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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' Mhich lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for cOlpliance Mith any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OMner has hired a contractor or contractors to undertake Mork, they lay be required to be licensed in accordance Mith
<br />state and local regulations. If the contractor is not licensed as required by laM, both the ONDer and contractor lay be
<br />cited for a lisdeleanor violation under state laM. If the OMner or intended contractor are uncertain as to "hat licensing
<br />requirelents lay apply for the intended Mork, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611. '
<br />
<br />Furtherlore, if the OMner 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 Mhich they Mill be responsible. If you, as the OMner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the Mork. If the contractor Mishes 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 Mith a copy of "Florida's Construction Lien LaM - HOleoMner's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleoneother than the
<br />'oMner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />'oMner' 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 Mork Mill be done in cOlpliance Mith all
<br />applicable laMS regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do MOrk and installation as indicated. I certify that no Mort or
<br />installation has cOllenced prior to issuance of a perlit and that all Mort Mill be perforled to leet standards of all laMS
<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 Mork, and that it is
<br />IY responsibility to identify Mhat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />f Departlent of Environlental Requlation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/WasteMater Treatlent
<br />f SouthMest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of Enqineers - SeaMalls, Docks, Navigable WaterMays
<br />f Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, WasteMater Treatlent, Septic Tanks
<br />f 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 'colpensating volule' Mill be sublitted Mhich 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 Mith the "ork 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 Mort authorized by such perlit is cOllenced Mithin six lonths of issuance, or if Mork 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 />alloMed for the perlit Mith fee charge of $15.00. The extension shall be requested in Mriting to the Building Official. An
<br />approved inspection lust be logged during each six lonth period, or the project Mill be considered abandoned.
<br />WARNIN6 TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />ClIK"ENCE"ENT. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COIltENCE"ENT'.
<br />
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<br />51 GIlA TIllE;' IIIIIE1I a0IlGE11T 5 I GIlA TORE; CllIIlRIlCTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF P ASeO
<br />The foregoing instrument was acknowledged
<br />before me this 15th of S~Pt9--21 by
<br />
<br />STATE OF FLORIDA (
<br />COUNTY OF III;{ 60 ru cc, t.?'
<br />The foregoing inst~~:~was acknowledged
<br />before me this J~~ ' 19~ by
<br />
<br />~ ~z, /f ! C-//,?
<br />who i Sl per sona 11 y known (to me Of' "h... J ~..
<br />p~du....t!d
<br />as identification and who did/did not
<br />tak~n oath.
<br />
<br />Alice JOnes
<br />who is personally known to me or who has
<br />produced Florida Drivers License
<br />as identification and wh did/did not
<br />take ath. -
<br />
<br />(Name Typed, "~d
<br />NOTARY PUBLI~~:
<br />
<br />~~.~
<br />It DF f\Q"
<br />
<br />WA~'8~~PENTER
<br />My Co"",, -.ion CC2Sl8247
<br />Expire8 Jut. 31 19S17
<br />Bonded by ANa
<br />110O-852-5878
<br />
<br />
<br />'.,_. "","IF"
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<br />
<br />
<br />601'1-;:::';;0 ~~,ru 't':))' r:;in . Insurance Inc.
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