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<br />I
<br />
<br />CONDITIONS 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 Dr contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations. If the contract~r 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, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of the
<br />'Contractor Sections' of this application for which they will be responsible. If you, as the owner sign as the contractDr,
<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 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 d~s~riDed doculent and prolise in good faith to deliv2i 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 cOlaenced 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 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 aciion~ i .ust ~d5~ ~u b~ in co.~lia"ce. Such agencies includ~ but are n~t l!.!~ed to:
<br />. Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />. Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health & Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abatelent
<br />. also c~rtify thit, if fill aaterial is ~u be ~~~j ~" fluud Zu~2 'A' ur 'A,etc.', it is understood that 0 drainage plan
<br />addressing a 'colpensating volule' will be sublitted 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 frot 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 perlit is COllenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended Dr abandoned for a period of six lonths after the tile the work is co.tenced. One 90 day extension of tile, lay be
<br />allowed for the pertit with fee charge of $iJ.JG. T~t ~A~cij2iG" shall be requ~sted in writing to the Building Official. An
<br />approved inspection lust be logged during each ~ix lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMME~:EMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, ZONSULT WITH lOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COKMENCEKENT. UN R $2,500 IN VALUE DO NOT NEED TO REtURD AND POST A 'NOTICE OF COMMENCEMENT'.
<br />
<br />
<br />STATE F flORIDA 'll h ~
<br />COUNTY OF ~ Jb
<br />The foregoing ~)t)~t wasa~~owledged
<br />before me this. , 19~1;Y
<br />
<br />=Pete, \tr-bOf\ ffiD .
<br />who is per na~ly known ~o me who has
<br />produced 'S C'e
<br />as identificat' n ~nd wh did
<br />take an oa
<br />
<br />
<br />mar-/o~
<br />
<br />(Name Typed, Printed Dr Stamped)
<br />NOTAFiU UBI. Ie
<br />
<br />(Signature
<br />
<br />Notary Plda. Stare r;I FIorfda at Large
<br />My ComlTfsslon expires March 15, 1993
<br />
<br />
<br />
<br />--;/
<br />
<br />CONTRACTOR
<br />
<br />STATE OF FLORIDA~
<br />COUNTY OF ~sco
<br />The foregoing insJryr.ent was a~1iwledged
<br />befor'e me this..s ~ ' 19 by
<br />
<br />-:r; b, w ,S rn .. t..-j,
<br />
<br />who is persona 11 y known to me or whc. has -7
<br />produced LJ~AA~__.P ~
<br />as identi'fication and who did/di n
<br />take an oi;lth. .L.
<br />
<br />(Signature) AA ~ il
<br />lflA"e;t L . ~!Jpt
<br />(Name Typed, Printe or Starn d)
<br />
<br />NOTARY PUBLIC,,,;,.
<br />?:;. lfomy Public. State of Florida
<br />~,"Ux Comm. .Exp. Mar. 17. 1995
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