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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait 'aay be subject to "deed restricti~ns' which lay be lore restrictive than City
<br />regulations. The undersigned assuaes responsibility for cOlpliance 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 tay 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 aay be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent, (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 aay be an indication that he is not properly licensed and is not entitled to peraitting 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 Departeent 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 governaental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not lilited to:
<br />f Departlent of Environlental RequIation - 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 ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health & Rehabilitative Services, Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environeental Protection Aqency - Asbestos abateaent
<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 "coapensating voluae" will be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it 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, Dr
<br />set aside any provisions of the technical codes, nor shall issuance of a perait 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 coalenced within six lonths of issuance, Dr if work authorized by the pertit is
<br />suspended or abandoned for a period of six lonths after the tiae 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 aonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COH"ENCEHENT "AY RESULT IN YOUR PAYING TWICE FOR IHPROVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND'TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CO""EMCE"ENT B UNDER $2,500 IN LUE DO NOT NEED TO RECORD AND PO CO""ENCEHENT".
<br />
<br />
<br />c.
<br />
<br />
<br />STATE OF FLOR A
<br />COUNTY OF
<br />Th~,foregoing ins~rument was acknowledged
<br />befc,re me th i s.5E -PfC11/JEt. J'f 19..!i3- by
<br />J
<br />
<br />who ~sE.te~~'na;;'; tl:~ to me ~r who ~~;:
<br />i3'f"e.d....~
<br />a~ lrlpnt.lflrMt.~nd
<br />take an tho
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF PASC-O
<br />. The foregDing instrument was acknowledged
<br />befc.re me this Se;/%-I1AaL 11./, 19~ by
<br />
<br />or Stamped)
<br />
<br />--y'E. V n.) 1< Yt-1A U
<br />who is personally known to me Elr liRE has
<br />..pf'5duC:l!!e:1
<br />as idl!!l.tific:""l.il...11 and who ~did not
<br />take~ ,~~
<br />
<br />(Signature) 4
<br />k ~ L"E E,j J. 7SR l)t.() N
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />tI'
<br />
<br />KATHLEEN J. sr'r""
<br />State of F' Y ,
<br />My Convn. Exp. !,p', . ,.)
<br />Corml. . CC 095017
<br />
<br />
<br />KATHLEE:N ,L :' QN!'1
<br />State 01 f.()'.'~'.
<br />Uycomm. Exp. April 2. 1~3S
<br />eomm. . CC CQ6617
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