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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it ..ay be subject to 'deed restrictions' which lay be lore restrictive than Ci~y
<br />regulations. The undersigned assules responsibility for cOlpliante 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 accordante with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and tontractor 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 Departlent, 18131
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, be 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 per.itting 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 />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 promise in good faith to deliver it to the
<br />'owner' prior to cO'lencelent.
<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 aade to obtain a perait 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 aay 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 liaited to:
<br />f Departlent of Environ_ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatment
<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. Environ.ental 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 per_it issuance.
<br />
<br />A per.it issued shall be construed to be a license to proceed with the wor~ 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 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 cOI.enced 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 tile, 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 CO""ENCE"ENT HAY RESULT IN YOUR PAYIN6 TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCIN6, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CO""ENCEHENT. OBS ER 2,500 IN V UE D OT NEED TO RECORD AND POST A "NOTICE "ENCEKE T".
<br />
<br />SI
<br />
<br />
<br />
<br />STATE OF FLfiRIDA J.1 ft t1 #
<br />COU~lY OF J" ~
<br />Th~'foregoing instrum~t was acknowledged
<br />before ~~IiI ;J9'i"3 by
<br />
<br />
<br />who is personaftY. known to r:t or who has
<br />produced ___6
<br />~ identification and W~id/d.M:I--nOt
<br />take an oath'~f!J~ k~ (J~
<br />
<br />(Signature)]3{kr'6(l'<:!L- ~.. C-os:.~ ((6
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA "', "A
<br />COUNTY OF ~
<br />, The foregc,ing instru.~,nt l/-JC\S acknowledged
<br />
<br />befor~; eel ~~ by
<br />
<br />who is personally known to me or who has
<br />produced ~
<br />a.r identi fica~on arId .Wh~/~lt
<br />
<br />take an clath ~~tL /~ C? ~ &
<br />
<br />(Signature) f) { ----n /~~-(
<br />(;2(; reC1 '''fL T\,. ~ ( "'" r ...
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />..........
<br />....~~ ~...... OFFICIAL SEAL
<br />; _ ~ 8a'bara R. Costello
<br />. .
<br />~ : My Commission Expires
<br />"".">, r A.: Nov. 2. 1994
<br />. .~/'tClFf~""" Comm No CC 054525
<br />. ....
<br />
<br />..........
<br />.....~..Itt "%;;". '.:.i-',..ICIAL SEAC
<br />
<br />;~' \ B.....hC!~a R Costello
<br />. .
<br />~ : My Commission Expires
<br />\ ! Nov. 2. 1994
<br />.~'rOFf~. Comm. No. CC:'45..
<br />. .........
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