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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit .Iay 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 contractor is not licensed as required by law, both the owner and contractor aay be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent, 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 aay be an indication that he is not properly licensed and is not entitled to peraitting 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 Depart.ent of Agriculture and Consuler Affairs. If the applicant is soaeone other than the
<br />'owner", I certify that I have obtained a copy of the above described docueent and protise in good faith to deliver it to the
<br />'owner" prior to coeeenceeent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in coapliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby eade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has coaaenced prior to issuance of a per.it 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 aay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I eust take to be in cOlpliance. Such agencies include but are not liaited to:
<br />f Departeent of Environeental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />f Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Aray Corps of EnQineers - SeaMalls, Docks, Navigable Waterways
<br />f Departlent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treataent, Septic Tanks
<br />f US Environ.ental Protection AQency - Asbestos abate.ent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,ete,", it is understood that a drainage plan
<br />addressing a 'colpensating volule' Mill be subeitted 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 be construed to be a license to proceed with the wor~ 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 froa thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code.. Every perait issued shall becoae invalid
<br />unless the work authorized by such perlit is eOleeneed within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six .onths after the tiee the work is co.aenced. One 90 day extension of tiae, lay be
<br />alloNed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection eust 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 COM"ENCEMENT 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 />COKKENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF'CQMHENCEHENT".
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
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<br />before me this
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<br />COUNTY OF ~H~,eM{ItM&lI7 J E
<br />, The fOregcli~"(IS..&~;'..~! acknowledged
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<br />who is personally known to me Dr who has
<br />produced
<br />as identificatiJj and whD di9/did not
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<br />take an oath. dlLJJw!f)a*
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<br />(Signature) "'. -, I ~
<br />.!lJ/fNe B~/'QlL
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI C
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<br />rRlfJJM6 fiJIf/iSS
<br />who is personally known to me or
<br />produced
<br />as identifi~ion and who did/did
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<br />(Signature~ . lL
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<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI C
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<br />who has
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