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<br />CONDITf6NS d~ PERMIT AFFIDAVIT
<br />'A.~ NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be tore restrictive than r.ity
<br />regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the Dwner has hired a contractor Dr cDntractors 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 tay 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, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of the
<br />"Contractor Sections" of this application for which they wili 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 pertitting 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 />"oNner", 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 govern.ental agencies .ay 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 Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands,
<br />Water/Wastewater Treat.ent
<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 Depart.ent of Health & Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treattent, Septic Tanks
<br />f US Environ.ental 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 "co.pensating volule" will be sublitted which is prepared by a professional engineer registered in the state of
<br />Florida prior to per.it 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, 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 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 per.it is
<br />suspended or abandoned for a period of six lonths after the tile the Mork is cOltenced. One 90 day extension of tite, 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 .onth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN ANCING, CONSULT WITH YOUR lENDER DR AN ATTORNEY BEFORE RING OUR NOTICE OF
<br />CO ENCE"ENT. JOBS UNDER $2,500 N VAl DO NOT NEED TO RECORD AND OST A "NOTICE OF COMMENt ENT".
<br />
<br />
<br />
<br />who is
<br />produc
<br />as identification
<br />take a oa
<br />
<br />
<br />was acknowledged
<br />, 1~ by
<br />
<br />STATE OF FLORIDA \')
<br />COUNTY OF '" CLS C. ~
<br />The foregoing i~trume~t
<br />before me this B't-~ \
<br />
<br />was aj~'Wledged
<br />, 19 by
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF Vc...S~o
<br />The foregoing i~trument
<br />before me this ~ \
<br />
<br />~
<br />
<br />who is has
<br />produce
<br />as identifica lon an w 0 di /did not
<br />take an ~t*. . ~ \L ' ~
<br />
<br />(Signatur~~~~~~
<br />
<br />(Name Typed, Pri d or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />me or who has
<br />
<br />,...'.t....... SETlY JEAN TIPTON
<br />.t~.r~..
<br />i.:~:.j MY COMMISSION' CC 233647
<br />~. . i EXPIRES: 0cfllbIr 8. 19116
<br />....~Rr..lli IIondId Thru NolIry PublIc UncIIIwIlIIrI
<br />.~-._...,-
<br />
<br />
<br />BEm JEAN TIPTON
<br />MY COMMISSION' CC 233847
<br />EXPIRES: 0cIllbIr 8. 19116
<br />Bonded TIlIu NolIry NIle LkldIIWIlIlII'l
<br />
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