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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peraitaay be subje~t to "deed restrictions" which lay be lore restrictive than Clty
<br />regulations. The undersigned assules responsibility for ~olpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a ~ontractClr or fP~tractors to u~dertake 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 ~ontractor lay be
<br />cited for a lisdeleanor violation under state law. If the owner Dr 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, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor Dr 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 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 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 Departlent of Agriculture and Consuaer 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 promise in good faith to deliver it to the
<br />"owner" prior to cOllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation 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 perait to do work and installation 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 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 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 cOlpliance. Such agencies include but are not lilited to:
<br />f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />f Southwest Florida Water "anaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Depart.ent of Health ~ Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental 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 subaitted 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 permit issued shall becole invalid
<br />unless the work authorized by such permit is coa.enced within six lonths of issuance, or if NorK authorized by the per.it is
<br />suspended or abandoned for a period of six months after the tile the work is cOllenced. One 90 day extension of tile, lay be
<br />allowed 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 aonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT "AV 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 />CO""ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CO ENCEHENT".
<br />
<br />~
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />~~2hilJ c: Lu~ A~p
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />
<br />-
<br />
<br />SlATE :li: flORIDA0A
<br />COUNTY OF m~O
<br />The Ic.regoing instr,u~nt was acknowledged
<br />before me this .~~~__~ 19~~Y
<br />
<br />jJ1/LZ>/ZL/J &.. i#47#' gaLL>
<br />who is personally known to m~ or who has
<br />produced
<br />a~"~.d ti~ficatic..n and whc, .did/di.!LD9J:.
<br />
<br />t~&/? ~~L.
<br />
<br />(Signature)
<br />
<br />STATE OF FLORIDA r}:;seo
<br />COUNTY OF / .
<br />The foregoing instrument
<br />before me this ~~
<br />
<br />was acknowledged
<br />19 92 by
<br />
<br />/lL
<br />
<br />/I/lLL
<br />
<br />who is personally known to me Dr who has
<br />produced /2~/2IDA .Dh L ,
<br />a~,~..~~fication a'.fld w.~o di.d./d~.,.t
<br />
<br />t~~~~/~h;~e
<br />
<br />(SignatLr.-e)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />CHARLES R.IALDERSlONE
<br />Notary Pubic, State 01 Rodda
<br />My comm. expires Oct. 7, 1995
<br />No. CC150285
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />CHARLES R.IAI.DIRITOIE
<br />Notary Pubic. StIlI of Florida
<br />My eomm. exp/rll Oct. 7.1.
<br />'I" CC1-50285
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