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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. :NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands thit this perlitlay bl! subjec:t to "deed restridions' which aay be lore rl!strictive than City
<br />regulations. The undersigned assules responsibility for c:olpliance with an" applic:able deed restric:tions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If thl! owner has hired a c:ontrac:tor or contrac:tors to undertake work, they lay be required to be lic:ensed in ac:c:ordance with
<br />state and local regulations. If the contrac:tor is not licensed as required by law, both the owner and c:ontractor lay be
<br />cited for a lisde.eanor violation under state law. If the owner or intended contrac:tor are unc:ertain as to Khat licensing
<br />requirelents lay apply for the intl!nded work, they are advised to contact the City of Zephyrhills Building Departlent, 18131
<br />788-6611.
<br />
<br />Furtherlore, if the ollner has hired a contrac:tor Dr contrac:tors, he is advised to have the contrac:torls) sign portions of the
<br />"Contractor Sec:tions" of this application for which they will bl! rl!sponsibll!. If you, as the ollner sign as thl! contrac:tor,
<br />you are indic:ating that you, rather than the contractor, are rl!sponsible for the lIork. If thl! contrac:tor wishes you to sign
<br />as c:ontrac:tor that lay be an indic:ation that hI! 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 lIith a c:opy of "Florida's Construc:tion Lien Law - HOleowner's Protection
<br />6uide" prepared by the Florida Departlent of Agriculturl! and ConSUIl!r Affairs. If the applicant is sOleone other than the
<br />"ownl!r" , I C:l!rtify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />"ownl!r" prior to cOllenCell!nt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is acc:uratl! and that all work will be done in cOlpliance with all
<br />applicable laws regulating c:onstruction, 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 codl!s, zoning rl!gulations, and land developlent regulations in thl! jurisdiction. 1 also
<br />cl!rtify that I understand that the regulations of other govl!rnlental agencies lay apply to the intl!nded work, and that it is
<br />IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not lilited to:
<br />I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<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 Treatlent, Septic Tanks
<br />I US Environlental Protection AQenc:y - Asbestos abatelent
<br />I also certify that, if fill .atl!rial 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 sub.itted which is prepared by a profl!ssional 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 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 frot thereafter
<br />requiring a correction of errors in plans, construction, Dr violations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such per.it is cO'lenced 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 tile the Mork is cOllenced. One 90 day extension of tile, lay be
<br />alloMed for the perlit with fee charge of SI5.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection .ust 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 COHKENCEKENT HAY RESULT IN YOUR PAYING TWICE FOR I"PROVEHENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCIN6, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CO"HENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHHENCEHENT".
<br />
<br />~=~J'If~ 9({.u.td~
<br />
<br />K::u.fu ~ ~ 0~ !b. L . SreJ=; (!O/JS-r:
<br />SI6NATURE: CONTRACTOR '
<br />
<br />STATE OF FLOR~
<br />COUNTY OF I J JOJJC{)
<br />The foregoing instrument
<br />before me this Dc ~~
<br />
<br />was ac:knowledged
<br />, 193J... by
<br />
<br />STATE OF FLORl~AC/l D
<br />COUNTY OF J-
<br />. The foregoing i~rumen~as aC:~1=ledged
<br />befc.re me this r"\.. .9-4 , 19 by
<br />
<br />lJ.JL b
<br />
<br />~b;d [.~ OIM\~to~
<br />who is per onally kno to me .:l~
<br />pr~duel!!'d
<br />
<br />::k~d:~'~~~~:~~~
<br />
<br />(Sig ture). L . It .
<br />\11z ' I I ~
<br />(Name Typed, Printed
<br />NOTARY PUBLIC
<br />
<br />
<br />who is ersonall
<br />produced
<br />as identification
<br />take ~
<br />
<br />(Signa~ ~ I
<br />n,-\A
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />or whc. has
<br />
<br />c: ~~d'd
<br />
<br />G 3on-PS
<br />
<br />not
<br />
<br />nA-7S4~\ D
<br />
<br />Notary Public. Stata of Florldl
<br />1101)' Commleslon Expires f,~b, 28, 111..
<br />
<br />(1:......... CONNIE L. PHD..LIPS
<br />: ~% MY COMMISSION I CC 161831
<br />~ ~:N EXPIltIlS:"-Iter 24. 199J
<br />. ~.' .......,.... N'aIIaJ PlIllIiI ~
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