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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 .ore 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 iicensed 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, (B131
<br />788-b611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) 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 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 document and promise in good faith to deliver it to the
<br />"owner" prior to cOlaencelent.
<br />
<br />)
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infonation in this application is accurate and that all Ij(lrk will be done in cOlpliance with all
<br />a~plicable laws regulating construction, zoning, and land developlent.
<br />
<br />I
<br />
<br />Application is hereby lade to obtain a perlit to do work and installatiou as indicated, I certify that no work or
<br />installation has cOllenced prior to issuance of a perait and that all work will be perfor.ed to teet 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 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 Ii.ited to:
<br />f Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and EnvironlentaIly Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />t De artlent of Health ~ Rehabilitative Services Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />t Environ_ental Protection AQency - Asbestos abateaent
<br />I also certify that, if fill aaterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "colpensating volute" will be sublitted which is prepared by a professional engineer registered in the state of
<br />Florida prior to perlit issuance.
<br />
<br />A perait 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 perlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code.. Every perl it issued shall becole invalid
<br />unless the work authorized by such per.it is cOI.enced within six lonths of issuance, or if work authorized by the permit is
<br />suspended or abandoned for a period of six lonths after the tile the work is cOI.enced. One 90 day extension of tile, .ay 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 lust be logged during each six lonth period, or the project Mill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT KAY RESULT IN YOUR PAYING THICE FOR IKPROVEKENTS 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 "NOTICE OF. OMKENCEKENT".
<br />
<br />~~I1~/J'att-
<br />~.~ I i1f~1E: OW~EP/J. AGENT
<br />.~#,?'~,
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF 10 <<eo
<br />The foregoing in~trument
<br />before me th i s T7 b
<br />
<br />
<br />was acknowledged
<br />, 19~ by
<br />
<br />cU 'ID-+I-
<br />
<br />me e-F ~4hcl ha-s
<br />
<br />STATE OF FLORIDA ~~
<br />COUNTY OF l)
<br />The f oregc< i ng ins tn/ment
<br />befcq-e me th i s 7 u;
<br />
<br />was acknowledged
<br />, 19~ by
<br />
<br />f~%Qr- aNd t:1rold
<br />who is personally known to
<br />..producod
<br />as identification and who ~/did not
<br />take an oath.
<br />R 0 ~ l' Ii' 0-.. \. -j..;o 1 Ul *-
<br />
<br />who is ~;.1ailiy C-~~~~1\e I:r1 ,..I'L' I,d::'
<br />~f3c5duCE:E1 ~
<br />as identification and who d.+&/did not
<br />take an oath~ ,~/ 4-
<br />~J,r-~ 1?J!J~\:::1a.1J.4A
<br />(Signature) 'i:> ~ +
<br />~e 6QLQa.. r::g ~
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
<br />(SignatLll-e)
<br />
<br />R e.b~C!!.C\. ~\A~+
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
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