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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it 'Iay be subject to "deed restrictions" which may be lore restrictive than City
<br />regulations. The undersigned assu.es responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONS_.IBILITIE~
<br />If the owner has hired a contractor Dr contractors to undertake work, they may 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 />requireaents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (B131
<br />7B8-6b 11.
<br />
<br />Furtherlore, 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 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 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 so.eone other than the
<br />"owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the
<br />"owner" prior to cotlencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVII
<br />I certify that all the inforlation in this application is accurate and that all work Hill be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a pertit to do work and installation as indicated, I certify that no work or
<br />installation has cot.enced prior to issuance of a per.it and that all Nork will be performed to meet standards of all laws
<br />requlatinq construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other qovernment.al aqencies may apply to the intended work, and that it is
<br />.y r1rsponsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not limited to:
<br />f Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Department of Health ~ Rehabilitative Services, Environmental Health Unit - Wells,' Wastewater Treat.ent, Septic Tanks
<br />f US Environ.ental Protection AQencv - Asbestos abatement
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc,", it is understood that a drainage plan
<br />addressinq a "compensating volume" will be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to permit issuance.
<br />
<br />A pertit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, Dr
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br />requiring a correction of errors in plans, construction, Dr violatiDns of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such permit is comlenced within six lonths of issuance, Dr if work authorized by the permit is
<br />suspended or abandoned for a period of six lonths after the tile the Mork is comgenced, One 90 day extension of time, 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 inspectiDn lust be loqged during each six lonth period, Dr 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 COMMENCEMENT".
<br />
<br />~~~\~
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />/f)~~.gacLJ
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLO~A
<br />COUNTY OF ~~~
<br />The foregoing instrument was acknowledged
<br />before me th i s \0 \'50 , 199"a by
<br />
<br />STATE OF FLO~
<br />COUNTY OF <:::.,00
<br />The foregoing instrument was acknowledged
<br />befc,re me this \0\ ~C) , 19~ by
<br />.
<br />
<br />~ \. \~e."" \A~, ~(\
<br />who is personally known to me or who has
<br />pr oduc ed ~ ~~'{"'\Q ~\'-{ \( '('\.(')U.)'(\
<br />as identification and who did/did not
<br />
<br />ta~~~r-N'u d. ~~~
<br />
<br />(SiQnature) ~
<br />(\\-...~\(~.A\~Cl. l , ~'{-t\~S
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(.. \ )\\\\o.m ~, ~'H~,,~
<br />\.'lho is pm-sonallY kno\.'in to me Dr who has
<br />pl-oduced ~e.'{-~(\G \\~
<br />as identificat.on and who di /dld not
<br />take ~oath.. . ,--l n._
<br />~^,-I",hlY\.~I' '<5).. \....._n^~
<br />(Signature) _ .
<br />(' \.... '"'~\ ,",Ov \.. _ ~ '{"'"('\~
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
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