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<br />. . CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Th~ und~rsign~d und~rstands that this perlit 'Iay b~ subj~ct to "d~~d r~strictions" which lay b~ lor~ r~strictive th~n City
<br />regulations. The undersign~d assules responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ONner has hired a c~ntractor 9r co~tractors to und~rtake Nork, they lay be ~equired to be licensed in accordance with
<br />state and local regulations. If the contractor is'not:1icensed as required by law, both the Clwner and contractor lay be
<br />cit~d for a li5d~l~anor violation und~r stat~ IaN. If th~ own~r or int~nded contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, th~y are advised \0 contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of the
<br />"Contractor Sections" of this application for which they will be responsible. If youI 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. I
<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, hav~ been provided with a copy of "Florida's Construction Lien LaN - HOI~owner's Protection
<br />Guid~" pr~pared by th~ Florida Departl~nt of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of th~ 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 AFFIDA'vIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with 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 Nork or
<br />installation has cOllenced prior to issuance of a pErlit and that all Nork Nill 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 govern.ental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify Nhat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, U~tland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQine~rs - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abatelent
<br />I als~ certify th~t, if fi!! !~t~ri~l i~ t~ bp ~sed in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "colpensating volule" Mill be suulitted ~hich is prepared by a professional engineer registered 1n the state of
<br />Florida prior to perlit issuance.
<br />
<br />A per.it issued shall be construed to be a license to proceed with the Mork 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 frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becole invalid
<br />unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six tonths after the tise 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 />WARNINS TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT "AY RESULT IN YOUR PAYING TWICE FOR IMPROVEKENTS 10 YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COKKENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND PO "NOTI F COMMENCEMENT".
<br />
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing in~t7was aCk.nOWledged
<br />before me this ~ 193~ by
<br />
<br />Cl y S e.... '0 e:..(..'t
<br />who is p rsonally known to me cr who k~s
<br />produced Pb L-
<br />as identification and who
<br />
<br />ta a~ ~:L
<br />
<br />( 1a.......-F>.'
<br />
<br />~_ ---JOrl-Y1
<br />
<br />~ Name Typed ~ Pro i ~ted
<br />NOTARY PUBLIC
<br />
<br />d.id/d id not
<br />
<br />d
<br />ere
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF BRpllAR~
<br />The foregoing instr~lment was acknowledged
<br />befc,re me this J~ _191. A, 19~ by
<br />- \
<br />6l Vf'S-/-Zl Jo';7h (.v fl1euve1t-
<br />who is persdnally known to m9 Dr who has
<br />iJI-oduced PO'-
<br />as identification and who did/did not
<br />
<br />an ~a h. t'~A
<br />( . g, Jature> ~ 1 I
<br />, _ ~/1 nl ' h~~'7C~ 'V(~4-'~L
<br />(Name Typed, Pd nted Dr ~mped)
<br />NOTARY PUBLIC (C (I S"PI1
<br />
<br />
<br />
<br />A.TE OF FLORIDA.
<br />~~T~~~~1~~~~N~~1~~~ ~~~i:~;v~'~RS.
<br />Il~NDED Tllf{U NO r"
<br />
<br />~r0r,\!~y p
<br />1" (LL'M VBLle, STATE
<br />Ii()Nu~W T~~SlON EXFJR."~!" FLORIDA
<br />NOTARY pUB{IC Jl'lle 5, J995
<br />NDERIVIUTERs"
<br />
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