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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. . NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands thit this perlitlay be subject to 'deed restrictions" which laY be lore restrictive than C'i1y . ,
<br />regulations. The undersigned assules responsibility for cOlpliance with any applicable deed r~strictions. .
<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 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 Depart.ent, 18131
<br />788-6611.
<br />
<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 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 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 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 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 />f Departlent of Environ.ental ReQulation - 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. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abateJent
<br />I also certify that, if fill laterial is to be used in Flood Zone 'A' Dr 'A,ete.', it is understood that a drainage plan
<br />addressing a 'colpensating volule' will be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />'. J;J ;. I ,_ '. :", : .' ~
<br />A perli t issued shall be construed to be a license to proceed with the work arid notas'lutllod ty to violate, cancel alter, or
<br />t~.I' ,.... ". ,'. .~, ~
<br />set aside any provisions of the technical codes, nor shall issuance of a. per~it Rrevent,1~h~ Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of'an~ code.: Ev~y:petlit issued shall becole invalid
<br />unless the work authorized by such per.it is cOllenced within srx lonths of issuancej;bf'fr work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the work is cOI.enced: "One 90 day extension of ti.e, 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 COH"ENCEHENT "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 />COKKENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF CO"HENCE"ENT'.
<br />
<br />~~./~~ Authori~eQ'AJi~nt'
<br />SI ATURE: OWNER OR A6 NT
<br />
<br />
<br />STATE OF FLORIDA J'~
<br />COUNTY OF 5' C f)
<br />The foregoing instrument
<br />before me this 2l>
<br />
<br />was acknowledged
<br />, 19..fi., by
<br />
<br />STATE OF FLORI~
<br />COUNTY OF 'A~, C>
<br />. The foregoing instrument was acknowledged
<br />before me th i 5 "(;:1: e:;6 d I 19.!i3- by
<br />
<br />o
<br />
<br />
<br />c:
<br />( .~!"~ /I /Jt(~IIt(A1
<br />
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
<br />R.OGtA. 518~Y
<br />who is ~ersonallv known to me or who has
<br />produced
<br />as identification and' who did/did not
<br />take ~ oath. "'"' _ (J
<br />:tl!J.Jl ~ L.<1 ~ ~
<br />(Signature)
<br />BFJ.)~QUI v: M~AD
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLI C
<br />
<br />~#'( Pl/\ BEVERLY J. MEAD
<br />· # CommissiOn # CC 275797
<br />OF Expires May 17, 1997
<br />
<br />.......
<br />.~~ OFFICJAL SEAL
<br />(.~, .) SUSAN A. McCOLLUM
<br />. My Cemmlsslon Expires
<br />\~ ~ April 16, 1997
<br />..'OF~. Comm. No. CC 268679
<br />........
<br />
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