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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A.- NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it .ay be subject to "deed restrictions" which .ay 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 undertake work, they .ay 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 .ay be
<br />cited for a .isde.eanor violation under state IaN. If the owner or intended contractor are uncertain as to what licensing
<br />require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (813)
<br />788-6611.
<br />
<br />Further.ore, 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 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 .ay be an indication that he is not properly licensed and is not entitled to per.itting 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 Law - HOleowner's Protection
<br />Guide" prepared by the Florida Depart.ent 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 docu.ent and pro.ise in good faith to deliver it to the
<br />"owner" prior to co..ence.ent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation in this application is accurate and that all work will be done in co.pliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
<br />
<br />Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has co..enced prior to issuance of a per.it and that all work will be perfor.ed to leet standards of all laMS
<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 .ay apply to the intended work, and that it is
<br />'Y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not li.ited to:
<br />f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />f Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health & Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />f US Environ.ental Protection AQency - Asbestos abate.ent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A" Dr "A,etc.", it is understood that a drainage plan
<br />addressing a "co.pensating volu.e" will be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it issuance.
<br />
<br />A per.it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, Dr
<br />set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, Dr violations of any code. Every per.it issued shall beco.e invalid
<br />unless the work authorized by such per.it is co..enced within six .onths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six .onths after the ti.e the work is co..enced. One 90 day extension of tile, .ay be
<br />allowed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection .ust be logged during each six .onth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCE"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 />CO""ENCEHENT. JOBS UNDER $2,500 IN VALUE NOT NEED TO RECORD D POST A "NOTICE OF COMMENCEMENT"
<br />
<br />
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF P A 6C,. D
<br />The foregoing instrument was acknowledged
<br />before me this 5/ J K , 19~ by
<br />
<br />:r eQo me W~ fueJ<e. f?
<br />who is personally known to me or \~P h~5
<br />p F BEl m: E: eI
<br />as identification and -w+-ro- did/did not
<br />take an clath.
<br />l)..I.~
<br />(Signature)
<br />\J') V I tl.-N
<br />(Name Typed,
<br />NOTARY
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF PAS ~ D
<br />The foregoing instrument was acknowledged
<br />befc.re me this 5/' X , 19~ by
<br />
<br />""J A. ,,\'V~. s ~t. ~ I t\J 4 h 'l. In
<br />who is personal I yknown to me 01" ..I,,, I,,~s
<br />~r9'dy~tilEJ-
<br />as identification and who ~did not
<br />take an oath.
<br />l)~
<br />(SignatUl-e)
<br />\)\\H 1+N ~.
<br />(Name Typed, Pri
<br />NOTARY PUBLIC
<br />
<br />~
<br />
<br />rr-.. .
<br />
<br />~
<br />
<br />m. RL/ sf/-
<br />Printed or Stamped)
<br />
<br />Notary Public. State of Florida
<br />VIVIAN M. BU,H
<br />My com",. Exp. 2.17.97
<br />Comrn. No. CC 26029B
<br />
<br />
<br />Notary Public, Stata ot Fl.rllll
<br />,/lVIAN M. BUSH
<br />My COII"n. bp. 2.1 t.,,,
<br />Comm. No. CO alOU'
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