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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlitla, be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assules responsil,ility 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, th2Y 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 lisdeleanor violation under state IaN. If the owner Dr 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-bb 11.
<br />
<br />Furtherlore, 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 ~il! be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contracto~, are res,onsible 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 FEE~
<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 LaN - 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 described document and prolise in good faith to deliver it to the
<br />"owner" pr ior to cOI.encelent.
<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 cOlpliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
<br />
<br />Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has cO.lenced prior to issuance of. a per.it and that all work will be perforaed to .eet 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 liaited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, W2tland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways '
<br />f Departlent of Health ~ Rehabilitative Services, Environlenial Health Unit - Wells, Wastewater Treatlent, Septic TankS
<br />f US Environ.ental Protection AQency - Asbestos abatement
<br />I also certify that, if fill laterial is to be used in Flood lone 'A" or "A,etc,', it is understood that a drainage plan
<br />addressing a 'colpensating volute" will be sublittedwhich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A per.it issued shall be construed to be a liCEnse to proceed with the work and not as authority to violate, cancel alter, Dr
<br />set aside any provisions of the technical codes, nor shall !ssuance 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 work authorized by such per.it is cOI.enced within six lonths of issuance, or if work authorized by the perait is
<br />suspended Dr abandoned for a period of six tonths after the tile the work is cOlienced. One 90 day extension of time, lay be
<br />allowed .fOf the perlit 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 tonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAV RESULT IN YOUR PAVING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NCTICE OF
<br />'~~T: JOBS "~~R '2,500 I' VALUE DO 'OT NEEO TO RECORO ANO POST A "NOTI'E "ONKEN'E'ENT",
<br />
<br />l)L~a~
<br />
<br />SIGNATURE: OWNER OR GENT
<br />
<br />
<br />STATE OF FLORIDA~ ~ 1\
<br />COUNTY OF ~' ~
<br />The foregoing~s.tnlment was acknowledged
<br />before me th i-~'l ;;) 'ti'\ , 19 '1 '3 by
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF \ ct...Al2J~
<br />The foregoing instrument was acknowledged
<br />befc,,-e me this JAN. /:3. , 19~ by
<br />
<br />{;J IJ. , IV ~ U not /f1/v 11/
<br />who is personally known to me Dr who has
<br />prc.duced Pe/Z.JlJNA LL~ ~ wNh ~
<br />as id~ntification a' who dId/dId not
<br />
<br />t~~ hI.~
<br />
<br />( . gn ture) D
<br />Lv" /73 ~ 1-11 rn ' i\ /,of_D' E (. (
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
<br />tv. A rv -e WIY/ A N A)
<br />who is personally known to me or who has
<br />produced -PE(<.Sof\'~ }(f\lVINN ..-to ~
<br />as identification and ~o dId/dId not
<br />~~.':e__."a a~trh/;;(~ h1. ~
<br />~~.
<br />_ L <j1<.,':gcf.ff }yJ. R \.tt.S 5 t:LL
<br />(Nan:,? Typed, i='r i nted 01- Stamped)
<br />~mIBRY PUBL I C
<br />
<br />NoIBry Pubfic. Slate of Florida al Larg41
<br />Uy Commission Expires Aug. 28, 1 ~
<br />
<br />UJnvrn tf- Q.~0'13ol.,?
<br />
<br />:=~ Slate of Florida at Large
<br />c:, eJeplre. Aug. 28, 1_
<br />~, elf C( OY'30b J
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