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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assutes responsibility for cOlpliance 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 owner or 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 Departlent, IBI31
<br />7BB-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 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 perfor.ed to .eet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent 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 />, Departlent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />, Southwest Florida Water "anaQeleot District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />, ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />, Depart.ent of Health & Rehabilitative Services. Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />, 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, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Dfficial 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 cOltenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended Dr abandoned for a period of six lonths after the tite the work is cOI.enced. Dne 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 Dfficial. An
<br />approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
<br />WARNING TO DWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"~NCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO DBTAIN FINANCING, CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COIIENOEKEIT. J~~ $2,500 1M VIlUE DO MOT MEED Tn RECORD All POST A .~MtEftEMT.'
<br />
<br />!IJ()/ (I;,~ If)a /~
<br />
<br />SIGNATURE: OWNER OR AGENT SIGNATURE: CDNT ACTDR
<br />
<br />STATE DF FLORIDA (~
<br />COUNTY OF '\' ~, ()
<br />The foregoing instrument
<br />before me th i s / I (0
<br />
<br />was acknowledged
<br />, 19 -3.!:J. by
<br />
<br />STATE DF FLDRIDA ~
<br />CDUNTY DF ~ t"n ~. C)
<br />The foregoing instrument was acknowledged
<br />befc.re me th i s I ll..o ,19....9.::L by
<br />
<br />t l.. )Q....,\"" c:J'\ ~,N. e u-f'Y\o..J, "
<br />who is pe~nally known to me or who
<br />produced "Pe\<"-<,>r'\lJ. \\t ~ 'Kn{),,~ V'\
<br />as identification and wno did/did not
<br />t~ke a~ oa~h. l D
<br />('j, I. ,,,,T"." !LJ. ~ ()~r ~
<br />(!3,ignature)
<br />C..hri."...,-\-'\C' l - ~o.~')r
<br />(Name Typed, Printed or amped)
<br />NOTARY PUBLI C
<br />
<br />has
<br />
<br />L")On'pC\. ~. \"'-.\eldY'ClIo'l""
<br />who is personally known to me or who has
<br />produced QeT~(\Q I \ I \ KI'\()1 .~,\l,
<br />as identification and who did/did not
<br />t~ke an oath. .
<br />~. .~,r, ~ ~ '\\\~ ~
<br />(&nature>
<br />~\ ~~~\ e... L. \'\\ 0 ~0. '\
<br />(Name Typed, Printed or tamped)
<br />NOTARY PUBLIC
<br />
<br />OFFICIA.L NdtAR'lSSAL
<br />ci-IRI'STIE L MAF)R
<br />NCITARY PUEUC STAr,,; 0;:; rL(}~mA
<br />C{)!\.1~!iIE2IS~'i r';~. !~~'~~:~~~J I _,~~
<br />MY ..f2l~j~.'r~~~I'cl::L!2Sf~~~~-.l" i,l~L~~.
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