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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Th~ und~rsign~d und~rstands that this p~rlit 'Iay b~ subj~ct to "d~~d r~strictions" which lay b~ lor~ r~strictiv~ than City
<br />r~gulations. Th~ und~rsigned assuaes r~sponsibility for cOlplianc~ with any applicabl~ d~~d r~strictions. .
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If th~ own~r 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 lisdeaeanor violation under state IaN. If the owner or intended contractor are uncertain as to "hat 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 Prot~ction
<br />Suide" 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 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 cOlaenced 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 EnviroRlental Requlation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands,
<br />Water/Wastewater Treatlent
<br />, Southwest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />, ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />, Departlent of Health & Rehabilitative Services. Environlental Health Unit - NeIls, 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" Dr "A,etc.., it is understood that a drainage plan
<br />addressing a "colpensating voluae" 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 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 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 lonths after the tile the Mork 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 CO""ENCE"ENT ~Y RESULT IN YOUR PAYING TWICE FOR I"PROYE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COItItENCE"ENT. JOBS UNDER $2,500 IN VAlUE DO NOT HEED TO RECORD AND POST A .NOTICE OF COtltlENCE"ENT".
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<br />
<br />lOp }41f1A )p()r)'L(;
<br />SI6HATURE: CONTRACTOR
<br />
<br />\Ai
<br />SI6NATURE: OWNER OR ABENT
<br />
<br />
<br />STATE OF FlORIDAr:")
<br />COUNTY OF \r ~
<br />The foregoing instrument was acknowledged
<br />before me this .s'~ /s, 19 9'3 by
<br />
<br />~o //. ~y
<br />who is personally know 'to me or who has
<br />produced D /'U:J~ dJ.J' ~
<br />as identification and who did~
<br />take an oatt?~ ~/A/
<br />
<br />(SiC2ature) ~
<br />au / (2/1 e. ;/0 J I i?~
<br />(Name Typed, Printed or S amped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FlORIDA,~
<br />COUNTY OF ~ ..J/ ua-e-.o
<br />The foregoing instrument(was acknowledged
<br />before me this _~...1' /<;- , 19..z?..:L by
<br />
<br />
<br />t1iho is p~so*kno~~or whc. has
<br />produced
<br />as identification and who did/e!d noi:>
<br />
<br />take an oarPu~~ //~~
<br />
<br />(Signature)
<br />r:? 0 a / -e" e /1(;7 / /-e: r/
<br />(Name Typed, Printed or StamPed)
<br />NOTARY PUBLI C
<br />
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