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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A.. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlitlay be subjert to "deed restrictions" Nhich lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrirtions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a rontrartor or rontrartors to undertake Mork, they lay be required to be licensed in accordance with
<br />state and loral regulations. If the contrartor is not lirensed as required by laN, both the owner and contrartor lay be
<br />cited for a lisdeleanor violation under state IaN. If the ONner or intended rontrartor are uncertain as to "hat licensing
<br />requirelents lay apply for the intended work, they are advised to rontart the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the ONner has hired a contractor or contrartors, he is advised to have the contrartorls) sign portions of the
<br />.Contractor Sertions" of this application for which they will be responsible. If you, as the owner sign as the contrartor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as rontractor 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 Construrtion lien Law - HOleowner's Protertion
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />.0Nner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />"oNner" 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 Nork and installation as indicated. I certify that no Nork or
<br />installation has cOllenced prior to issuance of a perlit and that all work Nill be perfor.ed to leet standards of all laws
<br />regulating construction, City rodes, zoning regulations, and land develop.ent regulations in the juri~diction. I also
<br />rertify 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 .ust take to be in cotpliance. Such agencies include but are not lilited to:
<br />f Depart.ent of Environlental ReQulation - Cypress Bayheads, Netland Areas and Environlentally Sensitive Lands,
<br />Nater/Nastewater Treatlent
<br />f Southwest Florida Nater "anaQe.ent District - NeIls, 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 />t US Environle"!.l Pro!ecti~n Aqenty - ~5be5tn~ ~bate.pnt
<br />I also rertify 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 "ro.pensating volule" Mill be sublitted Nhich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuanre.
<br />
<br />A per.it issued shall be construed to be a license to proceed with the Mork 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 fro. thereafter
<br />requiring a correction of errors in plans, construction, or vi~lations of any code. Every perlit issued shall becole invalid
<br />unless the Mork authorized by such perlit is cOllenced within six tonths of issuance, or if Nork authorized by the per.it is
<br />suspended or abandoned for a period of six .onths after the tite the work is totlenced. One 90 day extension of tile, .ay be
<br />allowed for the perlit with fee charge of $15.00. The extension'~hall be requested in Nriting to the Building Offirial. An
<br />approved inspertion lust be logged during each six lonth period, or the project Nill be considered abandoned.
<br />WARNING TO ONNER: YOUR FAILURE TO RECORD A NOTICE OF CO"nENCeKENT' "AY RESULT IN YOUR PAYING TNICE FOR I"PROYE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH Y~ lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COKKENCEKENT. JOBS UNDER $2,500 .IN VALUE DO NOT NEED TO RECoRD AND POST A "NOTICE OF C~KENCEKENT".
<br />
<br />
<br />STATE OF FLORIDA II
<br />COUNTY OF ~~, ('1)
<br />The foregoing instrument was acknowledged
<br />before me this 1::2", ~ 19.1l by
<br />
<br />
<br />Wh~i;~m^t~~~ or who h..
<br />
<br />produced
<br />as 'dentifi
<br />ta'e an 0 th.
<br />
<br />
<br />(Name Type , Printed
<br />NOTARY PUBLIC
<br />
<br />.......
<br />
<br />l'kJ~~:'f~;;;;;.. ClrIDY BOOKER
<br />t( ,.tf;;.., j:~ MY COMMI~ION /I CC 192028
<br />~~.~..,: EXPIRES. May 19.1996
<br />..../,'~,~~:t~~~...... Bonded Thru Notary Pubfic lJnderwrtlIrI
<br />
<br />~-,~
<br />
<br />(.)~~
<br />SIGNATURE: CONTRACTOR
<br />
<br />
<br />d2)
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />""'"'' CINDY
<br />:'-;'1y..'.fl'.!f:'~ BOOKER
<br />N"~"'f.~ MY COMMISSION II CC 192026
<br />"t'i;.-~-;,.~ff EXPIRES: May 19, 1996
<br />'iF...qr.:r.~"" Bonded Thm Notary Public lJnderwrlt8q
<br />
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