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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this penit.ay be subject to '.ojeed restrictions" which aay be lore restrictive than City
<br />regulations. The undersigned assu.es responsibility for co.plidnce with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or cODtractors to undertake ~ork, they .ay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is'not 'iicensed as required by law, both the owner and contractor lay be
<br />cited for a .isde.eanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing
<br />reQuire.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, 18131
<br />788-bbl1.
<br />
<br />Further.ore, 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 .ay 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. CONSTRUC~ION 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 Depart.ent of Agriculture and Consu.er Affairs. If the applicant is soteone 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 co..ence.ent.
<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 cotpliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
<br />
<br />Application is hereby .ade to obtain a per.it to do work and installation as indicated'. I certify that no work or
<br />installation has co..enced prior to issuance of a per.it and ,hat all work will be perforted to teet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land rlevelop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govl!rnt~ntal agencies .ay apply to the intended work, and that it is
<br />'y responsibility to identify what actions I '~5t take to be in cotpliance. Such agencies include but are not lilited to:
<br />f Depart.ent of Environtental ReQulation - Cypress Bayheads, Wetland Areas and EnvirontentaIly Sensitive Lands,
<br />Water/Wastewater Treatment
<br />f Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways ,
<br />f Depart.ent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treattent, Septic Tanks
<br />f US Environ.ental Protection AQency - Asbestos abate.ent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc,", it is understood that a drainage plan
<br />addressing a "colpensating volu.e" will be sub.itted which is ?rp.pared by a professional engineer registered in the State of
<br />Florida prior to per.it issuance.
<br />
<br />A pertit 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 per.it prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall beco.e invalid
<br />unless the work authorized by such per.it is coa.enced within six lonths of issuance, or if work authorized by the perait is
<br />suspe~ded or abandoned for a period of six .onths after the tite the work is comtenced. One 90 day extension of ti.e, lay be
<br />allowed for the per.it 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 .onth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"KENCEKENT "AY RESULT IN YOUR PAYING TWICE FOR IKPROVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COK"ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF ~O""ENCE"ENT".
<br />
<br />~?~ W;:ei!R ~~~
<br />
<br />SIGNATURE: CONTRACTOR ~\.\ Ke U....J" II (~1M3
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />was acknowledged
<br />19 __ by
<br />
<br />STATE OF FLORIDA n
<br />COUNTY OF t::. Q. ::~ (' 0
<br />The foregoing \nstrument was acknowledged
<br />be-j"c1re me thisl'\\.\Cj 1<6+h _, 19 '''r2. by
<br />I
<br />---1rl (' !(e t).); ( [('(t. VIA S
<br />who is personallY known to m~ or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />tak~~~~~
<br />
<br />(Sign~-e) .
<br />1-< ~ a V\d~ T:)-cAJ c It j)
<br />
<br />(Name Typed~ Printed or Stamped)
<br />
<br />NOT ARY PUBL I C- Ill. """i Stll~e of F!orl:!a
<br />I'lO,rlry !'lI."C, .
<br />My Commbiw E):~'rcs luly 31, 1994
<br />a.6.nond Thru Tro.t Fain. Insuran,. In"
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who &id/did not
<br />take an oath.
<br />
<br />(SignatUl-e)
<br />
<br />(Name Typed, Print.o or St.mp.o>
<br />NOTARY PUBLIC
<br />
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