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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlitlay be subiect to "deed restrictions" which tay be lore restrictive than City
<br />regulations. The undersigned assutes responsibility for cotpliance 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 nol ~icensed 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 Departtent, IB13J
<br />7BB-bbl1.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsJ 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 Mork. If 'the contractor wishes you to sign
<br />as contractor that tay be an indication that he is not properly licensed and is not entitled to pertitting 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 Consu.er Affairs. If the applicant is soteone 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 cotaencetent.
<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 cotpliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
<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 cotlenced 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, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governtental agencies lay apply to the intended work, and that it is
<br />.y responsibility to identify what actions I lust take to be in COMpliance. Such agencies include but are not litited to:
<br />f Depart.ent of Environ.ental R~ulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Wa~er/Wastcwat~r Treat.ent
<br />I Southwest Florida Water "andQetent District - Wells, Cypress Bayheads, Wetland Ar~as, Altering Watercourses
<br />I Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I pepartaent of Health L Rehabilitative Services, Environtental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abatelent
<br />I alsD certify that, if fill tat~l.ial is to b' ~s~d in Flood Zone .~. Qr 'A,l~L.', it is understDod that a drainage plan
<br />addressing a "colpensating volute" will be sunlitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to pertit issuance.
<br />
<br />A per.it issued shall he construed to be a license to proceed with the wDrK and not as ~uthority tD violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becote invalid
<br />unless the work authorized by such perlit is cOltenced within six tonths of issuance, or if Mork authorized by the permit is
<br />suspended or abandoned for a period of six lonths after the tile the work is cOltenced. One 90 day extension of tile, tay be
<br />allowed for the pertit 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 .onth period, or the projert will be ronsidered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"MENCE"ENT MAY RESULT IN YOUH PAVING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENOER OR AN ATTORNEY BEFORE RECORDING YOUR ~uTICE OF
<br />CO"~ODS "Nll" 12,500 to VAlUE DO OUT "ED TO RfCDRD AND POST A "HOTlCE OF ,CI"",HCE~..
<br />
<br />~~O~ _~ C- ~.
<br />
<br />SIGNATURE: OIlNER 0 GENT . SIGNATURE: CONTRACTOR .
<br />
<br />
<br />not
<br />
<br />was acknowledged
<br />, 19 92 by
<br />
<br />((! (c?./. Yh .41' -1.AA J7 $..
<br />who is personflll y, known /~q me or ..,ho has
<br />produced ~~ ~~~.-rAJ p~
<br />as identification and wrm dirYdid ne,t
<br />take an clathY?~~ 2.b- __
<br />
<br />(Signatule~ . ~
<br />Marvin .Nay, ~qotary ___.__
<br />(Name Typed, Printed or Sty~ped)
<br />NOTARY PUBLIC
<br />1993 My commission expires on Jan 30, 1993
<br />
<br />STATE OF FLORIDA III
<br />COUNTY OF _ ~
<br />The foregoing instrument
<br />befcq-e me th i s S- - i
<br />
<br />STATE OF FLORIDA f}
<br />COUNTY OF J'('~
<br />The foregoing instrument was acknowledged
<br />b.fO}} me this,5 ~ if- . 19_9..:<.. by
<br />
<br />r.-L:-
<br />who is pel-50
<br />prod!..!ccll
<br />as id2ntificdt.ion and
<br />tC1he. all, Di:lUi .
<br />_ rfJ1{J(~
<br />(Signatute)
<br />:.1c~vin Nay,
<br />(Ndme Typed, Pr~nted
<br />NOT ARY PUBL_l ~
<br />
<br />Yho
<br />
<br />Notary
<br />or Stamped)
<br />
<br />My commission expires on Jan 30,
<br />
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