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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" Nhich lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for cOlpliance Nith any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ONner has hired a contractor or contractors to undertake Nork, 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 ONner and contractor lay be
<br />cited for a lisdeleanor violation under state IaN. If the ONner 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 Departlent, (8131
<br />788-6611.
<br />
<br />Furtherlore, if the ONner has hired a contractor or contractors, he is advised to have the contractorls) sign portions of the
<br />.Contractor Sections" of this application for which they Nill 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 FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided Nith a copy 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 cOllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all MOrk Nill be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
<br />
<br />Application is hereby lade to obtain a perlit to do MOrK and installation as indicated. I certify that no worK or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
<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 work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />f Deoartlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Deoartlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environaental 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 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 perlit issued shall becole invalid
<br />unless the work authorized by such perlit is COllenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the worK is cOllenced. One 90 day extension of tile, lay be
<br />allowed for the perlit 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 lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECO NOTICE OF CO"KENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROYE"ENTS TO YOUR
<br />PROPERTY. IF BTAIN F ANCING, NSULT WITH YOUR LENDER OR AN RECORDING YOU CE OF
<br />COKItEMC . J R $ ,500 IN LUE DO T NEED TO RECORD AND POST " NOTIC F OMENC KENT""
<br />
<br />SIGNATURE: OllNER DR AGENT fJ~$btJAl-.I-Y
<br />
<br />
<br />
<br />
<br />j7t:;/CSo/VA I.A_Y jC~1\!
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF lAseD
<br />The foregoing instrument was acknowledged
<br />before me this ..:no..JE q., 19~ by
<br /><7
<br />AAY ~])A}J/~
<br />who lis personally ~mown to me or ~d9D has
<br />pF8euced
<br />as identific~tion and who did/did not
<br />take a~ath.. .2,
<br />#~_.J 0.., ~---J~
<br />(Signature) tI
<br />k/~TI-/L.c;::.e.AJ J r;etrt-J~
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI C
<br />
<br />STATE OF FLORIDA
<br />COUHTY OF P fiSc...-c::>
<br />The foregoing instrument
<br />before me this ~~u~/.E
<br />
<br />was acknowledged
<br />'-I, 19~ by
<br />
<br />-::7
<br />1. Ii If 7}lhJt eLS
<br />who is persc.nally known to me -&r ...I'L' I,..",
<br />--p r Eo Ehu: eel
<br />~& id&nt;fLc~ti~ and who did/did not
<br />take an...yath.
<br />~~;;el J~-c--J t. Z~p., ~.fA J
<br />(Signature) i
<br />KA nil ~ _ T. /<.R#wN
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI C
<br />
<br />
<br />~
<br />
<br />--.aN J. BROWN
<br />-----... of Florida
<br />Mreomm. Exp. April 2, 1995
<br />Comm. # CC , ;5G' 7
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