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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 aSSU8eS responsibility for cOlpliante with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor Dr 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, 18131
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor Is) 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 Zephyrbills.
<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 tbat I, the applicant, have been provided with a copy of .Florida's Construction Lien Law - HOleowner's Protection
<br />Guide. 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 co..enced prior to issuance of a perlit and that all work will be perfor.ed to .eet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern.ental agencies .ay apply to the intended work, and that it is
<br />,y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not li.ited to:
<br />f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />f Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Depart.ent of Health & Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />f US Environ.ental Protection AQency - Asbestos abate.ent
<br />I also certify that, if fill .aterial is to be used in Flood Zone .A. or .A,etc,., it is understood that a drainage plan
<br />addressing a .co.pensating volu.e. 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 per.it 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 per.it prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beco.e invalid
<br />unless the work authorized by such perlit is co..enced within six .onths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six lonths after the ti.e the work is cO'I~ced. One 90 day extension of tile, lay be
<br />allowed for the per.it with fee charge of $15.00, The extension shall be requested in writing to the Building Official. An
<br />approved inspection .ust be logged during each six .onth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"~NCE"ENT "AY 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 />CO""ENCE"ENT. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A .NOTICE OF CO~NCE~NT..
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />/g; /n;;:Y~f
<br />SIGNATURE: CONTRACTOR'
<br />
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF A~~
<br />The foregoing ~t~ment'was acknowledged
<br />before me th is, 1 d / , 19....2..2:. by
<br />! . .
<br />
<br />l (I ~
<br />who is person ly known to me
<br />produced FLOJ2.1 0,4 -D L {.
<br />a~~id ification and who did/~
<br />tak ::2th. ~ .f
<br />~ ~~-.a C --
<br />1 ~ure)
<br />'(}~A,t:.,(J ,(/ I/u ,,;?cd'
<br />(Name Typed,.. J7rJ nted or Sfampl?d)
<br />NOTARY PUBLIJi..,,~
<br />".~Y~'. OFFICIAL SEAL
<br />l ~ '\ 8AREARA A, HUPPERT
<br />. "
<br />;.. : t.:y Commi5slon EXjJlres
<br />... ! Nov. 27,1996
<br />"~OFF~.' Comm. No. CC 240384
<br />........
<br />
<br />who is pe~n~lly kn~tome or who has
<br />produced '-/~/) ~
<br />as identification and who a+d/did not
<br />take~a:th. "-__ L'
<br />_~ Uffl--f #'/1. /J/ZC.I~
<br />(Signature)
<br />K~thprine M. Brewer
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI C (I) KA1ltiRINE M. BREWER
<br />: \ MrlCOMIlISSIOti 'oM704873 EXPIRES
<br />- :.. SepINlber 26. 11183
<br />_.. 'lIllJt FAIN 1HSUIWlCE.IJI:,
<br />
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