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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit ..ay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assu.es responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTOnS 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 with
<br />state and local regulations. If thf'"~actor is not~Iicensed as required by law, both the owner and contractor lay be
<br />cited for a lisdeleanpr violation under state law. If the owner or 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, (B131
<br />7BB-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor!sl 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 LA~ (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 Consuler Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained d 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 willI be done in cOlpliance with all
<br />applicable laws regulating construction, ~oning, 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 governmental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actiolJs I lust take to be in cODpIiance. Such agenl;ies include but are not lilited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, Wetlind Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater TrEat~p.nt
<br />f Southwest Florida Water KanaQelent District - Wells, Cypress B?yheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health & Rehabilitative cervices, Environlental Health Uiit - Wells, Wastewater Treatlent, Septic TanKS
<br />f US Environlental Protection AQency - A:oestos abatelent
<br />I a1$0 certify that, if fill ~~t~r!~l :5 ,~ t~ ~~~d in Fl}~~ 7~..~ "~" ~r "A,ptc."; ;t j; IJndpr;tood that a drainage plan
<br />addressing a .colpensating volule" will Le sublitted which is prepared by a prDfessional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A per.it issued shall be construed to be d 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 plan~, construction, or violations of any code. Every pertit issued shall becole invalid
<br />unless the work authorized by such pertit is cOllenced within six lonths of issuance, or if worK authorized by the perait is
<br />suspended or abandoned for a period of s;x lonths after the tile the Mork is cos.enced. One 90 day extension of tile, lay be
<br />allowed for the penit with fee charge Di $15.00. The extension shall be requested in Mriting to the Building Offic:ial. An
<br />approved inspection lust be logged durin~ each six lonth period, or the project Mill ,be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COK"ENCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AN ST A "NOTICE OF COMMENCEMENT..
<br />
<br />
<br />
<br />STATE OF FLORIDA ?
<br />COUNTY OF ~
<br />The foregoing instrument was acknowledged
<br />before me this~ ;tu , 19.1l.. by
<br />
<br />ID~ W i 'n V'\..
<br />who is ersona~lY .mown to m[Dor who has
<br />produced
<br />as identificatic.n and who did/did not
<br />t 'e an oath.
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF Q. :5 C. u
<br />The foregoing instrument
<br />before me thi5~ ~
<br />
<br />was acknowledged
<br />, 19.1i by
<br />
<br />io-n~ w ; VJ VI
<br />I-'ho i S@l-sonall Y ~;nowrr:>to me Dr who has
<br />produced
<br />as identification and who did/did not
<br />take ~"l oath.. /\ " d
<br />--=b- j' K ~ ~, L t.ftJ
<br />(Signatu t~ .". ._ t(
<br />~~~k_8J~j
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />o. Starf'l ied )
<br />
<br />NotafY puont, state 'Of Florida
<br />My Commission ExpirES Sept. 2. 1992
<br />
<br />Notary pubnc, State 'of Florid!
<br />My Comr:;j"s'o~ Expir2S SeDt. 2. 199"2
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