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<br />CONDITIONS OF P~RMIT AFFIDAVIT
<br />A." NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it aay be subject tD "deed restrictiDns" which lay be tore restrictive than City
<br />regulations. The undersigned assutes responsibility for cotpliance 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 aay 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 aay be
<br />cited for a lisdeleanor violation under state law. If the owner Dr 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 Departtent, (813)
<br />788-6611.
<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 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 - 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 Mill be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby .ade to obtain a perlit to do work and installation as indicated. [certify that no work or
<br />installation has cOltenced prior to. issuance of a perlit and that all work will be perforled to .eet 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 .ay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I .ust take to be in cOlpliance. Such agencies include but are not litited to:
<br />I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands,
<br />Water/Wastewater Treat.ent
<br />I Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health l Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treattent, Septic Tanks
<br />I US Environlental Protection AGency - Asbestos abatelent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A" Dr "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, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit 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 .onths after the tite the work is cotteneed. One 90 day extension of tite, tay 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, Dr the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR l NDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />C "ENCE"ENT. JOBS UNDER $2, E DO NOT NEED TO RECORD A D POST A "NOTICE OF COMMENCE NT".
<br />
<br />
<br />
<br />
<br />STATE OF flORIDA ~ '()
<br />COUHTY OF _~ 0_ ~ Q.,\('I{j
<br />The foregoing instrument was ;jk~OWledged
<br />befe.re me th i s ~~~ l , 1 by
<br />
<br />~o"'~ ~. ()G.f\\tl
<br />who is nail k to me or whct has
<br />produced
<br />as identification and who did/did not
<br />take a h.
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF '\" ~ '\ C 0
<br />The foregoing ~trument was ~7~nowledged
<br />before me this~C!- \ , 19~ by
<br />
<br />who i has
<br />produce
<br />as identification and who did/did not
<br />
<br />take an~~~~~~
<br />
<br />(Signatur~~~ .. \ ~
<br />
<br />(Name Typed, Pri d or Stamped)
<br />NOTARY PUBLI C
<br />
<br />
<br />"t..:
<br />(Name Typed, Pr
<br />NOTARY PUBLIC
<br />
<br />
<br />.,.,~ BrnY JEAN 7..~..J
<br />'~~""..;;.
<br />f:: ~*\ MY COMMISSION II CC 233547
<br />~~. . EXPIRES: October 6. 1996
<br />1(~ IloIIdId lhnI NolIIy Public lJncIIIIM\f8IS
<br />.....-.-....-.-...,.;-
<br />
<br />~ c..r---
<br />ed or Stamped)
<br />
<br />......... Dt:'I"r'\I JEAN n-ON
<br />it-'!\'I".~~ IJII;I" rl'
<br />f*rl;i." !*! MY COMMISSION' CC 233547
<br />~~~-lf.l EXPIRES: 0cIDblIr 6 1896
<br />':'~iif.,~~~ tJondId l1InI NolIIy PublIc ~
<br />
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