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<br />CONDI1iONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit .Iay be subject to .deed restrictions. which lay be lore restrictive than City
<br />regulations. The undersigned assules 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 lay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as requir~d by'.law, both the owne~ and contractor lay be
<br />cited for a lisdeleanor violation under state law. If the owner Dr int~nded contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 FEES
<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 offlgriculture and ConsulerAffairs. If the applicant is SOleone other than the
<br />.owner., I certify that I have obtained a copy of the above described doculent and prolise 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 .ade to obtain a per.it to do MOrk and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that aI' 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 govern.ental 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 Iilited to:
<br />f Departlent of Environlental Requlation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlV Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health & Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection Aqency - Asbestos abatelent
<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 "colpensating volule" will be sublitled 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 shall issuance of a perlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans,) construLtion, or violations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such perlit is cOllenced withIn six lonths Jf issuance~ or if work authorized by the perlit is
<br />suspended or abandoned for a period of six .onths after the tile the work is cOllenced. 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 .ust 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 CO""ENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR IKPROYE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />
<br />
<br />~T; 7" ~~T~' ro ~~.. AN'~CE; ~~NT"
<br />
<br />'SIGNATURE: OWNER Ot( AGEN SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORI~
<br />COUNTY OF LYe/A -<- e")
<br />The foregoing instrum;rt was acknowledged
<br />before me this ic:l/ ~ _, 19
<br />
<br />STATE OF FLORln~
<br />COUNTY OF ~o.I./' ._i)
<br />The foregoing instrument was acknowledged
<br />befc1re me this I.:L / 9 , 1914 by
<br />I
<br />
<br />.. 4h2/ oY ~f;
<br />who is perso~)711~ known o~e or who has
<br />produced G1:4 <~./~ L.u.~~.LJ ~
<br />as . ent' 'cation and who did/did not
<br />ake oath."
<br />
<br />
<br />(Signature) ..v? ~
<br />?;lVr t!..-I e.. " A~ /I U /J r
<br />(Name Typed, Print~d or Stamped
<br />NOTARY PUBLIC . ~ry Public. State of Florida
<br />MY. Comm. Exp Sept. 3. 1994
<br />
<br />(s~ature)
<br />7FT ~I e... (fr
<br />(Name Typed, Printed
<br />NOTARY PUBLI C
<br />
<br />fiw~
<br />or Stamped) .
<br />,. Neil
<br />My ~m~~I~pS1ate of Florida
<br />ept. 3. 1994
<br />
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