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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlitiaf be subject to "deed restricti~ns" which I~y be lore restrictive than City
<br />regulations. The undersigned assules 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 NorK, they may be required to be licensed in accordance with
<br />state and local regulations. If the;Oi'ontractor is not licensed as required by law, both the owner and contractor lay be
<br />cited for a lisdeleanor 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 ~dvised to con\act the City of Zephyrhills Building Departlent, (8131
<br />7BB-bb11.
<br />
<br />Further.ore, if the owner has hired a contractor Dr contractors, he is advised to have the .contractor(sl 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 c~ntractor 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 ZephyrhilIs.
<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 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 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 developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do Nork and installation as indicated~ I certify that no work or
<br />installation has COllenced prior to issuance of a perlit and that all work will be performed to leet standards of all laNs
<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 governmental agencies lay applY' to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liaited to:
<br />I Departlent of Environlental ReQuIation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Waterc~urses
<br />I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I US Environlental Protection AQency - Asbestos abatelent
<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 "compensating volule" Mill be sublitted whicb 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 issuar.ce of a perlit prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, Dr violations of any code. Every permit issued shall becole invalid
<br />unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the permit is
<br />suspended or abandoned for a period of six lonths after the tile the work is cO&ienced. One 90 day e~tension of tile, lay be
<br />alloNed for the perlit 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 COMMENCEMENT MAY 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 RECORnING YOUR NOTICE OF
<br />COM"ENCEMENT. JOBS UNnER $2,500 IN VALUE DO NOT NEED TO RECOrtD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF P A.$~ 0
<br />The foregoing instrument
<br />before me thi~r0 'f:~
<br />
<br />was acknowledged
<br />, i9Q]'-i:Jy
<br />
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<br />SIGNAT : CONTRACTOR '
<br />~ft~ 'lv y~ 3'
<br />
<br />STATE OF FLORlnA
<br />COUNTY OF P A- S- <! D
<br />The foregoing_ i1lstl-umli'nt \folaS ackno\'lledged
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<br />
<br />SIGNATURE: OWNER OR AGENT
<br />A N I C ~TO p, Sum I J..- I;
<br />
<br />AHI<!.-ETO ? SUM 'hE ~-1N L 'fJ-..F<:;
<br />who is personally known to me or who has who is personally known to me or who has
<br />producedm4.<."YL.oNb DR. L 1t'/:A6C S-6~ -o,? -l'lo!!.- produced'-=:, Ae'({Ii:Il~ LI' J-..L{...;J.o -y.I,{, -2-0-;2//-1 ()
<br />as identification and whc. did/did nClt :3').$-G as identification and who did/did not
<br />take an oath. '\ -' take an oath. \ I' ,1_
<br />~~etJ.~ ~~~,tA~~
<br />(Signa woe) --.... (Signa .Llre) ,.
<br />EI-/ :LA&:r1Jf W, vl1 J ~ SA oc..U r;;;..t-.I z..fle~TI-I}\). WI N:;t..tOCAJ
<br />(Name Typed, Printed Dr Stamped) (Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC NOTARY PUBLIC
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