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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" Ilhich 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 lIork, they lay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by lall, both the owner and contractor lay be
<br />cited for a lisdeleanor violation under state IaN. If the owner or intended contractor are uncertain as to Ilhat licensing
<br />requirelents lay apply for the intended Ilork, they are advised to contact the City of Zephyrhills Building Departlent, 18131
<br />788-6611.
<br />
<br />Furtherlore, if the ollner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of the
<br />"Contractor Sections" of this application for Ilhich they Ilill 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 Ilork. 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 FEES
<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 Lall - Ho.eollner's ProtectiDn
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />"ollner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />"ollner" prior to cOI.encelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all 1I0rk Ilill be done in cD.pliance Ilith all
<br />applicable lalls 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 Ilork or
<br />installation has cOllenced prior to issuance of a perlit and that all Ilork Ilill be perforled to leet standards of all lalls
<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 1I0rk, and that it is
<br />IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not liaited to:
<br />, Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands,
<br />Water/Wastellater Treatlent
<br />. Southllest Florida Water KanaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />. ArlY Corps of EnQineers - Seallalls, Docks, Navigable Waterways
<br />, Departlent of Health L Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />, 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 Ilhich 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 Ilith the Ilork 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 fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becoae invalid
<br />unless the Ilork authorized by such perlit is cOltenced within six lonths of issuance, or if Ilork authorized by the perlit is
<br />suspended or abandoned for a period of six .onths after the tile the work is cOllenced. One 90 day extension of tile, lay be
<br />allolled for the perlit Ilith fee charge of $15.00. The extension shall be requested in writing to the Building Official. ~n
<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 CO"KENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COKKEMCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKKENCEKENT".
<br />
<br />~ /
<br />I /' _____ t!;A ~.-/tf
<br />SIGNAT : OWNER OR Asfr>
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLOR~
<br />COUNTY OF -V:4S CA',
<br />The foregoing instrument was ~~nOWledged
<br />befc.re me th i s \'i\LL-\ I"'; , 19 by
<br />,- /'i (~
<br />, ) . )t~-\~ v /lr,Q
<br />who is ersonally known to me or who has
<br />produced . +(f\Jl ~J f""~\ ,'''''' ~ ~"
<br />a identificatio and who 'd/did not
<br />t k;.9 ath.
<br />,!lv,
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />befc'l-e me this
<br />
<br />was ackoc,wledged
<br />, 19_ by
<br />
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />'nted or Stamped)
<br />
<br />CINDY BOOKER
<br />-.: ~." MY COMMISSION' CC 192026
<br />'. ~ EXPIRES: May 19. 1996
<br />. Jif.:., ~." 8MIIId Thrn NoIary Pubic tlndIIIwritln
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