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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pertittay be subject to "deed restrictions' which lay be .ore restrictive than City
<br />regulations. The undersigned assutes responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they say be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
<br />cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requiretents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (8131
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor(s) 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 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 - HOleowner's Protection
<br />Guide" prepared by the Florida Departtent 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 cOllencelent.
<br />
<br />1 E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in COMpliance with all
<br />I 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 Dr
<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 governlental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cotpliance. Such agencies include but are not liaited to:
<br />f Departlent of Environtental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f De artlent of Health & Rehabilitative Services Environtental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f Environlental Protection AQency - Asbestos abatetent
<br />I also certify that, if fill taterial is to be used in Flood Zone 'A' or "A,etc.', it is understood that a drainage plan
<br />addressing a 'cotpensating volule" Mill be subtitted which is prepared 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 frol thereofter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall becole invalid
<br />unless the work authorized by such pertit is cOltenced within six lonths of issuance, or if work authorized by the permIt is
<br />suspended or abandoned for a period of six tonths after the tile the work is cosienced. One 90 day extension of tile, ~af be
<br />allowed for the perlit with fee charge of tI5.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six tonth period, Dr the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT IIAY RESULT IN YOUR PAVING TWICE FOR IMPROVEMENTS TO ';DUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COIIIIENCEIIENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMMENCEMENT',
<br />
<br />
<br />SISHAT~:/~~P~ Sb~~R~pt
<br />
<br />was acknowledged
<br />, 19 ~ by
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF <i? D
<br />. The foregoing instrument
<br />before me th is 8...3 \
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF ~.D{\ D
<br />The foregoing instrument
<br />before me this ~-3 \
<br />
<br />was acknowledged
<br />19l:1.:l- by
<br />
<br />who is pel sOrlall, WilLI na:::
<br />j3-l- E B LIe: l!d
<br />as identification and who did/did "~t
<br />take an oath '-<1_ 1\,-
<br />~ M-e.e.L\ I: ~*
<br />(Signature) ~e~c<'.q FO-\A.d-
<br />c....oVV\. t.. 'i-tJ: \ 0 - \(""i -<12-
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />t)udi ,~~~
<br />who is person11ly kn wn to me.~r ~h~ ~as
<br />produceS-
<br />as identification and who ~/did not
<br />take an oath '.0 \\
<br />~ bLeea.. I.:]:QM.UJ-\.
<br /><Signature) ~e.b€.u::...Q \'=G.,-\!:,1-
<br />tfJ()\.. e..'if : \t) - \9 -ql
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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