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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DE D RESTRICTIONS
<br />The undersigned understands hat this perlit 'Iay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersi~ 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 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 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 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 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 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 sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described doculent and pro.ise in good faith to deliver it to the
<br />"owner" prior to cOI.encelent.
<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 aade to obtain a perlit to do work 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 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 lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<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 Environaental 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 "coapensating volule" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A pertit issued shall be construed to be a license to proteed 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, construttion, or violations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such pertit is cO.lenced within six lonths of issuante, or if worx authorized by the perait is
<br />suspended or abandoned for a period of six lonths after the tile the work is cOI.enced. One 90 day extension of tiae, lay be
<br />allowed for the perlit Mith 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 OWMER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR IKPROYEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />C~"ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKKENCEKENT".
<br />
<br />e
<br />SIGM~
<br />
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<br />
<br />a~g~
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />
<br />known to me Dr who has
<br />
<br />STATE OF FLORIDA -'~
<br />COUNTY oF7'/ERAI/lA/fJO _
<br />. The foregc. i ng ins trument ~Jas a?);o~J I edged
<br />be:-=l\-e me thiSL,.~;t // , 19 by
<br />
<br />b/J did J? 8.f/112<J /J
<br />
<br />who is personally known to me or who has
<br />produced
<br />t. . -
<br />a h.
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF . PASCO
<br />The foregoing instrume~t was a~knowledged
<br />bef(ll-e me this. ~FPT 1~", 19...92- by
<br />...c' ....
<br />c.;;:==-
<br />
<br />
<br />and who did/did not
<br />"--;-
<br />
<br />(Signatur )
<br />6
<br />(Name Typed, Printed or Sta~pp.d)
<br />NO;r.ARY PUBLIC
<br />
<br />NOTARY PUBLIC STATE OF FLORIDA
<br />MY COMMISSION EXP. OCT.28,1994
<br />BONDED THRU GENERAL INS. UNO.
<br />
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