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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRI::TIUNS
<br />The undersigned understands that this per~it.~y be subje=t to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assuses responsibility for cospll~nce with any applicable deed restrictions.
<br />
<br />B. UNL I CENSED CONTRACTOl3S AND CONTRP;l.G.TOR RESPl)NS 1.8 I LIT I E!2,
<br />If the owner has hired a contractor or contractors t~ undertak? work, they lay be required to be licensed in accordance with
<br />state and local regulations. If thecDnt~actor ~~not licens~d as r.equired by law, both the owner and contractor say be
<br />cited for a sisdeseanor violation under state l~w. If the own~r or intended contractor are uncertain as to what licensing
<br />requiresents say apply for the intended Hork, tlj2Y are advised to contact the City of Zephyrhills Building Departlent, (8131
<br />788-6611.
<br />
<br />Furthersore, if the owner has hired a contractor or contractor"~ hI! is advised to iBVP 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 contractor wishes you to sign
<br />as contractor that say be an indication that he is n~t properly licensed and is not entitled to persitting privileges in"the
<br />City of Zephyrhills.
<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 LaN - HoseoNner's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and Consuser 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 prosise in good faith to deliver it to the
<br />'owner' prior to cOllencesent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforsation in this application is accurate and that all worK will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developsent.
<br />
<br />Application is hereby sade to obtain a perlit t., III' worK and installation "as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all NorK will be perforled to leet standards of all laNs
<br />regulating construction, City codes, zoning regula~ions, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of Diner goverPfental agencies lay apply to the intended work, and that it is
<br />sy responsibility to identify what actions I lust taKe to be ir cospliance. Such agencies include but are not lilited to:
<br />I Departlent of Environsental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />~ater/Wastewater T;'atlent
<br />I Southwest Florida Water KanaQelent District - Bells, Cypr~~~ Bayheads, Wetland Areas, Altering Watercourses
<br />I Arsy Corps of EnQineers - Seawalls, Docks, Navigable Water~~ys
<br />I Departlent of Health ~ Rehabilitative Servires. Environsental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I US Environlental Protection AQency - A~hestos abatesent
<br />I alsD certify that, if fill saterial is to be used in Flood iun~ .A. or .A,etc.", it is understood that a drainage plan
<br />addressing a 'colpensating volute' will be sublitted 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 sh~ll issuance of a perlit prevent the Building Official fro! 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 perlit is cos,enced within six tonths of issuance, or if work authorized by the permit is
<br />suspended or abandoned for a period of six IDnths after the til~ tne work is com.enced. One 90 day extension 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 ea~,l six lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT KAY 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A .NOTICE OF COMMENCEMENT..
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF PA$/:!..D
<br />The foregoing instrument
<br />before me this Oc!:r- 7
<br />
<br />was acknowledged
<br />, 19~ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />befc,re me this
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />JD1+,0 L, M (LLS
<br />who is personally known to me Dr who has
<br />produced FDL.t+M4-;).D-47d. -4-fp c)4~-6 {;p 7!3/qC,
<br />s 'denti ficatiol1 and who .di.!I~iB T (<t.
<br />, -."
<br />take an c h.
<br />
<br />(SignatUl-e)
<br />
<br />
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<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
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