PUBLIC
<br />SHIRLEY D, DEuTSCH
<br />My Comm. Exp, Feb, 26. 1996
<br />Ccmm. No. CC le'.ll <?
<br />
<br />
<br />STATE OF FLORIDA /~
<br />COUNTY OF ~~ _
<br />The foregc.ing' i nS~LW\I!.lW~'I/\iJIlr~... a~'nO\illedged
<br />~~Y f)'~ L-
<br />befc<\-e me th is ?;'~':'''' "'~:>~.."...'..{J ~~''-- by
<br />~. ... ..,"l,J<(" ',:...
<br />N#y/i/E l1f//~*~~P
<br />
<br />who iSpe\-sonall~t;~.own"Jttc' iTI~+ef w 0 has
<br />produced > ~ ~
<br />as identif
<br />take all
<br />
<br />STATE OF FLOR%' . .
<br />COUNTY OF ~~
<br />The foregoing inS~mel1t
<br />before me this J / s
<br />.
<br />
<br />was acknowledged
<br />, 19~ by
<br />
<br />
<br />"HIRLEY D, DEUTSCH
<br />My Comm. Exp. Feb. 26. 1996
<br />(Name Typed, Pr i nt€id'. m~ cgHi1hf)led)
<br />NOTARY PUBLIC
<br />
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