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<br />
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS '
<br />The undersigned understands that this perlitlay 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 the owner and contractor lay be
<br />cited for a lisdeleanor violation under state law. 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, IB131
<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 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 - HOleowner's Protection
<br />Guide' prepared by the Florida Departaent of Agriculture and Consuler Affairs. If the applicant is soteone other than the
<br />'owner" , I certify that I have obtained a copy of the above described docutent and protise in good faith to deliver it to the
<br />'owner' prior to co.tencelent.
<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 developtent.
<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 cotlenced prior to issuance of a pertit and that all work will be perforted to .eet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern.ental agencies tay apply to the intended work, and that it is
<br />ty responsibility to identify what actions I tust take to be in cotpliance. Such agencies include but are not litited to:
<br />f Departtent of Environtental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treattent
<br />f Southwest Florida Water "anaQetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departtent of Health ~ Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environtental Protection AQency - Asbestos abatetent
<br />I also certify that, if fill taterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "colpensating volu.e" will be subtitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to pertit issuance.
<br />
<br />A pertit 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 pertit issued shall becole invalid
<br />unless the work authorized by such perait is coaaenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six tonths after the tite the work is co.tenced. 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 tust 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 IKPROVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN NANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE- ORDING YOUR NOTICE OF
<br />COKKENCEKENT. JOBS UNDER $2 / VALUE DO NOT NEED TO RECORD AND Po A "NOTICE OF CO"KENCEKE "
<br />
<br />
<br />
<br />,~......,
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF P 11- S e-o
<br />The foregoing instrument was acknowledged
<br />befc,re me this ~JJe .2,<1, 19..!l...3. by
<br />
<br />AI E L-:;' 010 -Z '/ H JHJ
<br />who' is persc.na 11 Y known to me CtT \/1:10 hac:
<br />~
<br />~~ idantification and who ~id/did not
<br />ta~e.un oath. 'C""" ;J
<br />~L-<--A) -p" ~
<br />(Signature)
<br />KATIJIEeU ~J. --gf?m.tJ....1
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF P If 5e...LJ
<br />The foregoing instrument was acknowledged
<br />befc'l-e me th i s <::::7J,t,rJe ,.;z~ 19.!ilL by
<br />
<br />)ft= L,SoN J:-y 1'1/10
<br />who is personally known ~o me Dr uhe. has
<br />r;lrocluced
<br />,a. id&ntification and who did/did not
<br />take an~).h. / ~/ ~
<br />~dJ~~ .~.J~
<br />(Signature)
<br />t'ATH ~-g:-..J J .\3~.J
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~f.N'I~1
<br />'/ ,/r,'.,
<br />
<br />KATHLEEN J. Ai'/)WN
<br />State of F!or%
<br />My Comm. Exp. April 2, 1995
<br />Comm.' tc 095617
<br />
<br />"''''.u
<br />,J"liJl "
<br />,? (r,' .'~
<br />J, .
<br />;~~:ffi:J.
<br />
<br />KA THL.EEN J. BROWN
<br />:::\'1\6 of Florida
<br />My (.) .-nm. Exp. April 2, 1995
<br />Comm. , CC 095S17
<br />
<br />, It:}.
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