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<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 co.pliance 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 lisde.eanor violation under state IaN. If the owner 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, 1813J
<br />788-6611.
<br />
<br />Furtherlore, 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.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<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 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 pro.ise in good faith to deliver it to the
<br />"owner" 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 />, Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />, Southwest Florida Water nanaQelent District - 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 />, 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 "co.pensating 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 perlit 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 becole invalid
<br />unless the work 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 OIlNER: YOUR FAILURE TO RECORD A NOTICE OF COnnENCE"ENT nAY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR
<br />PROPERTY _ IF YOU INTEND TO OBTAIN FINANCING, CONSULT IIITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />,
<br />C CEKENT. JOBS UNDER $2,50 VAlUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COI'InENCE"ENT".
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<br />SII'1llAnw.y C IIl1lACToil - -
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<br />
<br />STATE OF FLORIDA/)
<br />COUNTY OF LttS C!.rJ
<br />The fc,regoing i9Ftr~'men~ was acknowledged
<br />before me this Lt~J L/ ,199~ by
<br />
<br />wE~:Yper~' 6<~~i:;~ I~~or who has
<br />
<br />produced
<br />as identification and who did
<br />
<br />~j( I 7?-ad;
<br />(SiDnat~) / ,I J
<br />J 'TllO J1. -e / ./Ua 5 I\. ~ e 056/$_.0
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />im,i!,RV PUtiUC STATE or FlO~~~~
<br />~,\" r:G;~;,nSSlON EXP: OC!,~.15~. "'~
<br />'.r~",\"~i~1 ";y;? ~_~r>~~~pJ i,~..~, uN\.'~
<br />
<br />
<br />STATE OF FLORIDA /)
<br />COUNTY OF ~es(! 0
<br />The foregoing instrument was acknowledged
<br />before me this ff~ L/ ,19~ by
<br />
<br />!iJ. W''/ I, 0. m J-) A (< TuJ IS
<br />who is personally k own to me or
<br />produced
<br />as identificat'on
<br />take an oat .
<br />
<br />(Signatur~A I '" /
<br />Me!1, _ (!(! 0567/50
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC NOTARY PUBLIC STATE OF FLORIDA
<br />MY COMMISSION EXP. OC1.15.1994
<br />2'Ji';D,:O meW cr:NEr.l\l. INS. UNO.
<br />
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