<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it ..ay be subject to "deed restrictions" which .ay be lore restrictive than City
<br />regulations. The undersigned assu.es responsibility for cOlpliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor Dr contractors to undertake work, they maY-be requi;;dl~iicensed 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 .isde.eanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing
<br />require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (8131
<br />7BB-bbl1.
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<br />Furtherlore, if the owner has hired a contractor or 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 contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the
<br />City of Zephyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~,
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<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 - Ho.eowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If the applicant is so.eone 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.
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<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 develop.ent.
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<br />l
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<br />Application is hereby lade 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 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 />t Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f De artlent of Health & Rehabilitative Services Environlental Health Unit - Wells, Wastewater Treatment, Septic Tanks
<br />f 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 .colpensating volule" Mill be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
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<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 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 perlit is cOI.enced within six .onths 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 cOltenced. One 90 day extension of tile, lay be
<br />allowed 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 RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCE ENT".
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<br />STATE OF FlORID~
<br />COUNTY OF t"-A "SQ 0
<br />The foregoing instrument was acknowledged
<br />befclre me this O::tT 2. ,191~ by
<br />
<br />J \YD'-1 Sc> H "''''E.~
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />take an oath~,\ Q:YA. )2
<br />
<br />(Signature)
<br />
<br />NOIQ~ "mul.' S~"lte, or r.lu,,,,-
<br />(Name TyQ.e ".... .r llnl;Eo ,Dr ;:) \.amped)
<br />'1'(0 "'. liar es Ehrman. Jr.
<br />NOT A~ €;U.iIl.;Ubn Expires April 27, 1996
<br />Comm. No. CC 196771
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF TASCt 0
<br />The foregoing instrument
<br />before me this ~ Z
<br />
<br />was acknowledged
<br />, 19CJd--. bv
<br />, -'
<br />
<br />\
<br />\ j \~b'<' ~s.t".\4 p;p E:~
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />take an oa'h&;;;O~ ~CVV. _ ~
<br />
<br />( Signa tur el~otary Public, State of Florida
<br />Rebert Cllarles EllrR'laFl, J...
<br />(Name TlilijfC~Jlnnf.'!!sAA1\1ii/'l1rER'Apm~~~g16
<br />NOTARY PUBLltOinm. No. CC 196771
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