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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it.ay be subject to "deed restrictions" which .ay be .ore restrictive than Cit;
<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 owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations. If t~e contractor is not licensed as required by iaw, both the owner and contractor .ay be
<br />cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (813)
<br />788-6611.
<br />
<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to hav~ 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 .ay 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, the applicant, have been provided with 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 pro.ise in good faith to deliver it to the
<br />.owner" prior to cOI.ence.ent.
<br />
<br />E. CONTRACTOR'S/DWNER'S AFFIDAVIT
<br />I certify that all the infor.ation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
<br />
<br />Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has co..enced prior to issuance of a per.it and that all work will be perforled to .eet 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 govern.ental agencies .ay apply to the intended Mork, and that it is
<br />.y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not li.ited to:
<br />I Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Metland Areas and Environ.entally ~ensitive Lands,
<br />Water/Mastewater Treat.ent
<br />I Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Metland Areas, Altering-Matercourses
<br />I Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health l Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />I US Environ.ental Protection AQency - Asbestos abate.ent
<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 per.it issuance.
<br />
<br />A per.it 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 prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beCD.e invalid
<br />unless the work authorized by such per.it is co..enced within six lonths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six .onths after the tile the work is co..enced. One 90 day extension of tile, .ay be
<br />allowed for the perlit Mith fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be lDgged during each six lonth period, or the project will be considered abandoned.
<br />MARKING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT "AY 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 RECORD N6 YOUR NOTICE OF
<br />CO""ENCE"ENT. JOBS UNDER $2,500 IN VALUE NOT NEED TO RECORD A D POST A "NOTICE OF COM EN NT
<br />
<br />
<br />
<br />STATE OF FLO~
<br />COUNTY OF ~
<br />The foregoing instrument
<br />befol-e me thi~/S
<br />
<br />was acknowledged
<br />, 1911 by
<br />
<br />STATE OF FLORIDA \). ,..., <:: f"\ "
<br />COUNTY OF 'X ~L)
<br />The foregoing instr~lt
<br />before me this ,\~ ,-
<br />
<br />-
<br />\o'las ac kno\o'll edged
<br />, 193~y
<br />
<br />JtJ.-me.5 H.8, h7),ah-1
<br />who is personally known to me or who has
<br />produced .p~f-.soila....lly k no W 17
<br />as identification and who did/did not
<br />~ an oath. . ~
<br />~ f<l~ ~
<br />(SignatUl-e)
<br />'LSQ.r- /:;a.;-a.. /<a.. y S ha ve, r-
<br />(Name Typed, Printed or Stamped)
<br />NOT ARY PUBLI C
<br />
<br />who is ersonally known 0 me Dr who has
<br />produce
<br />as identification and who did/did not
<br />
<br />ta~ (~~ )~~~'S~
<br />(S~~tur~ Q (\.
<br />\,'Q)S.J B~SF:a~'-\-\~~\
<br />(Name Typed, Pril d or Stamped)
<br />NOTARY PUBLIC
<br />
<br />Notary Public, S!B~8 c' r::lc(:c<l a' !_~;r~ )
<br />My Commission b,jif~!5 ,.1.::} a, : .1J.;
<br />
<br />
<br />BETTY JEAN TIPTON
<br />MY COMMISSION' CC 233547
<br />EXPIRES: 0c1llber 8. 1998
<br />IIondId ThIu NoIIry PublIc tJncIeIwdeIq
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<br />;.
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