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<br />CONDITIONS OF PERMiT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIQN~
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLI ENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner ,as hired a contractor or contractors to undertake Mork, they lay be required to be licensed in accordance with
<br />state and Ioc'l regulations. If the contractor is not licensed as required by laM, both the owner and contractor lay be
<br />cited for a sdeleanor violation under state IaN. If the owner or intended contractor are uncertain as to what licensing
<br />requirelent5~y apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, 18131
<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 LaM - 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 doculent and prolise 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 inforlation in this application is accurate and that all worK Hill be done in cOlpliance Mith 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 agencies include but are not lilited to:
<br />I Depart.ent of Environ.ental Reoulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />I Southwest Florida Water "anaoelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of Enoineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I US Environlental Protection Aoency - 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" Nill 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 Nith 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, Dr violations of any cDde. Every perlit issued shall becole invalid
<br />unless the work authorized by such perlit is cOllenced Nithin six lonths of issuance, or if worK authorized by the per.it is
<br />suspended or abandoned for a period of six lonths 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 lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 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 />COMMENCE"ENT. JOBS UNDER $2,500 IN VALUE DO HOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />)(~ r1~ 1-0 ~ /f ~
<br />
<br />SIGNA RE: OIlNER OR AGENT SIG ATURE: CONTRACTOR
<br />
<br />whcl is
<br />produced
<br />as identification and who did~
<br />
<br />~~a;h,-<-~
<br />
<br />(Si ture)
<br />J a. Vl....\ Ie ~ I Q..<-K-w -e. tf (~tb- A-A-{,O{p P 1
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />o me clr who has
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY Of, , .' . ~
<br />. The foregoing instrument
<br />befDI-e me thisS~IC
<br />
<br />~ sci''-~ ~~ b,e ~;-~--_.
<br />WhD i DE sona known ~o m~ or who has
<br />produced -
<br />as identificatiDn and who did~
<br />take an oath.
<br />~~~ \0<..9. ~
<br />(Slg ture)
<br />..\ n.-.-......t- K_ B. \li...c-K W-e. / ( ~ t:/.. 4.1I90f&J J.?--1
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />:ota-rv ~U~"c; S~flT or nO-rfcfl
<br />y Commlss.on Expires Sept, 2.: 199Z
<br />
<br />~Ias acl~ncl~ll edged
<br />, 19~ by
<br />
<br />
<br />STATE,OF FLORID~
<br />COUNTY OF
<br />
<br />was acknowledged
<br />, 19 If ~ by
<br />
<br />befcq-e me
<br />
<br />Nof8tyPu6lTc, S'fafiJ or notflJl
<br />My Commluion Expires Sept, 2, 199~
<br />
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