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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTicE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlitaay be subject t;) "deed restrictions' IIhich laY be lore restrictive than City
<br />regulations. The undersigned assules responsibility for cOI~liance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ollner has hired a contractor or contrac~or5 to undert~ke 1I0rk, they lay be required to be licensed in accordance lIith
<br />state and local regulations. If the contractor is not licen~ed as required by lall, both the ollner and contractor lay be
<br />cited for a lisdeleanor violation under state lall. If the oNner or intended contractor are uncertain as to IIhat licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (BI3J
<br />78B-6611.
<br />
<br />Furtherlore, if the ollner has hired a contractor or contractors, he is advised to have the contractor(sJ sign portions of the
<br />'Contractor Sections' of this application for IIhich they lIill be responsible. If you, as the ollner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the lIork. If the contractor IIi shes 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 lIith a copy of 'Florida's Construction Lien Lall - HOleollner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If the applicant is sOleone other than the
<br />'ollner", 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 cO'lencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all lIork will be done in cOlpliance lIith all
<br />applicable lalls regulating construction, zoning, 'and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do Mork and ~nstallation as indicated. I certify that no lIork or
<br />installation has cOllenced prior to issuance of a perlit and th~t all 1I0rk will be perforled to leet standards of all lalls
<br />regulating construction, City codes, zoning regulations, and ~al\d developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governL~ntal agencies .ay apply to the intended lIork, and that it is
<br />IY responsibility to identify IIhat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />f Departlent of Environlental ReQulation - CYrress Bayh~ads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southllest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seallalls, Docks, Navigablp Waterways O'
<br />f Departlent of Health ~ Rehabilitative Services, Envitonlental Health Unit - Wells, Wastellater Treatlent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abatelent
<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" Mill be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />..
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<br />A perlit issued shall be construed to be a license to proceed lIith the lIork 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, construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the Mork authorized by such pertit is cOI.enced within six lonths of issuance, or if lIork authorized by the permit is
<br />suspended or abandoned for a period of six .onths after the tile the 1I0rk is co..enced. 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 IIriting to the Building Official. An
<br />approved inspection lust be logged during each six lonth period, or the project lIill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCeMENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECCRD AND POST A "NOTICE OF COMMENCEMENT'.
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<br />flJ)A,~/ ~~
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<br />SIGNATURE: OllNER OR AGENT . IGNATURE: CONTRA TOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF VC...~O
<br />The foregoing instrument
<br />before me this~Ck~~~
<br />
<br />was acknDwledged
<br />1 f;q'd- by
<br />, -
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF \t--:~0
<br />The foregoing instrument
<br />-, DefCtI-e me~i,is'~-~
<br />
<br />was acknowledged
<br />1:;' C\', .....
<br />, .~ uy
<br />
<br />"\r"-'-l\.c\ \Z'--I..~,\o,-'~
<br />
<br />who is personally known to me or who has
<br />
<br />produced
<br />
<br />as identification and who did/did not
<br />
<br />take an oath. ~_
<br />(I (r... "';:::"'-
<br /><-....c..-~--'''' --~-----",\.\"-,,,,~\. " .
<br />-
<br />(SAgnature)
<br />l 0\ \-ee() ~{c--~\
<br />(Name Typed, Printed or Stamped)
<br />NOTARY .E'lJBLIC
<br />...... ....
<br />;-*r ~~~.. OFFICIAL SEAL
<br />E _ \ COLLEEN STROTT
<br />, : My Commission Expires
<br />... .t... "..4/ JaIl. 20. 1996
<br />..;~.~OPf~:'" C')mm, Nu, CC 174750
<br />.........
<br />
<br />_ ~..,"\x:- <-....... C>=x:-'\.YC'("
<br />who is personally known to me or who has
<br />produced ~,=o{',-<\-o.. Cll.",~\\l"-c'-,,, \...\.c <..1\'<' _
<br />as identification and who did/did not
<br />t~e ~n ,oath. ~ '\.._ --'
<br />~"'-1\::..C'!CO XJ ~~
<br />(Signature)
<br />C' c",\\-C<,'(l S,\("\c>\-\-
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />.,~.~~. OFFICIAL SEAL
<br />'<1" ...
<br />.* ~... COLLEEN STROTT
<br />: : My Commission Expires
<br />\ i Jan. 20, 1996
<br />".~r~OPf~. C:>mm. No. CC 174750
<br />..........
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