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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit .ay be subject to "deed restrictions" which lay be lore restrictive than Citr
<br />regulations. The undersigned alsutes responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner hiS hired a contractor Dr contractors to undertake work, they lay be requ.ired to be licensld in accordance with
<br />state and local regulations. If the contractor is Dot licensed as required by law, both .the own'rind'tontract~r .ay be
<br />cited for a .isde~eanor 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 Zephyrhills Building Departlent, (BI3)
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor(s} sign portions of the
<br />"Contractor Sections" of this applicat\on for whic~ they Mill 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 MOTk. 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 Departtent of Agriculture and ConsUler Affairs. If the applicant is so.eone other than the
<br />"owner", I certify that I have obtained a copy of the above described doculent and pro.ise 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 ~bi5 application is accurate and that all wprk will be done in co~pliance with all
<br />applicable laws regulating construction, zoning, and land developlent. '-,---.- '
<br />
<br />Application is hereby .ade 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 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 Ii.ited to:
<br />. Departlent of Environtental ReQulation - Cypress Bayheads, Metland Areas and Environlentally Sensitive Lands,
<br />Mater/Wastewater Treatlent
<br />. Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />. ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />. Depart.ent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />. US Environlental 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 pertit issuance.
<br />
<br />A per.it 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 Df errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such perlit is cOltenced 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 tI5.00. The extension shall be requested in writing ~o t~e Building Official. An
<br />approved inspection lust be logged during each six lonth period, or the project will be consideredabandoned~ '
<br />WARNING TO OIlNER: YOUR FAILURE TO RECORD A NOTICE OF COKItENCEKENT KAY RESULT IN YOUR PAYING TWICE -FOR IltPRDVEIlENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR ~OTICE OF
<br />COItItEMCEltENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A -NOTICE OF CO""ENCEltENT".
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATE OF FLORIDA Oc
<br />COUNTY OF \ 'afI2t" -->>
<br />The foregoing instrument
<br />. F --t:/i;;---
<br />before me th 1 s Co 0ArV
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknDwledged
<br />, 19~ by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />RD BE t<. T LOLA; j ff1611 _
<br />whD is personally known to me or who has
<br />produced Fh L #=- m36{j --r)'!id::_(!.l:-/I./V-6
<br />
<br />;:~~~;r~ net
<br />(S~~-r L, V'Y'PTT
<br />
<br />(Name Typed, Printed or Stamped)
<br />
<br />NOT~~U~/$~~~
<br />U o-rA rz..J1U ~
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI C
<br />
<br />NC) r /:;1\'\" ,.' .",: - ~_.:-. \ '-'.
<br />My commiSSIO;1 (?;. ;.::,:r;"$ J.C;I~; '-~1 J Ij','~.,~
<br />Bonded thru Petterson - Bo2;~ht Agel-ICY
<br />
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