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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 .ay be .ore restrictive than City
<br />regulations. The undersigned assu.es 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 .ay 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 .ay be
<br />cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, 18131
<br />788-66JJ .
<br />
<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) 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 .ay 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 - Ho.eowner's Protection
<br />Guide" prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs. If the applicant is so.eone other than the
<br />.owner., I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the
<br />.o~ner. prior to co..encetent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infortation in this application is accurate and that all work will be done in cotpliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
<br />
<br />Application ~s hereby .ade to obtain a per.it to do work and installation as indicated. 1 certify that no work or
<br />installation has cottenced prior to issuance of a pertit and that all work will be perforted to teet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern.ental agencies .ay apply to the intended work, and that it is
<br />ty responsibility to identify what actions I tust take to be in co.pliante. Such agencies include but are not li.ited to:
<br />I Depart.ent of Environtental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive lands,
<br />Yater/Wastewater Treat.ent
<br />I Southwest Florida Mater nanaQetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Arty Corps of Enqineers - Seawalls, Docks, Navigable Materways
<br />f Departtent of Health L Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treattent, Septic Tanks
<br />f US Environtental Protection Agency - Asbestos abate.ent
<br />I also certify that, if fill .aterial is to be used in Flood Zone .A. or .A,etc,", it is understood that a drainage plan
<br />addressing a .co.pensating volu.e. will be sub.itted 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 work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall becole invalid
<br />unless the work authorized by such per.it is co.tenced within six .onths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six .onths after the ti.e the work is co..ented. One 90 day extension of ti.e, lay be
<br />allowed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official, An
<br />approved inspection .ust be logged during each six .onth period, or the project will be considered abandoned.
<br />WARNING TO OUNER: YOUR FAILURE TO RECORD A NOTICE OF Co"nENCEnENT nAY RESULT IN YOUR PAYING TWICE FOR I"PRoVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDIN& YOUR NOTICE OF
<br />Co"nENCE"ENT. ODS UNDER $2 IN VAlUE DO NOT NEED TO RECORD AND POST A .NOTICE OF COKnENCE"ENT..
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<br />SIGNATURE: CONTRACTOR
<br />I
<br />
<br />
<br />STATE OF FloRID~
<br />COUNTY OF ffiSQc
<br />The foregoing instrument was ac;rowledged
<br />before me this JAJU Iq ,19 q by
<br />
<br />DCI0ALb ~OAJC'Z...~
<br />who is personally known to me or who has
<br />produced
<br />as identification
<br />take aft oa
<br />
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />
<br />NOTARY PUBLIC Notary Public, State of Florida
<br />Robert Charles Ehrman, Jr.
<br />My Commission Expires April 27, 1996
<br />Comm. No. CC 196771
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF 1>A 50 0
<br />The foregoing instrument
<br />bpfore me this JAN 1'1
<br />
<br />was acknowledged
<br />19~ by
<br />
<br />RoCE.RT 0. E.~RmAN 0R,
<br />who is ..Q!?rsona 11 y known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />Co-nh?J'o.".;( ~__,
<br />(Signature)
<br />
<br />(Name Typed, Pr i nted or' Stamped)
<br />NOTARY PUBLIC
<br />
<br />Notary Public. State Of FIOrlbda l~t i~~i
<br />
<br />M C miSSion Expires Fe. ,
<br />y A~: 81 SAfECO Insurance Company 01 Ame""
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