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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait 'aay be subject to "deed restrictions' which lay be lore restrictive than City
<br />regulations. The undersigned assuaes 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 lay 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 lisdeaeanor 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, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors,',he is advised to have lhe contractorls} 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 FEES
<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 Departaent of Agriculture and Consuler Affairs. If the applicant is someone 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 />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 cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
<br />
<br />Application is hereby aade to obtain a perait to do work and installation as indicated. I certify that no work or
<br />installation has comaenced prior to issuance of a perait 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 aay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I aust take to be in coapliance. Such agencies include but are not lilited to:
<br />f Departlent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally 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 Departlent of Health & Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environmental Protection AQency - Asbestos abateaent
<br />I also certify that, if fill aaterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood that a drainage plan
<br />addressing a "colpensating volule" will be subaitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A permit 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 thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such perait is coalenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six aonths after the tile the work is coalenced. One 90 day extension of tile, lay be
<br />allowed for the perait with fee charge of tI5.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection aust bi logged during each six aonth period, Dr the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"HENCE"ENT 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 />CO" NCE"ENT. JOBS UNDER $2,500 L DO NOT NEED TO RECORD ND POST A 'NOTICE OF COMMENCE .
<br />
<br />
<br />S
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF ~ f\S ~O
<br />The foregoing i~ument
<br />before me this ~b
<br />
<br />~.
<br />.
<br />
<br />~
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF ~I\Se 0
<br />The foregc1ing instnrlment was acknc,wledged
<br />befc.re me this 8/.1 ~ , 19~ by
<br />,
<br />
<br />J e...R 00-- "t" W. PAR I~ G I?
<br />who is personally known to me or whn h~~
<br />~l oduC:l:d
<br />as identification and who ~did not
<br />take an oath~
<br />'1") .A~--o _ Yf\~l21.u <} .A,
<br />" -
<br />(Signatw-e)
<br />\l\ \), ~ tV {)'\. 'R L{ .5 fI
<br />(Name Typed, Printed or Stamped)
<br />NOT ARY PUBL I C Notary Public. State of Florida
<br />My Commission Expires Feb. 9. 1993
<br />
<br />was acknowledged
<br />, 19iL by
<br />
<br />:J ~~D fl"\ ~. W.
<br />who is personally
<br />preaLlE:~d
<br />as identification and who ~/did not
<br />take an oath.
<br />LJ_..l..A ~ _
<br />(SignatUl-e)
<br />\) \ \') l A 1V.....J:l)., 1=\ U 6 J-l
<br />(Name Typed~ Printed or Stamped)
<br />NOTARY PUBLIC Notary Public, State of Florldli
<br />My Commission Expires Feb. 9. 1993
<br />
<br />PARt<Gtr
<br />known to me or \*~ h~5
<br />
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