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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this penitlBY lJ':! subject to 'jeed restrictic.ns" which lay be lore restrictive than City
<br />regulations. The undersigned assules responsibilit, for cOlpl~~ncp. with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTR~[;OP RESPONSIBILITIES
<br />If the owner has hired a contrar.tor or cc,ntrac:tors to underta-k;';~:=k; they Ill~y-b~ req'Jired to be licensed in accordance with
<br />state and local regulations. If th!'ton1ractor is not licensed a5 .equireo by la;;, :Jvth the owner and contractor lay be
<br />cited for a lisdeleanor violation under state law. If the owner or intended cOlitractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to co~tact the Ci~y of Zephyrhills Building Departlent, (8131
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contrartors, he is advised to have the contractor!sl sign portions of the
<br />"Contractor Sections" of this application for whic~ they Mill ~~ 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~
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<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been prcvided 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 a copy of the above described doculent and promise in good faith to deliver it to the
<br />"owner' prior to cOI.encelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is acrurate 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 work or
<br />installation has cOltenced 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 governsental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I tust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water "anaQelent District - Wells, Cypres3 Bayheads, Wetland Areas, Altering Watercourses
<br />f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterw~~s '
<br />f Departlent of Health &: Rehabilitative Services! Environlental Health Unit - Wells, liastewater Treabent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill laterial is to h~ used in Flood Z~ne 'A" or "A,etc.', it is understood that a drainage plan
<br />addressing a "colpensating volule" will be sublitted which is prepar2d 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 is~uance of a perlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or vioiations of any code. Every perlit issued shall bee ole invalid
<br />unless the work authorized by such perlit is cOllenced within six tonths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six tonths after the ti.~ the work is co.tenced. One 90 day extension of tile, lay be
<br />allowed for the perlit with fee charge of SI5.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logg~d during each six lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORU A NOTICE OF COMMENCEMENT HAY 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 />C~" ~'O NOI NEE' TO RECORO AMO PO'I . "NOIICE '~O"KENCE"ENI"' ..
<br />
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<br />
<br />SIGNATURE: OWNER OR AG NT SIGNATURE: CONTRACTOR
<br />
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF P O..J) GO
<br />The foregoing instrument was acknowledged
<br />befol-e me this ~:31""6b1\({~_19~ by
<br />
<br />. -:-:) R."N,-Lu E. t\.") . ff4' /"\.
<br />who is perfionally knowl to me or who has
<br />;:>n:,duced rl '~L -# 1\J' lJJO- ~Lj5-;:J(~- ~,<. \.p
<br />as identification and ~,o~id not
<br />take an oat~. .
<br />__~U"^ (' ff \ fu /L!v,.R~ \X
<br />(- gnatL\l-e), "..1. I,
<br />I ,^ ) It" I J...) I
<br />(Name Typed, Printed Stamped)
<br />NOTARY PUBLIC
<br />
<br />~\\\IIIl"'11 "Or:'FICI" L SEAL-
<br />~, .., PII ~~~ .,.... , tt'
<br />~~,~'8".!~"J'~ E' \""inn Riegler Barto ,0 ,
<br />::... ~.':O 11"4"'~ . . evnlres 1()18195'.
<br />~..,! t.;' :~; M'l CommisSlOll LJ\tI" '77
<br />~~}..'~ "f'itj CommisSion tce 1508,.
<br />.,,~~ c~ -v'~C(-$
<br />. '/'};n~~""
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