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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 assuees 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 contractor is not licensed as required by law, both the owner and contractor lay be
<br />cited for a lisde.eannr violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents aay 'apply 'for the intended work, they are adv~sed to contact toe City of Zephyrhills Building Departlent, 18131
<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 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 Depart.ent 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 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 cOI.enced 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 Iilited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
<br />Water/Wastewater Treataent
<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 Depart.ent 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 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 froD thereafter
<br />requiring a correction of errors in plans, construction, Dr violations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such perlit is cOI.enced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the Mork is cOI.enced. One 90 day extension of tile, .ay 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, Dr the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"KENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CO"KENCE"ENT. JOBS UNDER $2,500 IN YALUE DO NOT NEED TO RECORD AND POST "NOTICE OF COM EHENT".
<br />
<br />
<br />~ ~ J'.e1/~~e
<br />
<br />GNATURE: OWNER OR AGENT ~~~~
<br />
<br />
<br />STATE OF FLORI~
<br />COUNTY OF \( C\ .s L 0
<br />The foregoing instrument
<br />before me this }or'.\ )..'\
<br />,
<br />
<br />was acknowledged
<br />, 1 9..52:::... by
<br />
<br />STATE OF FLORIDA"
<br />COUNTY OF rA<ir.O
<br />The foregoing instrument was acknowledged
<br />before me th i s mA y I , 19 92. by
<br />
<br />GlMfJ'!t. C cJ/IJ/t) J:JShAHl
<br />who is per_onally known to me or who has
<br />produced F/A J)L'~Je.t.S Lise
<br />as id ification and who didJ.elid
<br />take oath. U.
<br />
<br />
<br />,ure) ....Dawn E. Woodward
<br />
<br />(Name Typed, Printed Dr Stamped)
<br />
<br />NOTARY PUBLIC
<br />
<br />l':OTARY !'U;,UC, STATE OF FLORIDA.
<br />MY COMMISSION EXPIRES: Jan. 25, 1995.
<br />BONDED'THRU NOTARY PUBLIC UNDERWRiTERS.
<br />
<br />'S. ~ Cl. \ \Z ~...." 'b
<br />who is personally known to me or who has
<br />produced \j ~ " -..I t. r ;.> L ~ L~ .1 e.-
<br />as identification and who did/did not
<br />
<br />~y~~.~', ~ '
<br />
<br />(s;[ature!,) to ~
<br />_Q....v ..)., \LJ(.}('\~
<br />(Name Typed, Pr i nt~q'Q~:r-S~~P..,;~) '''__;.'
<br />-",,) . rf c "~"~.V~ .......,'1,~~<. '-'~ :' "",".j..,r1
<br />NOTARY PUBL I C My Comn;iEicn h;:kc~ AuO.1, 11)'-'5
<br />Bund{;:d Thru Troy FOln - In.5Urc:nc~ Inc.
<br />
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