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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it 'lay be subject to "deed restrictions" which may be lore restrictive than City
<br />regulations. The undersigned assules responsibility for co.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIEa
<br />If the ONner 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 ONner Dr 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, IBI3)
<br />78B-bb11.
<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 cbntractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that lay be an indication that he is qot properly licensed and is not entitled to perlitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~
<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 document and promise in good faith to deliver it to the
<br />"oNner" 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 co.pliance 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 couenced prior to issuance of a penH and that all work will be performed to seet standards of all Jaws
<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 governmental 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 />I Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways '
<br />I Departlen~ of Health ~ Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatsent, Septic Tanks
<br />I US Environ.ental Protection AQency - Asbestos abatement
<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 subtitted whic~ _is pr~~ared by a professional engineer registered in the State of
<br />Florida prior to pertit issuance.
<br />
<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, or
<br />set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becole invalid
<br />unless the Nork authorized by such perlit is cOI.enced within six tonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the Mork is com~enced. One 90 day extension of tiie, .ay be
<br />allowed f~r the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection Ilust be logged during each six 1I0nth period, or the project will be considered abandoned.
<br />\lARNING TO OWNER: Y\lUR FAILURE TO RECORD A NOTICE OF COI1MENCEJ1ENT I1AY RESULT IN YOUR PAYING TWICE IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT \lITH YOUR lENDER OR AN BEF. EC HDINS yO NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN YALUE DO OT NEED TO RECORD AND POS F COMI1ENC HE T".
<br />
<br />.~
<br />
<br />
<br />STATE OF ~LO~
<br />COUNTY OF ~
<br />The foregoing instrument
<br />before me this AJ~~ 17
<br />
<br />was acknc,wledged
<br />, 19~ by
<br />
<br />STATE OF FL~A
<br />COUNTY OF PAS.Q..C)
<br />The foregoing instrument was acknowledged
<br />befcol-e me thi s A](!)V :{ 7 19 '1 ~ by
<br />
<br />PA.<.)rl:c....s.
<br />who i ersonally known to me or who has
<br />pl-oduced
<br />as identification and who did@d~n~
<br />
<br />..'-~~~ ~
<br />
<br />(Sig~Ll'I-e),
<br />~::-t- (l t.~\:c:.MA.0 ~~
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />Mr:A~~ ~'"
<br />
<br />who is ersonally known to me or who has
<br />produced
<br />as identificaticlj' and ..,hc. did.<d..id nc.i:)
<br />
<br />t~{e ~~~ '\ CLJ;L Y
<br />
<br />(Sig~Ll'I-e) \.
<br />\<cl>....~.,... Q. 6..\\ ~MA.uu~
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />Notary Public, State of FIQfit:le
<br />Robert Charles Ehrman, Jr.
<br />My Commission Expires April 27, i~~8
<br />Comm. No. CC 196771
<br />
<br />
<br />
<br />Notary Public, State of Florida
<br />Robert Charles Ehrman, Jr.
<br />My Commission Expires April 27, 1M
<br />Comm, No. CC 196771
<br />
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