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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit ~ay 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 contracto~ Dr contractors to undertake work, they'may be required to be licensed in accordance with
<br />state and local regulations. . If' th'i!' confractor 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 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, (BI3)
<br />7BB-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 "ill 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 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 LaN - HOleoNner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture andConsuler 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 promise in good faith to deliver it to the
<br />"owner" prior to cOI.encelent.
<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 Dr
<br />installation has cOllenced prior to issuance of, a perlit and that all work will be perfor.ed 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 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 hut are not lilited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive :Lands,
<br />Water/Wastewater Treat.ent
<br />f Southwest Florida Water HanaQe.ent 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. Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environ.ental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill laterial 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 subaitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perait 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 issuance of a pertit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, Dr violations of any code. Every per.it issued shall becole invalid
<br />unless the work authorized by such perlit is cOI.enced within six Donths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the work is comaenced. One 90 day extension of tile, lay be
<br />allowed for the perait with fee charge of $15.00. The extension shall be requested in writing to ,the Building Official. An
<br />approved inspection must be logged during each six to nth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YtlUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY 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 RECORD AND POST A "NOTICE OF COMMENC MENT".
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />
<br />STATE OF fLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA ~ . /' /J
<br />COUNTY OF r (/');r.f u.. el/:)
<br />The foregoing instrument was acknowledged
<br />befcol-e me this t!J3-0'7, 19.2..3- by
<br />tt:.:O '--::>
<br />~m(/~f'C __
<br />~Iho is el- scina 11 y knoYIl1 to me or \"Iho has ~
<br />produced
<br />as identification and who did/did not
<br />
<br />ta~~e :;r1~~K f ~-th~/(
<br />\Sll;lna,~..un?) 'J:) ~ ;:::::'r
<br />Jt/lk'EAJ /1< ~~LL-L
<br />(!'!ameTYC/ld, Pdnted co)- Stamped)
<br />NOTARY PUBLIC J / /' ,_/. ..~
<br />c;; a..t{;JC /! ~(z<d
<br />~1;7/9~
<br />
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
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