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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlitlay be subject to "depd 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 owner 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 ONner and contractor lay be
<br />cited for a lisdeleanor 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, 18131
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor 15) sign portions of the
<br />.Contractor Sections" of this application for Mhich they Mill be responsible. If you, as the ONner 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 - HOleoNner'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 Nill 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 Dr
<br />installation has cOllenced prior to issuance of a perlit and that all Mork Nill 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 Mork, and that it is
<br />IY responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not lilited to:
<br />, Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />, Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />, ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />, Departlent of Health & Rehabilitative Services. Environaental Health Unit - Wells, 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" or "A,etc.', it is understood that a drainage plan
<br />addressing a "colpensating volule" will be sublitted Nhich 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 Nith the Nork and not as authority to violate, cancel alter, Dr
<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 cOllenced 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 work is cOllenced. One 90 day extension of ti.e, .ay 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 Mill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF Co"KENCE"ENT MAY 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 />C1IltIIEIltEIIENT. JOBS U $2,500 IN VAllE DO NOT NEED TO RECOIlD RH~lo4='
<br />
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<br />
<br />SIGNATURE: CORACTOR
<br />
<br />
<br />STATE OF FLORIDA c"7\
<br />COUNTY OF ~ \:')(' D
<br />The foregoing instrument was acknowledged
<br />before mE' thi,5 /D 11<(; , 19--23 by
<br />
<br />STATE OF FLORIDA (~
<br />COUNTY OF "Q~~ ,0
<br />The foregoing ini~)fent was acknowledged
<br />oefore me this ~~~ 19~ by
<br />
<br />who is per(tfallY known to me or who has
<br />produced eXbonQjl~ kfl<::>(~--""V)
<br />as identification and wh did/did not
<br />~e an oath.
<br />'Ju-,-,,/,.;.-' :.K .7P~
<br />(ztAnature)
<br />. ri,~+j'(: L. mQ~r\r-'
<br />(Name Typed, Printed or 8 amped)
<br />NOTARY PUBLIC
<br />
<br />who is personally known to me or who has
<br />produced peTSC\~l,--\ Rn(:)L,J\,-\
<br />as identification and who did/did not
<br />ta~ an o_at~. X. /l2:1
<br />
<br />1-'../1*..-/' --'~...-/
<br />(8' t ) /'
<br />(tgna ure
<br />hri~+i~ L, m~or
<br />(Name Typed, Printed or tamped)
<br />NOTARY PUBLIC
<br />
<br />[' OFfICiAL NcrI~Y S
<br />C!11<ISTIE L MAJOR
<br />INOTA!l.Y I'Ul31iC STATE OF FLORIDA
<br />I COMMIS5ION NO. COHil03
<br />I HV f'.~'('lr;:,("'"")1'\' -VP ""f"" -e 1'ry-
<br />. ;":..,1;_r,....l'.._!.~..'1 :-;'..~........ b..~..., ,..!I.....'.( j~), ~~I
<br />.........-...-...-. .....~......__.-_.------....."'-"._._-...."'-----
<br />
<br />o FIC LN
<br />CHRISTIE L MAJOR
<br />NOTARY PUBLIC STATE OF FLORIDA
<br />COMMISSION NO. CC316103
<br />MY COMMIS.C;ION EXP. SEPT 15 1997
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