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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The und~rsigned understa~s that this perlit lay be subject to "deed restrictions" which lay 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 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 ONner 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, (813)
<br />798-6611.
<br />
<br />Fur therlOre , 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 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 - Hoaeowner's Protection
<br />6uide" 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 develop.ent.
<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 per.it and that all work will be perforled to leet standards of all laws
<br />r!gulating 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 DeDartlent of Environlental 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 CorDS of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f BeDartlent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f 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 which 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 with the work and not as authority to violate, cancel alter, ~r
<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, lay be
<br />allowed for the perlit with fee charge of SI5.00. 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 CO""ENCE"ENT KAY RESULT IN YOUR PAYIN6 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 />COKKEMCE"ENT. JOBS UNDER S2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CO~NCE"ENT".
<br />
<br />~/~
<br />SIGNATURE: 0 ER OR AGENT
<br />
<br />~I /J~
<br />S16NATUR: CONTRACTOR
<br />
<br />STATE OF FlOR.JX::t
<br />CtlllNTY OF . ~ f')
<br />The foregoing iRstrument
<br />before me this \ \()\j. ~ ~
<br />
<br />was *knowledged
<br />, 19~ by
<br />
<br />STATE OF FLORI~
<br />COUNTY OF 'G-~(' n
<br />The foregoing iniitrumen~ was acknowledged
<br />before me this 011 ;)\.S ,19q~ by
<br />
<br />
<br />who
<br />
<br />who has
<br />
<br />n a
<br />
<br />I'
<br />
<br />(Signa~ N a
<br />I 4tc/~ L-FOR-i>
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY.~IC
<br />.lI 'l' TARA N ALFORD
<br />. ij{. M~~..:J3:J:.~
<br />· . E~~""~C283392
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<br />
<br />(Signatw-e) AI",1
<br />----rz/.fZ-fJ . IILF DI2-
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI~p
<br />.~t3' 1J8~/t:' TARA N ALFORD
<br />~~ .. A'*rCClmmission CC263392
<br />~ {. g~" t.1... 09. 1997
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<br />.,.~ t~ 800-422.1<.- '.
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