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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />~. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lore restrictive than City
<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 Dr contractors to undertake work, they may 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 lisdeleanor viDlation under state law. If the owner or intended contractor are uncertain as to Khat licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of 2ephyrhills Building Depart.ent, 18131
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 perlitting 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 - HOleowner's Protection
<br />Guide" prepared by the Florida Departlent 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 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 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 tD 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 jurisdiction. I also
<br />certify that I understand that the regulations of other governlental 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 lilited to:
<br />I Departlent of Environlental Requlation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />I Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I US Environlental 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 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 frol thereafter
<br />requiring a correctiDn of errors in plans, construction, or violations of any code. Every per_it issued shall becole invalid
<br />unless the work authorized by such per.it is cOllenced within six lonths of issuance, or if work authorized by the per_it is
<br />suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, lay be
<br />allowed for the perlit 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 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCE"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 RECORDING YOUR NOTICE OF
<br />
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<br />~:;':T~~J~~~~:;;: y~~ 00 WT ~D TO RE~D :;20T;;~
<br />
<br />SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTO~
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF (/ (I
<br />The foregoing instrument w
<br />befclre me this ~dv--e( J~
<br />\
<br />1)\.) \ ~'\e- S ~'\,~h-
<br />who is personally known to
<br />produced
<br />as identification
<br />take h.
<br />
<br />
<br />
<br />acknowledged
<br />9~ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />. The fOi-egc.ing instrumer~~"lV ckno\fJ1edged
<br />befcq-e me th i s ()). -c\ Up, 19 ~ by
<br />
<br />
<br />/'--.
<br />
<br />
<br />not
<br />
<br />L ell n n <<v I T
<br />who is personally known to me or who has
<br />produced
<br />as identification
<br />take an CJ.~th
<br />If
<br />
<br />me or who has
<br />
<br />(Signat
<br />
<br />
<br />/
<br />, Ke\ \~
<br />(Name Typed, Print d
<br />NOTARY PUBLIC
<br />
<br />Notary Public, State of Florida at Large
<br />My Commission Expires Oct, 29, 1995
<br />Bonded thrl: '-1,;;:1.:0';1""." ,\ .1':,... ',"J.,tea
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