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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pertit .tay be subject to "deed restrictions' which lay be lore restrictive than City
<br />regulations. The undersigned assutes responsibility for co.pliante with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contracto~ or contractors to undl!rtake work, they may be required to be licensed in accordance with
<br />state and local regulations. If tlii!' c'bnfractor is" not'ilicensed as required by law, both the owner and contractor tay be
<br />cited for a tisde.eanor violation under state IaN. If the owner Dr intended contractor are uncertain as to what licensing
<br />requiretents tay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent, (8131
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl sign portions of the
<br />'Contractor Sections" of this application for which they ~~II 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 aay be an indication that he is not properly licensed and is not entitled to peraitting privileges in the
<br />City of 2ephyrhills.
<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 Law - Hoteowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuaer Affairs. If the applicant is soaeone 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 coaaenceaent.
<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 co~pliance with ,all
<br />applicable laws regulating construction, zoning, .and land developaent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has coamenced prior to issuance of. a perlit and that all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the ~urisdiction. 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 />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liaited to:
<br />f Departtent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Aray Corps of EnQineers - Sea"alls, Docks, Navigable Waterways
<br />f Departaent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Hastewater Treatlent, Septic Tanks
<br />f US Environ.ental Protection AQency - Asbestos abate.ent
<br />I also certify that, if fill material is to be used in Flood Zone "A' Dr "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 perlit issuance.
<br />
<br />A perlit 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 perlit prevent the Building Official froa thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beeole invalid
<br />unless the work authorized by such perlit is cOllleneed within six tonths of issuance, Dr if workauthc'Ihed by the perllit is
<br />suspended or abandoned for a period of six tonths after the tiae the work is comuenced. One 90 day extension of tiie, lay be
<br />allowed f~r 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 lonth period, or the project will be considered abandoned. ---
<br />WARNING TO OHNER: YtlUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING THICE 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT",
<br />
<br />S~,"l
<br />
<br />STATE OF FLORID~
<br />COUNTY O{ -!-o.s CO
<br />The foregoing instru~ent was acknowledged
<br />before me thismdr9:l I( , 19...12 by
<br />
<br />D=-\ m 0-.$ C ~'\ ~ \ ~~____ ~
<br />who is personally known ~o me Dr who has
<br />produced f\ ~'\ \. d"h c9 '\\ '-.:Ie r"s , \ t-e nS q.
<br />as identification and ..,hc. ,~did nc,t
<br />take an oaG ~ (-;f WL~_
<br />
<br />(Signature) L I . I " n
<br />~ f;:)r-t:: e 17 . . vv \J ~ c.J
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />befc.re me th i s
<br />
<br />was acknowledged
<br />19_ by
<br />
<br />who is personally known to me or who has
<br />pl-oduced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed OJ Stamped)
<br />NOTARY PUBLIC
<br />
<br />;~\ii\~:r;:t... DOREEN L. WOOD
<br />{*; ,.ib.~ :*~ Mf COMMISSION fJ CC 191575 ecPIRES
<br />~~~l April 29. 1996
<br />"Rf..rr.~ BONOEIl THRU TROY FAIN 1NSlIWG.1IIl.
<br />
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