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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 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 ONner 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 Zephyrhills Building Departlent, !8131
<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 Departaent 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 />t certify that all the inforlation in this application is accurate and that all work Mill be done in cOlpliance with all
<br />applicable laMS 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 perforled to aeet 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 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 ReQulation - Cypress Bayheads, Wetland Areas and Environaentally 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 Departaent of Health ~ Rehabilitative Services. Environaental Health Unit - Wells, Wastewater Treataent, Septic Tanks
<br />f US Environ.ental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or .A,ete.., 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 cDde.. Every perlit issued shall becole invalid
<br />unless the work authorized by such per.it is cOllenced within six .onths of issuance, or if wDrk authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the Mork is cO'lenced. One 9Q day extension of tile, lay be
<br />allowed for the perlit with fee charge of SI5.00. 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 Mill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COK"ENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND'TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CO""ENCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT HEED TO RECORD AND POST A "NOTICE OF COM"ENCE"ENT".
<br />
<br />~ t M_ , ~ ~J~ ---
<br />
<br />SIGNATURE: OWNERAlR~ " SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORID~
<br />COUNTY OF {/ A 5C 0
<br />Th~,fDregoing ins~rument
<br />before me this /Jpr'"t.. 1
<br />
<br />was acknowledged
<br />1992- by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF ~~
<br />. The foregc.ing instl-ument
<br />llef(;.r'e me th i s I+.,pr"l. 7
<br />
<br />vlas acknc1wledged
<br />, 19 0/2- by
<br />
<br />(Name Typed,
<br />NOTARY PUBLI C
<br />
<br />
<br />/nf}7fHtFuJ Df+UID 1-3 ,e()W N
<br />\'Iho iiii pliriiion.lly IUlI:.,m tQ lAg er who has
<br />produced FLarLlr)A t),L. #:- 8(",'50- Sifl./.- G.3- 382-
<br />as identification and who did/aid R~t .
<br />take an oat~~~
<br />
<br />(Signature)
<br />
<br />-K.~ Gnf'~I~, J~
<br />who is persc,nall y known to me o. ...1,0 na!!
<br />'prBaUEtil9
<br />as identification and who did/did R~~
<br />take an oat~~
<br />
<br />(Signature)
<br />
<br />usUS. 1995
<br />. 00138942
<br />Public Underwriters
<br />
<br />(Name Typed,
<br />NOTARY PUBL C
<br />
<br />ed or StMARW~TERHER
<br />N01ary Pulilic. State of FlOrida
<br />My comm. ..pir. August 25. 1995
<br />, NO,00138942
<br />Bonded Thru No Public: Underwriters
<br />
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