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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait 'aay be subject to 'deed restrictions' which may be ~ore restrictive than City
<br />regulations. The undersigned assuaes 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 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 aisdeaeanor 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 2ephyrhills Building Depart.ent, (8131
<br />788-6611.
<br />
<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 .ay be an indication that he is not properly licensed and is not ent'itled to per.itting 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 - Ho.eowner'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 document 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 work and installation as indicated. I certify that no work or
<br />installation has cO'lenced 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 develop.ent 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 />'y r1rsponsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not limited to:
<br />I Depart.ent of Environlental ReQulation - 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 Watercourses
<br />I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Depart.ent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />I US Environlental Protection AQency - Asbestos abatement
<br />I also certify that, if fill laterial is to be used in Flood Zone 'Aft or "A,eic,", it is understood that a drainage plan
<br />addressing a 'compensating volu.e' will be sub.itted 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 he a license to proceed with the work and noi 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 frot thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code, Every permit issued shall becole invalid
<br />unless the work authorized by such per.it is cOltenced within six tonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the ti.e the work is cOIDlenced. One 90 day extension of time, 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 must be logged during each six month 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 THICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDINS YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />~~w~
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />~~ L-ej~
<br />
<br />SIGNATURE: CONTRACTOR
<br />I
<br />
<br />
<br />STATE OF FLO~A
<br />COUNTY OF ' U1l:St! t)
<br />The foregoing instrument was acknowledged
<br />before me this )0 AJaI , 19~ by
<br />
<br />, e 4),/II;:}/11..5'
<br />who is personally known to m or who has
<br />produced
<br />as identification and who did/did not
<br />tak an oath. Q .
<br />
<br />nature) JAMES A. STONE
<br />
<br />ame TYR ' d)
<br />NOT ARY F'M~!{!;tDm. expires May 16. 1995
<br />CC110274
<br />
<br />STATE OF FLO~
<br />COUNTY OF or)1~~()
<br />The foregoing instrument was acknowledged
<br />befclj-e me th i s /(J jVoi/ 19 ~ by
<br />
<br />
<br />is pel-sc,na
<br />Pl-C1duced
<br />as identification and who did/did not
<br />ta e an oath.
<br />
<br />
<br />
<br />
<br />JAMES A. STONE
<br />(Name Typed, Pc i "'l~ryPub~tState of Florida
<br />NOT ARY PUBL Ie. My comm. expires May 16, 1995
<br />CC110274
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