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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 OMner 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 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, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) 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 sOleone 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 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 Iilited to:
<br />f Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Arty 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 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 -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 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 cOlaenced 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 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 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCE"ENT 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 />COK"ENCEKENT. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A -NOTICE OF COK"ENCEKENT-.
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<br />~ Jk1 /'" JftiZ
<br />-A: ~ ~~. .
<br />SIGNATURE: OWNER OR AGENT S ATUR: CONTRACTOR
<br />
<br />
<br />STATE OF FLORID~
<br />COUNTY OF J a.S (\
<br />The foregoing instrumpnt was acknowledged
<br />befc.re me this I \""1h~ 19<13 by
<br />
<br />C\Je~ k. G-o\ \ \~-f
<br />who is personally known to me or who has
<br />produced FL\)L G- 4- \ ~ rQ (I G:(J I"" J \)
<br />. entification and who~did not
<br />take "oath. d} ~ ]
<br />. /--J(' ";fi~ ' CJ-1M
<br />. nature) ~ L r )
<br />c-t ./}\S(1'" en. \,jJ ~\:j ('
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />"'\"~"""" DOREEN L. WOOD
<br />f~ ~\. ts{ COMMISSION' CC 191676 EXPIRES
<br />:*::1 /;pilI 29. 1998
<br />.. 1J BONDED mw TROY FAlIlINSlllWlCE, ~.
<br />.f$.
<br />
<br />STATE OF FLORIDA ~\
<br />COllHTY OF oS CA:::J
<br />The foregoing instrument was acknowledged
<br />befc.re me thi;: I:)vg.. I? , 19 9.3 by
<br />
<br />~b C. . ~~n
<br />who is ersonally known to me or who has
<br />produced F"L D Ll-\ ;..(25" 00 S I-t 11 () 13 0
<br />as identification and who . Idid not
<br />take an oa~ ~
<br />
<br />U '-)0 [)
<br />or Stamped)
<br />
<br />(Signatu~,-e,t
<br />,-(..) VIr: t'.r)
<br />(Name Typed, Printed
<br />NOTARY PUBLIC
<br />,..,~~~:trU/~# DOREEN L. VJOQD
<br />{!!~~~ MY COMMiSSION' CC 191515 EXPIRES
<br />~~" wi April 29. 1998
<br />"~;;;'f:\ BONDED THRU TROY FAIN 1NSlJIWlCE. UC:,
<br />"u"t'
<br />
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