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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF PEED 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 ONner has hired a contractor or contractors to undertake Nork, 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 lisdeleanor violation under state IaN. 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 Departaent, IB131
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 />DONner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />DONner" 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 />;.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no Mork or
<br />installation has cOllenced 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 />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, Metland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Metland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departaent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abatelent
<br />I also certify that, irfnr.at~ria1'is' to be usedlif Flooll Zone "ft"or "A,etc. "j-i t'iS""tlne~rst-oott--thBt'a- -drai'h1fj~'p4art' '"-" -..
<br />adtlressing 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 />~ 'i/!;i ; i" . :I' '\','
<br />,//J/../:YT.FI /,
<br />. SIGNATURE: OIlNER OR AGENT
<br />
<br />A perlit issued shall be construed to be a license to proceed with the Mork 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 becole invalid
<br />unless the work authorized by such perlit is cOllenced within six lonths of issuance, Dr if Nork authorized by the per.it is
<br />suspended Dr 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 $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 Mill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR IKPROVEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND'TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CO"KENCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CO""ENCEKENT..
<br />
<br />
<br />~b~k~
<br />, SIGNATURE: CONTRACTOR'
<br />
<br />'") , <'
<br />( '~/ /! Cl //',
<br />.J ft.,,' c~- .---
<br />
<br />STATE OF FLORIDA
<br />COUNTY OFT A...Sf'.-O
<br />Th~,foregoing ins~r~nt
<br />befc,re f'Ile..this,~ . .'*.. _ J, ~
<br />v
<br />
<br />was acknowledged
<br />, 19 C[--z- bY
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Y ft:.. ~.t\
<br />. The foregc. i ng instrument
<br />. _ befc~re ~e: th is ://} .?"
<br />
<br />'?..ot-..... ~_,~........,...
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.. 's:J
<br />~ - 0 ~~>
<br />(Signature) . \..
<br />'?-- ~ L -\::- \.. \.. ~...
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
<br />was acknowledged
<br />'... l:.q~ by
<br />
<br />who is personally known to me or who has
<br />produced p..a-.... 'L4!'-S o-....-s --
<br />as identification and who did/did not
<br />take an oath. . ~
<br />
<br />(Signa~' ~ r"'" - ::;;"...
<br />~~t:> '\.~-
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />NOTARY PUBLIC. STATE OF FLORIDA.
<br />MY COMMIS~iON EXPIRES: August 12. 1995.
<br />DONDED THllll NOTAI.Y PUBLtC llNDERWI.lTEI.S.
<br />
<br />NO'-ARY PUBLIC, STATE OF FLORIDA.
<br />MY COMMIS:o/iON EXPIRES: ,\ugust U. 1995..
<br />BONDED THRU NOTARY PUBUC UNDERWRITERS.
<br />
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