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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The und~rsigned understa~ds that this perlit 'lay be subject to "deed restrictions" which may 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 or contractors to underta~e 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 lisdeleanor violation under state IaN. If the ONner or intended contractor are uncertain as to what licensino
<br />requirelents lay apply for the intended HorK, they are advised to contact the City of Zephyrhills Building Department, (813)
<br />788-6611.
<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 ONner 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 LA~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided ~ith a cop~ 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 cOI.encelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIl
<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 d~ worK and installation as indicated, I certify that no work or
<br />installation has coaaenced prior to issuance of a perait and that all worK will be perforted to leet standards of al! laws
<br />regulating construction, City codes, zoning regulations) and land developlent regulations in the jurisdiction. ! also
<br />certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is
<br />ay responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liaited to:
<br />I Department of Environ.ental ReQulation - Cypress Bayheads, W~t]and Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Aray Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services, Environ_ental Health Unit - Wells, Wastewater Treataent, Septic Tanks
<br />I US Environaental Protection AQency - Asbestos abatement
<br />I also certify that, if fill tateriaiis t~ bE useri i~ Flood Zone "A" Dr "A,etc,", it is understood lhai d dldindye pldn
<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 correction of errors in plans, construction, or violations of any code. Every pertit issued shall becole invalid
<br />unless the worK authorized by such pertit is cOllenced within six tonths of issuance, Dr if work authorized by the permit is
<br />suspended Dr abandoned for a period of six lonths after the tile the work is comaenced. One 90 day extension of time, lay be
<br />allowed for the pertit 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 to nth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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 />CD"ENeE'ENT. J as UNDER 12.5'0 IN VALUE AD NOT NEE' TO RECDR' T A .'OTICE O~ENCE'ENT"
<br />
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF ~.:l !'lr'n
<br />The foregoing instrument
<br />before me this April 20
<br />
<br />..Jas acknowledged
<br />19~ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF p~~o
<br />The foregoing instrument was acknowledged
<br />i'Jefcl\-e me th is J\p:r:il' 20 , 19 --2L by
<br />
<br />_ Jeffrey E ~ Miller
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and whD cJ"n:j/did not
<br />take an D
<br />
<br />Sid .Maxwell
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification not
<br />take an 0
<br />
<br />(Signature)
<br />Ruth L. Gill
<br />(Name Typed, Pl- i nt _
<br />NOTARY PUBLIC ~
<br />
<br />
<br />(Signature)
<br />Ruth L. Gill
<br />(N~~e Typed, Printed
<br />~OT ARY -E-LLBL I C
<br />
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