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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subjert to "deed restrictions" whirh lay be lore restrirtive than City'
<br />regulations. The undersigned assumes responsibility for cOlpliance with any applicable deed restrirtions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a rontrart~r or contractors to undertake work, they lay be required to be lirensed in acrordanre with
<br />state and local regulations. If therontractor is not licensed as required by lall, both the owner and rontractor may be
<br />cited for a misdeleanor violation under state law. if the owner or intended contrartor are unrertain as to what lirensing
<br />requirements lay apply for the intended work, they are advised to rontart the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furthermore, 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 FEE2.
<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 - Homeowner's Protection
<br />Guide" prepared by the Florida Department of Agriculture and Consumer 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 prolise in good faith to deliver it to the
<br />"owner" prior to cOlmencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all 1I0rk lIill be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land development.
<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 cOlmenced 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 development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern_ental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in compliance. Such agencies include but are not lilited to:
<br />, Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ_entally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />, Southwest Florida Water KanaQement District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />, Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />, 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 volule" will be sublittpd 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 permit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becote invalid
<br />unless the work authorized by such perlit is comlenced within six lonths of issuance, or if work authorized by the per_it is
<br />suspended or abandoned for a period of six lonths after the tile the work is cOlienced. One 90 day extension of tile, lay be
<br />allolled for the pertit with fee charge of tI5.00. 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 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 />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />) .')
<br />'/ ~~ / ;4;u/~
<br />d.~.. 4'/R' .. . ~
<br />(SIGNATURE: OWNER OR AGENT ;7 GNATURE: CONTRACTOR .
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF~As GO
<br />The fC1regoing instl-ument was aci-m(lwl~dged
<br />befc,re me this clD NAY , 19~by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF .::p>AS. C 0 _
<br />The foregDing instrument was acknowledged
<br />before me this r9-O MAt1 , 19 Cfd-bY
<br />
<br />RoBETCT F. Bui?bE7T _RONA L D tC7. PALM ER..
<br />who is personally known to me or who has_ ,,\1Jho is pel:Dnally knDwn to me or who has( \
<br />produced F L. p~ ;~ U>Z 3 7<Pu 2'2 I~-O(e-~..Jproduced l-L p I~ f'l4 Sy,";)"'/ '3 ~ 328 [J; C;~ ~
<br />as ide ification and who did/did not as identi 'cation and who did/did not .
<br />take an 0, th~~~L--:J take an oat. ~
<br />
<br />(Signa ur . \ (Signa-:L:r )
<br />PO JJA- ((. S l.4 7T t) f\-) DO ('oJ
<br />(Name Typed, Printed or Stamped) (Name Typed, Printed or Stampedl
<br />NOTARY PUBLIC NOTARY PUBLIC
<br />
<br />
<br />NOTARY PUBLIC, STATE OF FLORIDA
<br />My commission expires Jan. 28, 1995
<br />Bonded thru Patterson - Becht AgencY
<br />
<br />NOTARY PUBLIC, STATE OF FLORIDA
<br />My commission expires Jan. 28, 1995
<br />Bond~rl thru Patterson - 8echt Agency
<br />
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