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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit .t~Y be subject to .deed restrictions. which lay be lore restrictive than City
<br />regulations. The undersigned assutes responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OMner has hired a contractor or contractors to undertake Mork, 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 .isde.eanor violation under state law. If the OMner or intended contractor are uncertain as to what licensing
<br />requirelents .ay apply for the intended work, they are advised to contact the City of ZephyrhillsBuilding Depart.ent, (813)
<br />78B-6611.
<br />
<br />Further.ore, if the owner has hired a contractor Dr 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 per.itting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN L.AW (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 Depart.ent 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 docu.ent and pro.ise in good faith to deliver it to the
<br />.owner. prior to co..ence.ent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation in this application is accurate and that all work will be done in co.pliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
<br />
<br />Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has co..enced prior to issuance of a per.it and that all work will be perfor.ed 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 govern.ental agencies .ay apply to the intended work, and that it is
<br />.y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not li.ited to:
<br />I Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Metland Areas and Environ.entally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />I Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Ar.y Corps of EnQineers - Seawalls, Do~ks: Mavigable Materways
<br />I Depart.ent of Health & Rehabilitative Services. Environaental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />I US Environ.ental Protection AQency - Asbestos abate.ent
<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 />addressing a .co.pensating volu.e. will be sub.itled which is prepared by a professional engineer registered in the state of
<br />Florida prior to per.it issuance.
<br />
<br />A per.it issued shall be construed to be a license to proceed with the work and not as authority to violatel cancel alter, or
<br />set aside any provisions of the technical codes, nor shall 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 per.it is co..enced within six .onths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six .onths after the ti.e the work is co..enced. One 90 day extension of tile, .ay be
<br />allowed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection .ust be logged during each six .onth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: VOUR ~AILURE TO RECORD A NOTICE OF CO""ENCE"ENT "AV RESULT IN YOUR PAVING TWICE FOR IHPROYE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMKENCfHENT. JOBS UNDER $2.500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEHENT..
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<br />X ~('~J) k~/.~A:v
<br />
<br />SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR '
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF P A < C.: /:)
<br />Th~,foregoing ins~rument
<br />before me this l.:l - ?
<br />.
<br />
<br />was acknowledged
<br />, 19 ~ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF PA f c. 0
<br />. The foregoing instrument
<br />before me this I ~ - ~
<br />.
<br />
<br />lo'Jas ac knolo'J I edged
<br />, 19.2.Z- by
<br />
<br />ffHo,P/.//d~ /( .5 RE(J..r
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an (a~f". i. /J ~ ./
<br />
<br />(Signatur~
<br />
<br />lJe? A/ w/lie-eL. c A(
<br />who is personally known to me Dr who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />,
<br />
<br />
<br />(Name Typed, Prin
<br />NOTARY PUBLI C
<br />
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
<br />~ -l!m- ,
<br />
<br />
<br />R. .. Hay.,....
<br />State of FIliIIlIa
<br />My Comm. EllD..-
<br />Comm. tce
<br />
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