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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pertit 'tay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assules 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 cDltractor is no~ 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 2ephyrhills Building Departlent, 1813J
<br />788-6611.
<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 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 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 ~opy of the above described doculent and pro.ise in good faith to deliver it to the
<br />"oMner" prior to cOllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work'will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<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 cOllenced 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 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 />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agehcies include but are not lilited to:
<br />. Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entaIly Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />. Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />. ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, 'Wastewater Treatlent, Septic Tanks
<br />. US Environlental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,etc.", it is understood that a drainage plan
<br />addressing a "colpensating volule" will be sublitted 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, Dr
<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 perlit issued shall becole invalid
<br />unless the work authorized by such perlit is cOI.enced within six lonths of issuance, 'or if work authorized by the perlit is
<br />susp~nded or abandoned for a period of six lonths after the tile the work is cOl.enced. One 90 day extension of tile, lay be
<br />allowed for the perlit Kith 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 COMMENCE"ENT "AY 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 />COM"ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />
<br />SIGHAruRE~~ ~
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATE OF FLORIDA J1 1 A ;'~
<br />COUNTY OF K2af.O<J-#-r4.. -'
<br />The forego i ng i I trl,lment "Ias ac kno"ll edged
<br />before me this 190~ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />!\K'CCJI==- I n \-\nA:~
<br />who is pel- SCina 11 y known to me l!'r- ~lhc:' h.:lC:;
<br />~-cmt-
<br />
<br />
<br />who is per c:;c.na 1 1 y IJlown to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />
<br />(Signature)
<br />
<br />;J
<br />gnature) _
<br />,J()A\.I\'\~ 'S" e(C{)\l...rw
<br />(Name Typed. Pri ntedo.r. .sta.~'i' n., ';f..
<br />. . NOTARYf'tTI.~::; '." ;. ',. ."
<br />ilJOTARY PUBLIC MY cm..WHS~H'J:, ":. .... ".~ .:'.
<br />-' J1,ONliED T~H\.U Nt.n,',\~.:;:~ i !; J.:.,,:''-' '-' .u'
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI C
<br />
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