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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The und~fsigned understa~s that this perlit lay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assu.es 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 tD be licensed in accordance with
<br />s!ate and loc~l regulatiD~s. ~f the contractDr is not licensed as required by law, both the owner and contractDr lay be
<br />clte~ for a Ilsde.eanor vlolatl~n under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requlre.ents lay apply fDr the Intended work, they are advised to contact the City of Zephyrhills Building Depart.ent 18131
<br />788-6611. '
<br />
<br />FurtherlDre, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of the
<br />"Contractor Sections" Df this application for which they will be responsible. If you, as the owner sign as the cDntractor
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to si~n
<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 - Hoaeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is so.eone 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 co..encelent.
<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 developaent.
<br />
<br />Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has cOI.enced prior tD issuance of a per.it and that all wDrk will be perfDr.ed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulatiDns in the jurisdiction. 1 also
<br />certify that I understand that the regulations of other gDvern.ental agencies .ay apply tD the intended work, and that it is
<br />IY responsibility tD identify what actions I .ust take tD be in cDlpliance. Such agencies include but are nDt lilited to:
<br />f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and EnvirDDlentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />t Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />f Depart.ent Df Health L Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />f US EnvirDnlental Protection Aqency - AsbestDs abatelent
<br />I alsD certify that, if fill laterial is tD be used in FloDd ZDne "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 />FIDrida prior tD 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, caneel alter, tr
<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 Df errors in plans, construction, or violations of any cDde. Every perlit issued shall becole invalid
<br />unless the work authorized by such perlit is cOllenced within six lonths of issuance, Dr if MOrk authDrized by the perlit is
<br />suspended Dr abandDned for a period of six lonths after the ti.e the wDrk is cOlleneed. One 90 day extension of tile, lay be
<br />allDwed fDr the perlit with fee charge of $15.00. The extension shall be requested in writing tD the Building Official. An
<br />approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
<br />WARNINS TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROYE"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. JOBS UNDER $2,500 IN VAlUE DO NOT HEED TO RECORD AND POST A "NOTICE OF C~NCEKENT".
<br />
<br />R~ Q l::L~~...
<br />SIGNATURE: OIlMER OR AGENT
<br />
<br />--.
<br />
<br /><?"-- ~ 0 ~
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF F~
<br />COUNTYOF. '0
<br />The foregoing instrument
<br />before me this -;-')u \d
<br />\
<br />
<br />was acknowledged
<br />, 19 ~ by
<br />
<br />STATE OF FLQRIDA
<br />COUNTY OF ~ C:-J:J:)
<br />The foregoing instrument
<br />before me this ~\'{
<br />
<br />was acknowledged
<br />, 19~ by
<br />
<br />who is e sonally to me or who has
<br />produced
<br />as identification and who did ld not
<br />
<br />4~ () rJ 0/01 -:0
<br />
<br />(Si9nature) 1\\ (\ rll/~Q
<br />I C\f'r" ~. L~ \~Q(\O
<br />(Name Typed, Printed or Stamped)
<br />NOTARV PUBLI C
<br />:\..v.y PUB
<br />+~~'(1:> TARANALFORO
<br />. ~-- A' My Commission CC263392
<br />. ~-\ f.H
<br />: > ":':.#1.: : Expires Mar 09, 1997
<br />'>R!t<\f Huckleberry Associates Ine
<br />':-:"l'r. o~'.,:,;~'" 800-422-1555
<br />
<br />
<br />
<br />o me or whcl has
<br />
<br />(Signature) ", eX \Ul,d
<br />\(\00. (. l
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />TARA N ALFORD
<br />My Commission CC263392
<br />. Expires Mar 09.1997
<br />Huckleberry Associates Jne
<br />800.422.1555
<br />
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