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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 rlstrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assules 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 what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the owneT has hired a contractor Dr 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 />"oNner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />"oNner" 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 COltenced prior to,issuance of a perlit and that all work Nill 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 govern.ental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify Nhat actions I lust take to be in cOlpliance. 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 WaterMays
<br />I Departlent of Health l Rehabilitative Services. Environlental 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" Dr "A,etc.", it is understood that a drainage plan
<br />addressing a "colpensating volule" Mill be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A per.it issued shall be'construed to be a license to proceed with the Mork 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 Mork authorized by such per.it is coa.enced within six aonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the Mork is cOllenced. One 90 day extension of tile, lay be
<br />allowed for the perait 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 proiect 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 IHPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU'INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />C M"ENCE"ENT. JOBS UNDER $ , VALUE DO NOT NEED TO RECORD A D POST A "NOTICE OF COMME "
<br />
<br />
<br />.
<br />IGNATURE: OWNER OR AGENT
<br />
<br />
<br />STATE OF FLORIDA ().
<br />COUNTY OF . " o..s Q. 0
<br />The foregoing i~trument was acknowledged
<br />before me this ~E~ \ , 19C1J by
<br />
<br />. R~~ ~~
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />. The foregoing i~ument
<br />before me this ~C \
<br />
<br />
<br />Q~~o
<br />was acknowledged
<br />, 19~ by .
<br />
<br />who i
<br />produc
<br />as identification
<br />take an at.
<br />
<br />
<br />Scc.{o~
<br />nally
<br />
<br />who has
<br />
<br />who is sc.nall to me
<br />prod . ~
<br />as identification and who d~d' ot)
<br />
<br />take an o~~ ~ Uf\-I ~
<br />(SignatU}-e~'L~~ "S t:.~ ~I ~~
<br />
<br />(Name Typed, pri~d or Stamped)
<br />NOTARY PUBLI C
<br />
<br />(Name Typed, Pr'
<br />NOTARY PUBLIC
<br />
<br />
<br />",'r;.t~" BETIY JEAN nPTON
<br />!"f ....f~ MY COMMlSSION , CC 233547
<br />.~! EXPIRES: Octllber 8. 1996
<br />.~. BondId lbru NollIy PuIllIc ~
<br />
<br />
<br />BETIY JEAN nPTON
<br />MY COMMISSION' CC 233547
<br />EXPIRES: 0ct0bIr 8. 1996
<br />BondId lbru NlllIIY PubIIo ~
<br />
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