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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlitlay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations, The undersigneij assules responsibility for co.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR .RESPONSIBILITIES
<br />If the owner has hired a con~ractor or contractors to undertake work, they may-be required ~icensed in accordance hlth
<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 .isde.eanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensino
<br />requirelents lay apply fDr the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (813l
<br />788-6611.
<br />
<br />Further.ore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor(sJ 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 slgn
<br />as contractor that .ay 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 Consu.er Affairs. If the applicant is sOleone other than the
<br />"Dwner., I certify that I have obtained a copy of the abDve described dDculent and promise in good faith to deliver it t" the
<br />"owner" prior to cO.lence.ent.
<br />
<br />,/,
<br />.I
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation in this application is accurate and
<br />I a~plicable laws regulating construction, zoning, and land developlent.
<br />
<br />that all work will be done in cOlpliance with all
<br />
<br />Application is hereby .ade to obtain a per.it to do work and installation as indicated, I certify that no work or
<br />installation has co..enced prior to issuance of a perlit and that all work will be perforled to leet standards of all lans
<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 />'y responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not limited (c';
<br />I Depart.ent of Environ.ental ReQulatio.n - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treataent
<br />I Southwest Florida Water KanaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Ar.y CDrps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />t D artaent of Health L Rehabilitative Services Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I Environlental Protection AQency - Asbestos abateaent
<br />I also. certify that, if fill laterial is to be used in Flood ZDne "A" Dr "A,etc,., it is understood that a drainage plan
<br />addressing a "colpensating volute" Mill 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 authDrity to violate, cancel altef, or
<br />set aside any provisions of the technical codes, nor shall issuance of a ~erlit prevent the Building Official frol thereafter
<br />requiring a correction o.f errors in plans, construction, Dr violations of any code.. Every perlit issued shall becole invalid
<br />unless the wDrk authDrized by such per.it is cO'lenced within six lonths of issuance, Dr if work authorized by the permit is
<br />suspended or abandoned for a period qf six aonths after the ti.e the work is co.tenced. One 90 day extension of tile, gay be
<br />allowed for the per.it Mith fee charge of $15.00.: Jbe extension shall be requested in writing tD the Building Official. An
<br />approved inspection:lust be,.logged during each six .onth period, or the project will be considered abandoned.
<br />IIARNING TO OIlNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT KAY RESULT IN YOUR PAVINe, TWICE FOR IHPROVBIENTS TO ',OUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT IIITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING VOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />~ ~~o
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<br />SIGNATURE: OWNER 0 GENT SIGNATURE: CONT CTOR
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF f'o.JC{)
<br />The forego i ng ins tl-Ulff{'t via.S acknovJl edged
<br />befcl\-e me this 2/ , 19.3..Z... by
<br />
<br />who is per~cty ~:'owf?jo~ who has
<br />
<br />produced
<br />as identif'cation and who did/did not
<br />take an th, ~ ~
<br />
<br />(Signature)~, ~~ ~
<br />
<br />(Name Typed, Printed c<)- ~mped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA -:;
<br />COUNTY OF f'~~
<br />The foregoing instrument was acknowledged
<br />before me this OM Sf. , 1.9-32by
<br />
<br />KrJ/JA t:' ~Mrm .
<br />
<br />who is pel-sonal"l y known me or who has
<br />produced
<br />as identifi ation who did/did not
<br />take an
<br />
<br />
<br />
<br />I
<br />(Name Typed, Printed
<br />NOTARY PUBLIC
<br />
<br />
<br />I'k'~
<br />_.'0
<br />
<br />KAPI FINNEGAN
<br />Stale of Florida
<br />My Comm. Exp. Aug, 18, ..
<br />#CO 137140 .
<br />
<br />KARl FINNEGAN
<br />State of Florida
<br />My Comm. Exp. Aug. 18, 1995
<br />#CC 137140
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