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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for cOlpliance 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 lay be required to be licensed in accordance with
<br />state and local regulations. If the contract~r is not licensed as required by law, 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, (813)
<br />798-6611.
<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 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 with a copy of "Florida'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 />"owner" prior to cOlleneelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIl
<br />I certify that all the inforlation in this application is accurate and that all worK will be done in co.pliance with all
<br />applicable laNs 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 per~orled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, Jnd land developlent regulatiors 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, W2tland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Tr~at.ent
<br />f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />+ ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I 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,etc.", it is understood that a drainage plan
<br />addressing a "colpensating voluee" will bp. 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 cOllenced witnin six lonths of issuance, or if worK authorized by the per~it is
<br />suspended Dr abandoned for a period of six .onths after tne tile the work is cOltenced. One 90 day extension of ti~e, 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 />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT ~ITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OFCOMHENCEMENT".
<br />
<br />I
<br />~..ro" ~lfa"-9:rQ~
<br />~ATURE: OWNER OR AGENT
<br />.~.~~
<br />
<br />k.p~ IJ~
<br />SIGNATURE: CONTRACTOR B &M' - 5 J Q - /d -;) II
<br />
<br />STATE OF FLORI9A'/ _"'\
<br />COUNTY OF <-f~c..v
<br />The foregoin? ~)trum~t
<br />before me thlS7~ ~
<br />I
<br />
<br />was acknowledged
<br />, 19~ by
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF ~<::i2.>/C c:>
<br />The. foregc,ing inV?tf.me~It-Jas aCknc.,It-Jledged
<br />hefnl-e me t.h i s _ I Z- ~ 19 _1.._'"?-:-. by
<br />
<br />who is personally known to me or,whD has
<br />Pl-Dduced
<br />~en 'flcatiDn
<br />~ 'loath.
<br />
<br />
<br />~~2~C~A'
<br />
<br />(Name Typed, Printed Dr
<br />NOTARY PUBLIC
<br />
<br />
<br />a tun~ )
<br />-r J!.. tl!- I A-
<br />
<br />(Name Typed, Printed
<br />
<br />NOT ARY PUBL I C :;otary Public, State of Flor;[;
<br />My Comm. Exp Sept. 3. 1994
<br />
<br />
<br />J:~
<br />
<br />Stamped)
<br />
<br />:';otal"\l Public, St8te of Fir'
<br />.MY. Comm, Exp Sept. 3, L
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