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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit 'Iay ~e subject tD "deed restricti~ns" which lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for cOlpllante 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'ton1rador 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 />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (8131
<br />788-6611.
<br />
<br />Furtherlore, if the ollner 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 la,y 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 FEE2,
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided lIith a copy of "Florida's Construction Lien Law - HOleollner's Protection
<br />Guide" prepared by the Florida Departaent 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 doculent 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 lalls regulating construction, zoning, and land developaent.
<br />
<br />Application is hereby aade to obtain a perait to do work and installation 'as indicated. I certify that no work or
<br />installation has coalenced prior to issuance of a perait and that all work will be perforled to leet standards of all lalls
<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 aust take to be in cOlpliance. Such agenci,es include but are not lilited to:
<br />I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />I Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterll~Ys
<br />I Departlent of Health L Rehabilitative Service5, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I US Environlental Protection AQency - Asbestos abat~aent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,etc.", it is understood that a drainage plan.
<br />addressing a "colpensating volule" will be subaitted which is prepared by a professional engineer registered in the Stat~ of
<br />Florida prior to perait issuance.
<br />
<br />A perlit issued shall be construed to be a license to proc~ed with the Mork and not as au~hority to violate, cancel alter, Dr
<br />set aside any provisions of the t~chnical 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 th~ work authorized by such per.it is COllenced within six lonths of issuance, Of if work authorized by the perlit is
<br />suspended or abandoned for a period of six aonths after the tile the work is COlienced. One 90 day extension of tile, lay 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 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 CO"KENCE"ENT KAY RESULT IN YOUR PAYING CE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY'BEFOR CORDING YOUR NOTICE OF
<br />COKKENCE"ENT. JOBS UNDER $2,500 IN YALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF 'COM" EKENT".
<br />
<br />(C~ j;J (}J~-,
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />
<br />STATE OF FL~R~ . A' .
<br />COUNTY OF ~
<br />The foregoing instrument
<br />befcl}-e me this \S"' D\7-. (!..
<br />
<br />STATE OF FLORIDA . ~ _..'~
<br />COUNTY OF 1..~!f.Y
<br />The foregoing instryment was acknowledged
<br />before me this /J?;I/4 , 19~ by
<br />
<br />Vi ET4 Ikh/JJoR.6
<br />
<br />was acknowledged
<br />, 19~ by
<br />
<br />,.l\.", _, :_ ',.r
<br />
<br />
<br />1+. ~
<br />
<br />\'\
<br />me Dr \l'lho has
<br />
<br />""fiLl is~;-'sL'nol~.=i ki-~:"~:'9 ~::
<br />produced _._.__......---
<br />as identificatIon and who
<br />an o.ath.
<br />
<br />d i did id nCtt
<br />
<br />rToduced
<br />as identification and who did/did not
<br />t~V) a.l.1 oath., 4~~
<br />.~h1 .
<br />(SignatLrce)
<br />L\ n b It r'h", L 14-i1 HIT E.
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC,
<br />
<br />
<br />NOTARY PUBLIC, STATE OF FLORIDA.
<br />MY COMMISSWN EXPIRES: April 14, 1995"
<br />.BONDED THRU NOTARY PUBLIC UNDERWIUTEBII
<br />
<br />"
<br />
<br />~
<br />
<br />LINDA M, LABONTE .
<br />Notary Public, State of Flonda
<br />My Comm, Expires Aug. 24, 1996
<br />No, CC218658
<br />
<br />.4
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