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<br />CONDITIONS OF PERMIT AFFIDAYIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pen.itlay be subject to 'deed restrictions' IIhi~h lay be lore restrictive than City
<br />regulations. The undersigned assutes resi'onsibility for cOlpliam:e with any applicable deed restrictions.
<br />
<br />B. UNL I CENSED CONTRACTO!:S AND CONTRf:\CTOR RESPONS I B I LIT I ES
<br />If the owner has hired a contractor or Ct.itractors to undertak2 work, they lay be required to be licensed in accordance lIith
<br />state and local regulations. If the cont,-ador is.not,licensed as required by lall, both the ollner and contractor lay be
<br />cited for a tisdeteanor violation under state law. If the owner or intended contractor are uncertain as to Hhat licensing
<br />requirelents lay apply for the intended ft01K, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the ollner has hired a con;ractor or 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 ollner sign as the contractor,
<br />you are indicating that you, rither than ~he c~r.tractor, are rp.5porsible for the work. If the contractor wishes you to sign
<br />as contractor that lay be an indication t.at he is not properly licensed and is not entitled to perlitting privileges in'the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACr FEES AND UTILITY CONNECTION FEE~
<br />
<br />D. CONSTRUCTION LIEN L~l (CHAPTER 713, FLORIDA STATUTES~ AS AMENDED)
<br />I certify that I, the applicant, have beE.1 provided lIith a copy of 'Florida's Construction Lien Lall - HOleollner's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and ConsuDer 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 proaise in good faith to deliver it to the
<br />'ollner' prior to cOI.encelent.
<br />
<br />E. CONTRACTOR'S/OWNER'SAFFIDAVIT
<br />I certify that all the inforlation in thi3 application is accurate and that all work will be done in cOlpliance lIith all
<br />applicable lalls regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a pHlit 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 lalls
<br />regulating construction, City codes, zoniDg regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regul?tions of other gover~lental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actioi ; I aust take to be in cOlpliance. 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 Treatlent
<br />f Southwest Florida Water "anaQement Distcl!Jl - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, DO[~5, Navigable Waterways
<br />f Departlent of Health & Rehabilitative ~ervices, Environaent~}_4~alth Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection AQency - A,bestos abateaent
<br />I also certify that, if fill laterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood that a drainage plan
<br />addressing a 'coapensating volule' Hill Ie sublitted which is prepared by a professional engineer registered in 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 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 froa thereafter
<br />requiring a correction of errors in plan,! construction, or violations of any code. Every per.it issued shall becole invalid
<br />unless the work authorized by such perli' is cOllenced within six aonths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of 5 x tonths after the tile the work is cOlienced." One 90 day extension of tile, lay be
<br />allowed for the perlit with fee charge 0' $15.00. The extension shall be requested in Hriting to the Building Official. An
<br />approved inspection lust be logged durin. each six lonth period, or the project lIill be considered abandoned.
<br />WARMING TO OWNER: YOUR FAILURE TO RECORI A NOTICE OF COKMENCE"ENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINAN' INS, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N TICE OF
<br />COM"ENCE"EMT. JOBS UN ,500 IN VALU. DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMMENCEMENT'.
<br />
<br />
<br />
<br />
<br />was acknowledged
<br />, 1';~ by
<br />
<br />"/ ~4~--a-l"
<br />known to mt: Cl}- who has
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF/~O ,
<br />The foregoing instrument was acknowledged
<br />befor'j:l;,~ th i 5 .S' - 2~' 19 -#.L by
<br />
<br />_~ c2-f'-/.J , .././. ~:'-'.z.-<-a.)
<br />who is personally known to me Dr who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />STATE OF FLORIDA jJ
<br />COUNTY OF ~-o
<br />The foregoing instrument
<br />befo e me this
<br />
<br />z
<br />w 0 is personally
<br />produced
<br />as identification
<br />take an oath.
<br />
<br />and who did/did not
<br />
<br />(Sign2.ture)
<br />
<br />(Signature)
<br />
<br />.
<br />
<br />(Name Typed, Pr i nted or Starrl! ,ed )
<br />NOTARY PUBLIG.
<br />
<br />(Name Typed, Printed
<br />NOTARY PUBLIC
<br />
<br />Cl)- Stamped)
<br />
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