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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it 'lay be s~bject ~o "deed restrittions' which lay be .ore restrictive than Clty
<br />regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTR~CTOR RESPONSIBILITIES
<br />If the owner has hired a contracto~ Dr contracto~s to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations. If tlij;"c'bnhactor isnoti'licensed as required by law, both the ownef 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 Depart.ent, [B131
<br />7BB-bb 11.
<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 r?sponsible for the work. If the contractor wishes you to sign
<br />as contractor that lay be an indication tha~ 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 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 Law - Hoeeowner's Protection
<br />Guide' prepared by the Florida Departlent of A9riculture and Consuler Affairs. if the applicant is sOleone other than the
<br />'owner', I certify that r have obtained a copy of the above described document and promise in good failh)o deliver it to the
<br />'owner' 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 will be done in coepliance with ,~ll
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby made to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to 'issuance of a permit and that all work will be performed 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 governmental agencies may apply to the intended "or~, and that it is
<br />IY responsibility to identify what actions I lust take to be !n cOlpliance. Such agencies include but are not lilited to:
<br />, Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - SeaMalls, Docks, Naviqable Waterways
<br />f Department of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />, US Environmental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill material is to be used in Flood Zone 'A" or 'A,etc.', it is understood that a drainage plan
<br />addressing a 'colpensating volule' Mill be submitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to permit issuance.
<br />
<br />A permit issued shall be construed to be :i 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 is~uance of a perlit prevent the Building Official fro. 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 cOltenced within six Bonths of issuance, or if wor~ authorized by the permit is
<br />suspended or abandoned for a period of six months after the tile the work is comaenced. One 90 day extension of tile, lay be
<br />allowed f~r the per.it with fee charge of $15.00. The extension shall be reqoested in writing to the Building Official. An
<br />approved 'inspection lust be logged during each six lonth period,or the project will be considered abandoned.
<br />WARNING WNER: R FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PR TV. IF YO TO OBTAIN FINANCING, CON ULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />
<br />
<br />CO'~CE NT. 'R "'500~i~ m TO RECOR":;;ND:~O;'EI:ENT"
<br />
<br />SIGNATURE: OWNER OR AGENT ~ SI6NATURE( CONTRACTOR
<br />
<br />
<br />fin') r~J<'; 5. J<Lc~ /~
<br />whc. is per 5~'~a 11 y ~,:nD~m to me or who ha!f
<br />produced ~Ef25l.rtJ fiLLI J<' /1)(: IL/ /L./
<br />as identification and who did/di~ Re~
<br />take,an oath '\._ . / l
<br />1r '\ /"/1 2> /1 '-'/ II~
<br />( j~~l)ftu_r:-e): ,__
<br />fir-.Lt:. lit L::. rn
<br />(Name Typed, Printed or
<br />NOTARY PUBLIC
<br />
<br />
<br />J<: /2 (,1 1ft
<br />Stamped)
<br />
<br />STATE OF FLORI~ ~ P ;_
<br />COUNTY OF EJ- ~ .~ () / JL, L (. c A~
<br />The foregoing instrument was acknowledged
<br />befcll-e me th i sm R& II (1, 19~);3 by
<br />
<br />--1l. !/.;l t-? '];> (j f!.J:5 ,
<br />who is per~oral1y known to me or who ~as
<br />pmduced (ti~tlvliLLI f( ,/1)&(,(.) /1..-'
<br />as iAentification and who did/tHe! net
<br />tak lan?',ath., hi
<br />
<br />(Si natLrle)
<br />I2L~/l/6 rn
<br />(Name Typed, Printed or
<br />NOTARY PUBLIC
<br />
<br />
<br />STATE OF FLORIPft\
<br />COUNTY O( , r' J It,! t::-LL IT :'>
<br />The foregoing instrument was acknowledged
<br />before me thisrYJl}(i!..: J1 9, 19rJ...:;L by
<br />"
<br />
<br />ARLENE M. KRUPA
<br />
<br />Notlry P"b:;c, State of Florid.
<br />My comm. expire. Feb. 20. 1995
<br />Comm. No. CC 085678
<br />Bonded through Notary Public Underwrltera
<br />
<br />ARLENE M. KRUPA
<br />
<br />Notary PUblic, State of FIOt'ld.
<br />My comm. expires Feb. 20, 1995
<br />Comm. No. CC 085678
<br />Bonded through Notary Public Underwrltera
<br />
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