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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 .ore restrictive-than Ci:y
<br />regulations. The undersigned assules 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 the contractor is not licensed as required by law, both the owner and contractor lay be
<br />cited for a lisdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (8131
<br />788-6611.
<br />
<br />Furthermore, 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 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 permitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~.
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<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 - Homeowner's Protection
<br />Guide. prepared by the Florida Department of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />.owner., I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />.owner. prior to cOlaencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIr
<br />I certify that all the inforlation in this application is accurate and that all work will be done in compliance with all
<br />applicable laws regulating construction, zoning, and land development.
<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 cOlmenced prior to issuance of a permit and that all work will be perfor.ed 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 work, and that it is
<br />my responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not liaited to:
<br />f Department of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Army Corps of EnQineers - Seawalls, Docks, Navigable Waterways '
<br />f Departlent of Health ~ Rehabilitative Services, Environmental Health Unit -:~ells, Wastewater TreatDent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abatement
<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. Mill 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 froD thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becole invalid
<br />unless the Mork authorized by such permit is cOllenced within six months of issuance, or if work authorized by the permit is
<br />suspended or abandoned for a period of six .onths after the tile the Mork is comienced. One 90 day extension of time, lay be
<br />allowed f~r the permit 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 month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: Y~UR FAILURE TO RECORD A NOTICE OF COHMENCEMENT MAY 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 COMMENCEMENT".
<br />
<br />~,A -:1~
<br />SIGNATUR~ OR AGENT
<br />
<br />G'~~
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />-
<br />
<br />ST~TE O~ FLORIDn
<br />COUihY OF' PF15C 0 _
<br />The foregoing instrument was acknowledged
<br />before me thist2-'1f{CJf-/e~ 1923 by
<br />
<br />Co,' / ;, A-1tl t? roo~
<br />who is personally kn~wn 0 me ~Ir.who has
<br />- \ . I \ L-
<br />produce +- OT \ <:" -II t" \ J4 rS \~C c:.-
<br />as id tification and who did/did not
<br />take an oath.
<br />
<br />fjfr~
<br />
<br />STATE OF FLORI~
<br />COUNTY OF r' /9-s .G 0
<br />The foregoing instrument was acknwwl~dged
<br />befcq-e me this E}11tl.cfi' 18 , 19~ by
<br />
<br />IL-Itur !taK
<br />
<br />who is personally known to me or who has
<br />produced 'F \ c. r:J p 'Dr \'J~ ('i L \' t1
<br />as idel . ficatioil and who did/did not
<br />take clath.
<br />
<br />
<br />;:! " (. z.. f
<br />or Stamped)
<br />
<br />
<br />s~n~ture) ~ I
<br />l.( !:..A ItJ A yJ-\ C IJ) I u.-
<br />(Name Typed, Printed or
<br />NOTARY PUBLIC
<br />NOTARY PUBLIC, STATE OF FLO~IDA..
<br />MY COMM.SSION EX,'U,ES: APRIL i 6, 1993
<br />BON.oL;O Tdf<U l'l.OTAH.'f PUBLIC UNDEHWRiTIiiRS,.
<br />
<br />..Jd bc;vIoZ./
<br />Stamped)
<br />
<br />NOTARY PUBLIC, STATE OF FLORIDA.
<br />MY COMMISSION EXPIRES: APRIL 16, 1993-
<br />BONDED THRU NOTARY PUBL.IC UNDERWRITERS.
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