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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait aay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assuaes responsibility for co.pliance 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 hith
<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 aisdeaeanor violation under state IaN. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended Mork, they are advised to contact the City of Zephyrhills Building Departlent, (8!31
<br />788-6611.
<br />
<br />Furtherlore, if the OMner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions {,f the
<br />"Contractor Sections" of this application for Mhich they Mill be responsible. If you, as the owner sign as the contractoi",
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to SlgO
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to permitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE2.
<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 - Homeowner's Protect1on
<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 doculent and promise in good faith to deliver it t" the
<br />"owner" prior to comlencelent.
<br />
<br />.{
<br />(
<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 />f a~plicable 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 meet 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 Kork, and that it is
<br />my responsibility to identify what actions I aust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I D artlent of Health L Rehabilitative Services Environmental Health Unit - Wells, WasteKater Treatlent, Septic Tanks
<br />I Environlental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill latprial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage pla~
<br />addressing a 'colpensating volume" will 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 authority to violate, cancel alter, 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 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 com.enced within six months of issuance, or if work authorized by the permit is
<br />suspended or abandoned for a period of six .onths after the time the work is co..enced. One 90 day extension of time, ~af 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 month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COI1I1ENCEI1ENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO ",OUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COI1I1ENCEI1ENT. JOBS UNDER $2,500 IN3~..Jl1!J!QI NEED 10 RECORD AND POST A "NOTLCE OF COMME~[:El1i~T"~ _
<br />
<br />~~> ~ ~~?~/'
<br />
<br />5IGNAT~~~ ./ : CO~~~~TOR
<br />
<br />was acknowledged
<br />, 19 ~ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF ~ ~C ~
<br />. The foregoing instrument
<br />befctl-e me this 15 JULy
<br />I
<br />
<br />STATE OF flORIDA /.
<br />COUNTY OF Ilf-S (D
<br />The foregoing instrument
<br />before me this /5 JULY
<br />
<br />vJas acknovlledged
<br />, 19~ by
<br />
<br />who is personally known to me Dr who has
<br />produced
<br />as identi fiCi::lticln~.'.J who did/did not
<br />take an oatfl..~ ~
<br />[-)( -Lc C/ . e..-
<br />(Signature) Notary Public Pasc o.
<br />~ C_mission E~ire!i May \3. 1995
<br />(Name Typ d, PrInted or Stamped)
<br />NOTARY PUBLIC
<br />
<br />who is personally known to me Dr who has
<br />produced
<br />as identification and who did/did not
<br />take an oath~re G-n~.
<br />
<br />(Signatul-e) Notary Public Pasco Co. FL
<br />(Name Ty~U~P~~~~x~~s~~Jae~S
<br />NOTARY PUBLIC
<br />
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