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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlitaay 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 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 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 Departaent, 18131
<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 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 LA~ (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 sOleone other than the
<br />'owner', I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />'owner' prior to cOllencelent.
<br />
<br />~}
<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 developlent.
<br />
<br />J
<br />
<br />Application is hereby aade to obtain a perait to do work and installation as indicated. I certify thai no work Dr
<br />installation has coaaenced 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 />ay responsibility to identify what actions I aust take to be in coapliance. Such agencies include but are not lilited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally 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 EnQineers - Seawalls, Docks, Navigable Waterways
<br />f De artlent of Health & Rehabilitative Services Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f Environaental Protection AQency - Asbestos abatelent
<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 sub.itted 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 permit prevent the Building Official frol thereafter
<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 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 cOI.enced. One 90 day extension of tile, lay be
<br />allowed for the permit 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 />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COK"ENCEMENT "AY 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 />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST OF COMMENCEMENT".
<br />
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<br />
<br />(!/}i/YL-CL )}L-J-0-
<br />SIGNATURE: OWNER OR AGENT
<br />
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<br />
<br />
<br />STATE Of FLORIDA ~
<br />COUNTY OF
<br />The foregoing instrument
<br />befol-e me th is 9 -0:1
<br />
<br />was acknowledged
<br />, 1 9.!i..J:= by
<br />
<br />STATE OF FLORIDA . ~
<br />COUNTY OF ~ ~~
<br />The foregoing instrument
<br />befol-e me this '1- z..
<br />
<br />was acknowledged
<br />, 19~ by
<br />
<br />who is persc.
<br />pl-oduced
<br />as identification and who did/did not
<br />
<br />
<br />whet is pel-~,wn ~ or who has
<br />produced ~...~4I..~
<br />.
<br />as identification and who did/ id not
<br />take an c,at
<br />
<br />take a~~~ 4~
<br />
<br />(SignatLll-e)
<br />
<br />(SignatLri-e)
<br />
<br />
<br />
<br />or Stamped)
<br />ROBER1 C. lOCK
<br />y Comm [xp. 2-27-96
<br />onded By Service Ins. Co.
<br />No. CC183505
<br />
<br />
<br />(Name Typed, Printed
<br />NOTARY PUBLIC
<br />
<br />NOTARY
<br />
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