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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTJ~NS
<br />The unders~gned understands that this pertit may be subject to "deed restrictions' which lay be lore restrictive than City
<br />regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ONner has hired a,contractor or contractors to undertake ~ork, they may-be r~q~;red to be licensed in accordance with
<br />state and Iocalregulafions'. If the contractor is not. licensed. as required. by law, both' the owner and contractor Uf be
<br />cited for a .isde.eanor violation under state IaN. If the owner or intended contractor are uncertain as to what licensing
<br />require.ents .ay apply for the intended work, ihey are advised. to contact. the City of Zephyrhills Building Depart.ent, (813)
<br />788-6611.
<br />
<br />Furtherlore, .if the owner has hired a contractor or contractors, he is advised to have the contractor!s) 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 per.itting 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, th~ applicant, have been provided Nith a copy of "Florida's Construction Lien Law - Ho.eowner's Protection
<br />Guide" prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs. If the applicant is so.eone other than the
<br />"owner", I certify that I have obtained a copy of the above described docu~ent and promise in good faith to deliver it to the
<br />"owner" prior to cOltencelent.
<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 co.pliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
<br />
<br />Application is hereby .ade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has coa.enced prior to issuance of a perait and that all work will be perforled to meet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is
<br />'Y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treataent, Septic Tanks
<br />f US Environaental Protection AQency - Asbestos abatelent I
<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 sublitted which is prepared by a professional engineer registered in the state of
<br />Florida prior to pertit issuance.
<br />
<br />A pertit 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 per.it prevenLthe 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 perlit is cOllenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspehded or abandoned for a period of six lonths after the tiae the work is cOI.enced. One 90 day extension of ti~e, 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 .onth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 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 />C~I:~OB~R ~"~'Al", 00 NOI NEED " RECORD AND POSI A 'NOT1CE OF COMMENCE'E"',
<br />
<br />
<br />
<br />SIGNATURE: OWNER OR AGENT '1 SIGNATURE: CONTRACTOR
<br />
<br />
<br />STATE OF FlOR~A .
<br />COUNTY OF fl AS;. CO
<br />The foregoing' i.nstrttment was acknc.wledged
<br />befo}-e me tt,,'.i s TAIIUMI ;I" 19 q '3 by
<br />
<br />who iJ;~:n~~]~ ~;:~~r
<br />
<br />produced \-- L I) t , J e 'u:_ v1 C
<br />as ide ification and whcl did i:Iid not__
<br />
<br />take ~ ((!d/~
<br />
<br />~naJ;.l-lre) . rv '11
<br />'0 \.{ ~ l\ IV ~ rn C L D l-L.-n......
<br />(Name Typed, Printed or Stamped)
<br />NOTAfiY PUBL I~OTARY PUBLIC, STATE OF FLORIDA.
<br />MY COMMISSION EXPIRES: APRIL \6, 1993.
<br />BONDED THRU NOTARY PUBL.IC UNDERWRITER.
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />befc'l-e me this
<br />
<br />was acknowledged
<br />19_ by
<br />
<br />
<br />who is personally
<br />pl-oduced
<br />as identification
<br />take an oath.
<br />
<br />known to me or who has
<br />
<br />and who did/did not
<br />
<br />(Signature)
<br />
<br />.
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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