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<br />, CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DE2D RESTRICTIONS
<br />The undersigned understands that this per.it .ay be subject to "deed restrictions" which .ay be .ore restrictive than City
<br />regulations. The undersigned assu.es responsibility for co.pliante 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 law. If the owner or intended contractor are uncertain as to what licensing
<br />require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, 18131
<br />788-6611.
<br />
<br />Further.ore, if the owner has hired a contractor Dr 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 contractDr,
<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 per.itting privileges in the
<br />City of ZephyrhilIs.
<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 - Ho.eowner's ProtectiDn
<br />Guide" prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs. If the applicant is so.eone 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 Dr
<br />installation has co..enced prior to issuance of a per.it and that all work will be perfor.ed to .eet 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 .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 KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Depart.ent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,ete.", it is understood that a drainage plan
<br />addressing a "co.pensating volu.e" will be sublitted 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, or
<br />set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beeo.e invalid
<br />unless the work authorized by such per.it is cOllenced within six .onths of issuance, Dr if work authorized by the per.it is
<br />suspended or abandoned for a period of six lonths after the tile the work is cOI.enced. One 90 day extension of ti.e, lay be
<br />allowed for the per.it with fee charge of tI5.00. 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 COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROVEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COKKEMCEKENT. JOBS UNDER t2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKKENCEKENT".
<br />
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<br />I1)O~ a/C~
<br />
<br />SI6HATURE: OUNE R AGENT SIGNATURE: ONTRACTOR
<br />
<br />STATE OF FlORIDA0
<br />COUNTY OF ~
<br />The foregoing instrument was acknowledged
<br />before me this 'T~ I , 19~ by
<br />I
<br />W~ReN A
<br />who is perso~ally
<br />produced r~
<br />as i,dentification ~and who' d/did not. ~
<br />
<br />~i;;~1I~ HI. '~~}{
<br />Si nature} .~
<br />Lo~; ,,'itA m. 7'. uS J -e.. l L
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI C
<br />.........~..:::::~
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<br />
<br />STATE OF FLORIDA V 1::\
<br />COUNTY OF J ~'~-U-
<br />The foregoing instrument was acknowledged
<br />before me this J ~ / , 19:1.1- by
<br />
<br />WM#.e/IJ
<br />who is per onally knowR has
<br />produced ~. y~~
<br />as identification and wh id/did not
<br />
<br />~~~ h1.~/Z-Q
<br />~ ~
<br />LOf::,' l5-€f 1+ )11. . -KV\.J Fe LC
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />~~ SIBle 01 Florida.~
<br />Explres Aug. 28, 1Gq04
<br />('~ ,.::#- Ceo V J 0 iC ~
<br />
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