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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 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 lisdeleanor 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, IB131
<br />7BB-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorls} 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 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 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 cOltenced 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 />I Depart.ent of Environaental Requlation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands,
<br />Water/Wastewater Treatlent
<br />I Southwest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Arty Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I US Environlental Protection Aqency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood lone .A. Dr .A,etc.., it is understood that a drainage plan
<br />addressing a .coBpensating volute. will be sub.itted 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 perBit 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 per.it is cOB.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 work is cOBlenced. 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 inspectiDn .ust be logged during each six .onth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROYE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND'TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COKK~C~~~~r; JOBS UNDER $2~500' YALUE DO NOT NEED TO RECORD AND POST ~ "NOTICE OF COMMENCEMENT..
<br />
<br />_~ ~ c~ ~f~_
<br />
<br />~IGNATURE: OWNER OR ABERT C/ ~IGNATURE: CONTRAfTOR
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF Y tJ.4{I.-/)
<br />Th~,foregoing ins~rument
<br />befc.re me th i s '7nA~'- /
<br />(J
<br />
<br />was acknowledged
<br />, 19~by
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF t' IUJe-t)
<br />. The foregoing instrument was acknowledged
<br />befc'l-e me this ~ J ' 19 12-- by
<br />
<br />JJEl.-Sn t-J RY t-J A....l
<br />who is personally known tCI me- 81'" ril".. I.a~
<br />produr-Qr!
<br />3~ idg~tifiE~tic~ and who did/did not
<br />
<br />take~:;5~~ 4 ~
<br />
<br />(Signature) ~
<br />~Tt-\ LEE.....I J - ~ii'>.ll'1: ~\ N
<br />(Name Typed, Printed Dr Stamped)
<br />NOT ARY PUBL I C Notary Public, State At Large, Florida.
<br />My Commission Expires April 2, 1995
<br />
<br />NEL.SD~ 'K'1tv/Ai..J
<br />who is persc.nall y ~mown to me fir ~ll=le I=la:s
<br />p r 8- eh:u: f: rl
<br />a3 iel<=1I1.i ri...6tie.R and who did/did not
<br />take an oath. , ~
<br />
<br />(Si~~9-'
<br />
<br />k AT\; LE E:..J .,3. "BQ.c,...J N
<br />(Name Typed, Printed Dr Stamped)
<br />NOT ARY PUBL I C Notary Publie, State At large, Florida
<br />My Commission Expires April 2, 1995
<br />
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