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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 .ore restrictive than City
<br />regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONStBILITIES
<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 lisdeleanor 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 ZephyrhilJs Building Departlent, (Bl~)
<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 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 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 .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has cOI.enced 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 govern.ental 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 />f Departlent of Environlental RequIation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />f Southwest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,etc.", it is understood that a drainage plan
<br />addressing a "colpensating volume" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A permit 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 beeole invalid
<br />unless the work authorized by such permit is cOllenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six months 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 1I1PROVEI1ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COI1"ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST}t "NOTICE OF COl'll'lENCEI1E ".-
<br />
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<br />
<br />t6d1U.rA tJ~
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />
<br />
<br />(Signati~:r ___ ~/j
<br />~1/V' J-. JIJ~~
<br />(Name Typed, PrJntec:l elr Stalllped)
<br />NOTARY PUBL IC IotIry Pubic. Stile of RoricIa
<br />M, Conuniuion Expires April 21. 1992
<br />.....cIed Thru TlO7 FBi. = 1_C4I Iec.
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF . -9..s (.. 0
<br />. The foregoing instrument. was acknowledged
<br />Lefc.re me this t:;Y/J..i , 19 9J.- by
<br />
<br />/~!..J'c'-v l:1'i WI n.u
<br />who is ~ersonallY kftown to me or who has
<br />produced
<br />as iden~. .~did not
<br />take ~ _.' ~
<br />-",
<br />(Signature)
<br />D. AN' J::" 1'9,(1V.S',..Jd.1 PI-
<br />(Name Typed, PJ-inted C'I- stamped)
<br />NOTARY PUBLIC -- Not., Pll!1&c, State of Roricla
<br />M, Commission Expires April 21, 1992
<br />Ilond"d Ttu:u T (oy fain: Insur"nce Inc,
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF ~'s c.. n
<br />The",fc.regoingins1<rument was acknowledged
<br />before me this t ~J~.t, 19~ by
<br />
<br />'" i'
<br />t .' ,.
<br />fjrti1 ht.-1.. () R (' UfI4#.A/
<br />who is ~sonally known to me or who has
<br />produced
<br />as identification
<br />tak
<br />
<br />
<br />
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