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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. which lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for cOlpliance 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 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 )he ow#er and c~~\ra~t~~.~~b~
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertaiq,as 'tpwhat licensing
<br />reQuirelents lay apply for the intended work, they are advised to contact the City of 2ephyrhills Building Depart.ent, (8131
<br />788-6611.
<br />
<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 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 Law - Ho.eowner's Protection
<br />G~de. prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />"owner", 1 certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />"ow~er. 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 work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work 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 Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water "anaQe.ent Di~trict - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environaental Protection Agency - 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 perait 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 bee ole invalid
<br />unless the work authorized by such perlit is COllenced Nithin 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 Mork 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 COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROVEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COKKENCE"ENT. JOBS DER 500 IN VALUE DO NOT NEED TO RECORD AND POST A .NOTICE OF COKKENCE"ENT".
<br />
<br />
<br />SIGNAT
<br />
<br />5( J6l r~
<br />,.~
<br />
<br />STATE DF FLORIDA
<br />COUNTY OF /-1 It..- L-.s Ao /CO V!/-/./
<br />The foregoing i;1~~~was ~~OWledged
<br />befc.re me this ~ ,19 by
<br />
<br />Jl/Il/B:~// E 'p/f(/~
<br />who is ~ersonally known to me or who has
<br />produced
<br />as identification not
<br />take oat
<br />
<br />
<br />(S.gj)ature)
<br />:z/l fLl,fP.(2 /l. )J g U /JJ .IV 11 j
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC t,;":}'r::1 ;")'r"UC 5'i;:~c (;F ",~<,,;'.~
<br />::f\" CC:'~:\"': '::,. >.;'. ,.. ' ,,:;-';.
<br />r..:.(:~;::;) ';~~~".'; '.;~~~/~.".:,,:~ J.:'~,'-'~,..
<br />
<br />-~-
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORID~
<br />COUNTY OF -.f-----u
<br />The foregoin~ instrument was a~;Wledged
<br />befc.re me thIS /9 ~ ' 19 by
<br />
<br />CJreptf80 12-. Co(2{l.ei A
<br />
<br />who is p'el-sc.na 11 y known to me 01 "he. A,,3S
<br />Pf'oduceel
<br />a. ielcnti ficati..... dlld wno did/did mot
<br />
<br />~;.::; '-z? U7~
<br />
<br />(Signatw-e)
<br />
<br />
<br />(Name Typed, Prin ~
<br />NOTARY PUBLIC i~..
<br />
<br />...'" --.----
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