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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait 'lay be subject to .deed restrictions' which lay be lore restrictive than City
<br />regulations. The undersigned assuaes responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a rontractor or c~ntractnrs to undertake work, th~y aay be required 'to be licensed in accordance with
<br />state and local regulations. If the contractor is not 'licensed ~s r~quired by law, both the owner and contractor aay be
<br />cited for a aisdeaeanor violation under state law. If the ONner or intended contractor are uncertain as to what licensing
<br />requirelents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent, (813)
<br />788-6611.
<br />
<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractorls) sign portions of the
<br />'Contractor Sections' of this application for which they will be responsible. If you, as the ONner 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 ZephyrhilJ~.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECT10N 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 - Ho.eowner's Protection
<br />Guide. prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is soaeone 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 inforaation in this application is accurate and that all work will be done in coapliance Nith all
<br />applicable laws regulating construction, zoning, and land developaent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as injicated. '1 certify that no work or
<br />installation has coalenced prior to issuance of a per.it and that ~ll ~ork will be perforled to aeet standards of all laws
<br />regulating construction, City codes, zoning regulatiolls, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern.ental agencies aay apply to the intended work, and that it is
<br />ay responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not liaited to:
<br />I Depart.ent of Environaental ReQulation - Cypress Bayheads, Wetland Area~ and Environaentally Sensitive Lands,
<br />Water/Wastewater Treataent
<br />I Southwest Florida Water "anaQelent District - Wells, CYP"ess B3yheads, Wetland Areas, Altering Watercourses
<br />f Anv Corps of EnQineers .. S~d''J1l5, Docks; Mll\l'i'Jab~,!! Wat~r"7jY<'
<br />f Denartaent of Health & Rehabilitative Services. Environaentcl He~j!:~ unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I US Environ.ental Protection AQencv - Asbe,tos abatelent
<br />I also certify that, if fill aaterial is to be used in Flood lone "A' or 'A,etc,', it is understood that a drainage plan
<br />addressing a .colpensating volule. will be sublitted which is prppared 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 perlit prevent the Building Official froa thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code., Every perlit issued shall beco.e invalid
<br />unless the work authorized by such perlit is cOllenced within Sl~ aonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the work is r.o&.enced. One 90 day extension of tile, aay be
<br />allowed for the perait with fee charge of $15.00. The extensiDn sh~l' hp iequested in writing tD the Building Official. An
<br />apprDved inspection lust be logged during each six lonth period, or the project will be considered abandDned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT "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 />CO""ENCE"ENT. JOBS UNDER $2, 0 IN VALUE DO ~n. NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />SIGNATURE: CONTRACTqR
<br />
<br />STATE OF FLORIDA II
<br />COUNTY OF {/ ,4-:5 ~ 0
<br />The fc,regoing i~trLlment wa,;; ad,nc.h<ho<dged
<br />before me this - 9{~f:.r 5, 19~ by
<br />/ 'H .',
<br />,Y~ eJ '€..R-, (', Ie. . ,-c.;h~uJ
<br />who is personally known to m~ or who has
<br />produced !~-'R. : I) e R..:S Lie e IU 6 e...
<br />as identification and who did/did not
<br />t an oat/)
<br />
<br />BT~TE OF FLORIDA
<br />CQUiTY O.
<br />The Toregolng Instrument
<br />[ccfore me th is
<br />
<br />was acknowledged
<br />! 19_ by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Siyn~t
<br />-'ll1l .,
<br />(Nam~ ~ pedt Printed
<br />~~OTARY :=-UBLJ~
<br />
<br />
<br />.
<br />
<br />(Signature)
<br />
<br />(Name Typed, Pri~ted or Stamped)
<br />NOTARY PUBLJ C
<br />
<br />Zorary PUbllC, Stale of Florida at lar
<br />y Comm~);r;', F.~!';'l!S July 5. '993ge
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