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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. 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 cOlpliance 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 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 eay be
<br />cited for a lisdel~anor violation under state law, If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (813)
<br />788-6611.
<br />
<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to h2ve the contractorls) 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 yo~ 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 FEE2
<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 - Heleewner's Protection
<br />Guide" prepared by the Florida Departsent of Agriculture and"CG'1Sifl~r Affairs. If the appl icant is sOlleone 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 COtlencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVII
<br />I certify that all the inforsation 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 made to obtain a persit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a permit and that all work will be performed to leet standards of all laws
<br />regulating construction, City codes, zoning re~ulations, and land developllent regulations in the jurisdiction. 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 />sy responsibility to identify what actions I lust take to be in compliance. Such agencies include but are not lilited to:
<br />f Depart_ent of Environ_ental ReQulation - Cypress Fayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />t Southwest Florida Water ManaQelent District - Wells, Cypress Fayheads, Wetland Areas, Altering Watercourses
<br />t Ar_y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />t Depart.ent of Health & Rehabilitative Services, EnvironMental Health Unit - Wells, Wastewater Treatment, Septic Tanks
<br />f Illi. Environmental Protection AQency - Asbp.stos abatellent
<br />I also certify that, if fill saterial is to be usetl in Flood Zone "AK or "A,etc,., it is understood that Q drainage plan
<br />addressing a "collpensating volume" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perait 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 perlit issued shall becole invalid
<br />unless the work authorized by such perlit is cOllenced within six months of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six sonths after the tile the work is cOlaenced. One 90 day extension of ti~e, lay be
<br />allowed for the perlit with fee charge of $15.00. The extension shdll be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six lonth period: or the project wi:l be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING THICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OFTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORr O.DING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER 2,500 IN VALUE DO NOT NEED TO RECORD ND POST A .NOTICE OF COM HeEKE .
<br />
<br />STATE OF FLORIDA ~ \ \ '
<br />COUNTY OF f"'\c. \'~a.. w~o
<br />The foregoing i~-~ment was a~~nowledged
<br />before me this fl l , 19~ by
<br />
<br />. \~,~la ~
<br />kn In to or who has
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY DE
<br />The foreg
<br />befcl\-e me
<br />
<br />~'tj' \09- ~J.O
<br />i ilKl-um,:nt I-Jas ackno\'II edged
<br />5 ~~1" L , 199...3- by
<br />
<br />
<br />pro
<br />as identification
<br />
<br />(Nam Typed, Prin,
<br />NOTARY PUBLIC
<br />
<br />(Signat r ) -S.
<br />
<br />(Name Typed, Printed
<br />NOTARY PUBLIC
<br />
<br />........., '- 11m,\< if:Ao'TIPTON
<br />~~\""'!'Si.;;'" .,'" I I . "U-~'
<br />!*tlli.'\~" .,.". :OM;,~iSSlOH /I CC 233547
<br />~;~a~i~! i.lVIRrs: 0ct00llr 6, 1996
<br />""'I1f..r,.<r.' 6on'.lt4 IImJ I<<IlaIy I'lIIIlIc ~
<br />
<br />",i&;.;r.\::~. BETTY JEAN 'TIPTON ~c!'I:1
<br />E*: :*~ MY COMMISSION' CC 233547 I
<br />~~ W EXPIRES: Oclober 6, 1996
<br />"~P.f.~'t, 1Iondecl11lru NoIIIy NlIic ~
<br />
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