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<br />CONDITIONS OF PERMIT AFFiOAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be iore 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 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 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, CB13}
<br />7B8-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractorCs} 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 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 MOrk 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 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 Iilited to:
<br />f Departlent of Environlental Requlation - Cypress Bayheads, YetIand 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 Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treat_ent, Septic Tanks
<br />f US Environlental Protection AGency - 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 issuanre.
<br />
<br />A per.it issued shall be construed to be a lirense to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical rodes, nor shall issuance of a per.it prevent the Building Official frol thereafter
<br />requiring a rorrection of errors in plans, construction, Dr violations of any code. Every per_it issued shall becole invalid
<br />unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if NorK authorized by the per.it is
<br />suspended or abandoned for a period of six .onths after the tile the Nork is cOllenced. One 90 day extension of tile, 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 Nill be considered abandoned.
<br />WARNIN6 TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"KENCE"ENT HAY RESULT IN YOUR PAYIN6 TWICE FOR IHPROVEHENTS TO YOUR
<br />PROPERTY. IF YOU 'INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CO""ENCEKENT. JOBS UNDER S , N VALUE DO NOT NEED TO RECORD AN POST A -NOTICE OF CO"HENCE NT".
<br />
<br />
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF Q,. C; e. u
<br />The foregoing i~trument
<br />before me th i s ~'t!!.. \
<br />
<br />
<br />was acknowledged
<br />, 19...:tl by
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF r YS t..Q
<br />The foregoing in~ument
<br />befc.re me th i s ~'C:.~ \
<br />
<br />
<br />was ac~nowledged
<br />, 19~ by
<br />
<br />c...t~~-r
<br />know to me or who has who is ersonally to me has
<br />
<br />~ produc
<br />as identification and who d~did not \ as identification and who di .f id no
<br />
<br />take ~~ :s 3 ~ Q ":-;;-- ~take an ~~ :s ~ ~t's
<br />(Signatur~.' d ..~ .~ '\. (SlgnatUl-eh.1...\ ~ . 4-.
<br />~ ...)e:..~~ \\ ~-r6 ~ ()<<t:...~ ..J' 10
<br />(Name Typed, PrO ted or Stamped) (Name Typed, Prl ed or Stamped)
<br />NOTARY PUBLIC NOTARY PUBLIC
<br />
<br />"'~-;;'\fj;;.:.< BmY JEAN TIPTON
<br />.~,' -.'1f'
<br />f*; . :;~ MY COMMISSION' CC 233647
<br />~'. .'61 EXPIRES: Oclllber 8. 1996
<br />";:~p. "f:I'<f,.'- IIondId llIni NDlIIY PlIbIIc lblIlwIftIII
<br />
<br />
<br />BETIY JEAN TIPTON
<br />MY COMMISSION' CO 233547
<br />EXPIRES: October 8. 1996
<br />IIondId TIlru NollIIy PllIlIIc I.hlIrMIlIII
<br />
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