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<br />CONDITIONS OF PERMIT AFFJDAVI~
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it 'lay be subject to "deed restrictions" which lay be. lore,restrictive than City
<br />regulations. The undersigned assu.es responsibility for co.pliance Mith any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSrBILITIES
<br />If the owner has hired a contractor or contractors to undertake 1I0rk, they lay be r~qui~~icensed 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 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, (BI3)
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the cDntractorls) sign portions of the
<br />"ContractDr Sections" of this applicatiDn for Ilhich they Mill be responsible. If you, as the OWner sign as the contractor,
<br />you are indicating that you, rather than the cDntractor, are responsible for the wDrk.. If the contractor Mishes 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 CDPy of "Florida's Construction lien Law - HOleowner's Protection
<br />Guide" prepared by the FIDrida Departlent of Agriculture and Consuler Affairs. If the applicant is SDleDne other than the
<br />'owner", I certify that I have obtained a copy of the above described dDculent and promise in good faith to deliver it to the
<br />"owner" prior to cOllencelent.
<br />
<br />E. CONTRACTOR'SIOWNER'S AFFIDAVIT
<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 laMS regulating cDnstruction, zoning, and land development.
<br />
<br />Application is hereby lade to obtain a perlit to dD work and installation as indicated. I'certify that no Mork or
<br />installation has cOI.enced prior to issuance of a perlit and that all work will be performed to leet 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 may apply .to the intended work, and that it is
<br />IY r1rsponsibiIity to identify what actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to:
<br />, Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />, Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />, AllY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatment, Septic Tanks
<br />, US Environ.ental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood ZDne "AU Dr "A,etc.", it is understood that a drainage plan
<br />addressing a "colpensating volule" Mill be submitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A per.it issued shall be construed to be a license to proceed Mith the work and not as authDrity tD viDlate, cancel alter, Dr
<br />set aside any prDvisiDns of the technical codes, nor shall issuance of a perlit prevent the Building Official frot thereafter
<br />requiring a correctiDn of errDrs in plans, construction, or violatiDns of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such perlit is co..enced within six tonths of issuance, or if work authorized by the permit is
<br />suspended or abandoned for a period of six .onths after the tile the work is commenced. One 90 day extensiDn Df time, lay be
<br />allowed for the p~rlit with fee charge of $15.00. The extension shall be request~d in writing tD the Building Official. An
<br />approved inspection Dust be logged during each six lonth period, or the project will be (onsider~d abandon~d.
<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 TTORNEY.BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A OTICE OF COMMENCEMENT".
<br />
<br />
<br />STATE OF FlO~
<br />COUNTY OF r.45'(20
<br />The foregoing ~nstrument was acknowledged
<br />before me th is IfY/, J/Af 1922- by
<br />
<br />g,s. 13d-t 1/,()
<br />wh~ is personally known to me or wno has
<br />produced ~~r /...H_
<br />as identification and who did/did not
<br />
<br />~
<br />(8 :z;eO Mc~
<br />
<br />
<br />(Name Typed, PI-inCd 0\- Stamped)(!.C-o/bf<!L
<br />
<br />NOTARY PUBLIC ':)T.".RY PUGUC. STATE: OF FLORIDA
<br />
<br />'.1 CuiYJMiSSiON EXhl;ES: MAY 30. 1991
<br />,ONO.ED THRU NOTARy PUl,;i!..tc LlNOERWRI r.e;R~
<br />
<br />
<br />
<br />
<br />S ATURE: ~ONT~ACTOR
<br />S . ~. I:).u.i-t.' D /) :;,
<br />
<br />(
<br />
<br />STATE OF FLO~
<br />COUNTY OF r R}s-' (,A)
<br />The foregoing in~;.rA-lment vJas ackm'vJledged
<br />before me th is, Irtt:-JI AjI , 19~ by
<br />
<br />Sr: ~ DO)"
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