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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Th~ und~rsign~d und~rstands that this p~rlit 'Iay b~ subj~ct to "d~~d r~strictions" which aay b~ .or~ restrictive than City
<br />r~gulations, Th~ und~rsigned assuI~s r~sponsibility for cOlpliance with any applicabl~ de~d r~strictions,
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If th~ ONner has hired a contractor or contractors to undertake work, they lay be r~quired to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by laN, both the owner and contractor lay 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 Departlent, IB131
<br />7BB-6611.
<br />
<br />Furtherlore, if the ONner 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 FEE~
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided Nith a copy of sFlorida'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 promise in good faith to deliver it to the
<br />"oNner" prior to cOlaenceaent,
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infortation 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 perait to do Nork and installation as indicated, I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all Nork Nill be perforted to teet 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 aust take to be in cOlpliance, Such agencies include but are not litited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - SeaNalls, Docks, Navigable Waterways
<br />f Departlent of Health L Rehabilitative Services, Environaental Health Unit - Wells, Wastewater Treattent, Septic Tanks
<br />f US Environaental Protection AQency - Asbestos abatelent
<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 "coapensating volule" will be subaitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perait issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed Nith 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 perait prevent the Building Official froa thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code.. Every pertit issued shall becole invalid
<br />unless the work authorized by such perlit is coaaenced within six tonths of issuance, or if work authorized by the perait is
<br />suspended or abandoned for a period of six aonths after the tile the work is co..enced, One 90 day extension of tite, lay be
<br />allowed for the perait 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 aonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COK"ENCEKENT KAY 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 />COftftENCEKENT. JO'S OHOER '2,500 IH YAlUE 00 HOT HEED TO 'ECORO 'HO POST' 'HOIICE OF COH"HCE"EHT'.~'
<br />
<br />
<br />SIGllATORE: lllIHER OR _T ~c:r(~ ~ ~
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATE OF FLORIDA ___
<br />COUNTY OF f~f+S (0
<br />, The foregoing instrument was acknowledged
<br />befDre me this )1(H APJ?(L19Q2 by
<br />
<br />12013E:;:72T A is, L E W 1-&'
<br />who is personally knDwn to me Dr who has
<br />produced FL DR.. p45 f.p 72..7 3 ~ 3,;;2.8. 593
<br />as identification and who did/did not
<br />
<br />~ake 7:2'.L _./~
<br />_. ~/~~J...J
<br />ignature)
<br />120 sEBr A 13 I L GJ..J I ~
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The~foregDing ins~rument
<br />before me this
<br />
<br />who is personally known to me Dr who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
<br />NOTARY PU~L1C, STATE OF FLORIDA
<br />My commiSSion expires Jan 28 199"
<br />Bonded thru Patterson - Be~ht Agenc:
<br />
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