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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait 'aay be subject to "deed restrictions" which aay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for coapliance with any applicable deed restrictions,
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they aay 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 aisdeaeanor 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!sl 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 protise 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 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 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 />Mater/Mastewater Treatlent
<br />t Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Metland Areas, Altering Matercourses
<br />f ArlY 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 Aqency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.', it i's understood that a drainage plan
<br />addressing a "cotpensating 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, Dr
<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 co.tenced within six lonths of issuance, Dr if work authorized by the perlit is
<br />suspended or abandoned for a period of six .onths after the tile the work is cOI.enced. 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 />MARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR IKPROVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER DR AN ATTORNEY. BEFORE RECORDING YOUR NOTICE OF
<br />C..KEMC....T. JOBS U'DER '2,500 I' VAlUE DO 'OT NEED TO RECOBO AMO POST ~CO""CE"ENT"
<br />
<br />
<br />
<br />SIGNATURE: OWNER DR AGENT SIGNATU E: CONTRACTOR
<br />
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATE OF FLoR~A
<br />COUNTY OF ~~
<br />. The foregoing instrument was acknowledged
<br />before me this ~ J4 19~ by
<br />
<br />J.. Q/V''''-i C\ . '-i ....k~
<br />who is ~ersona 11 y ,known to me 001" ~"''If:. h~
<br />prEteh~e:l!d
<br />a!! iEhmtifiEC\lil.'" and who fMo9Idid not
<br />~e an oath. .
<br />4-1~~_.~J M~a~~
<br />(Signature)
<br />-:::!) oQ.\::x.r-...\.-., fl). -z..: l1'\Me t-n"\..n .., I c...,,('tli'Il~~ i 01'"'> ~ A. ~ S (p t\; , '0 2
<br />(Name Typed, Printed Dr Stamped) .
<br />NOTARY PUBLI C
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />Th~,foregoing ins~rument
<br />before me this
<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 />(Signatul-e)
<br />
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
<br />Notary Public, State of Florida
<br />My Commission Expires M::y 28, 1992
<br />Bonded Thru Troy Fain. Imurance Inc.
<br />
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