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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The und~rsigned understa~s that this perlitlay be ~ubje~t 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 work, they lay be required to be licensed in accordance with
<br />s~ate and IOC~1 regulatio~s. ~f the contractor is not licensed as required by laN, both the ONner and contractor lay be
<br />clte~ for a Ilsdeleanor Violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requlrelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent (813)
<br />788-6611. '
<br />
<br />Furtherlore, if the owner 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 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 Nishes 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 LaN - HOleowner's Protection
<br />6uide. 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 />.0Nner. prior to cO.lencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation 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 developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do Nork and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work Nill be perforled to leet standards of all laNS
<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 />.Y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />I Departlent of Environaental Requlation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />I Southwest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health L Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I 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 voluae. Mill 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 Mork and not as authority to violate, cancel alter, Dr
<br />set aside any provisions of the technical codes, nor shall issuance of a perait prevent the Building Official frot thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the Mork 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 RECORD A NOTICE OF CO""ENCE"ENT "AY RESULT IN YOUR PAYIN6 TWICE FOR I"PROVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COKftENCE"ENT~ OBS UNDER $2,500 ~N VA UE DO NOT NEED TO RECORD AND POST A' TICE OF CO""ENCEKENT'.
<br />
<br />
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF r <3 c....lC
<br />The foregoing instrument was acknowledged
<br />befori.me this fo---),'f--' ,19f...i- by
<br />
<br />~L(tcL1r- oJ ( K~
<br />who is personal~y known t me or who has
<br />produced AJo
<br />as identification and who did/did not
<br />
<br />~~~K,Q~
<br />
<br />1:tgna~ur~) ~ cos.+€ no
<br />~r-~blf a. ~-
<br />(Name Typed, Printed or Stamped)
<br />NOTAR~.~~~. OFFIC1A'_ SEl..L
<br />l ~ \ Barbara R. Cost'.l'lo
<br />: : My Commission Ex:i "as
<br />. .
<br />., ~: Nov. 2. 1994
<br />.,.r?,;r!O~~d1;;... Comm. No. CC 054525
<br />'. ..........
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF V 0 J..-{\..
<br />The foregoing ins~ru~~ was ac~nowledged
<br />befc.re me this (p ~ ? , 19~ by
<br />
<br />Wh~~l~~o~~jm. or who has
<br />
<br />produced ~
<br />as identification and who did/did not
<br />
<br />~&~R~~~ K. Qc~
<br />
<br />(.S..i.gnatyre) ~"-., ' ((
<br />-1:::; tu t ~ hL ('-. , '--" $;+<::'- ~
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI C
<br />..-;;~.~.\ OFFICIAL SEAL
<br />{ ~. Barbara R. Costello
<br />.. 1 My Commission Expi...,
<br />\ ~l Nov. 2, 1994
<br />....~~OFfu:t:... Comm. No. CC 054525
<br />........
<br />
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