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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait 'lay be subject to "deed restrictions' which lay be lore restrictive than City
<br />regulations. The undersigned assuaes responsibility 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, they aay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by laM, both the owner and contractor lay be
<br />cited for a aisdeaeanor violation under state la.. If the o.ner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended Mork, they are advised to contact the City of Zephyrhills Building Departaent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the OMner 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 Mill be responsible. If you, as the OMner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the Mork. 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 \CHAPTcR 7i3, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided Mith a copy of 'Florida's Construction lien law - HOleo.ner's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If the applicant is soaeone other than the
<br />'oNner", I certify that I have obtained a copy of the above described docuaent and prolise in good faith to deliver it to the
<br />"oNner' 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 .ill be done in coapliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
<br />
<br />Application is hereby lade to obtain a perlit to do Mork and installation as indicated. I certify that no Mork or
<br />installation h~s cOI.encPrl pri~r to i~~uanre of ~ perl~t and that all work Mill 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 actions I lust take to be in cOlpliance. Such agencies include but are not Iilited to:
<br />I Departlent of Environlental Requlation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands,
<br />i . Water/Wastewater Treatlent
<br />I Southwest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of Enqineers - SeaNalls, Docks, Navigablp WaterNays
<br />I Departlent of Health L Rehabilitative Services. Environtental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I US Environlental Protection Aqency - Asbestos abatelent
<br />I also certify that, if fill aaterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood that a drainage plan
<br />addressing a 'colpensating volule- MIii be SUD.l."~d _niLo i. prepared by a professional engineer reyistered in thp State of
<br />Florida prior to pertit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed Nith the Mork 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 perlit is cOllenced within six lonths of issuance, or if Nork authorized by the pertit is
<br />suspended or abandoned for a period of six lonths after the tiae the Mork is cOllenced. One 90 day extension of tile, lay be
<br />alloMed for the pertit Mith fee charge of SI5.0C. The extension shall be requested in Mriting to the Building Official. An
<br />approved inspection lust be logged during each six tonth period, or the project Mill be considered abandoned.
<br />WARNING IO~QWNER: YOU~ FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR IKPROVE"ENTS TO YOUR
<br />PROPERTY. If YOU INTEND TO OBTAIN FINANC!NG, CONSULT WITH YilUR lENDER ATTORNE FORE, ECORDING YOUR NOTICE OF
<br />~IOOEI<EOENI JOBS UNDER IZ,SOO IN VOllE 00 NOI NEED TO RECDRO D "NDIIC F C""N EKENI".
<br />
<br />
<br />---3~A ~-
<br />NA E: WNER OR AGENT
<br />
<br />~
<br />STATE OF ~. '
<br />COUNTY OF ~
<br />The foregoing i~~t~~ment was acknowledged
<br />before me this ~' /, ,19.u.. by
<br />
<br />~X?~
<br />
<br />who is per c'nally ~mown to me &1 "1.1..., I""""
<br />pi udul_ :c;d
<br />as identification and who ~/did not
<br />
<br />takean~~
<br />(SignatU1;9') OJ L
<br />tj./tR e- IV [JQ F I xJ (-r-
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC /l .
<br />JjOO W. L/t~~
<br />~ &.> J>(JJ-Jl&:>
<br />
<br />
<br />SID E OF FL~~
<br />CO NTV OF
<br />T foregc,ing il(e.trument \l'J8S acknc,wledged
<br />be ,,-e me th i s I!:.,d ~ ,1913.- by
<br />
<br />S~ lL qa/lan+
<br />who is~SonallY k~ to me or whc, has
<br />pl-oduce
<br />as identification al who did/did not
<br />take I oa h.
<br />
<br />
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