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<br />CONDITIONS OF PERMIT AFFIDAVIT,
<br />A. NOTICE OF DEED RESTRICTION~
<br />The undersigned understands that this perlit lay be subject to .deed restrictions' which lay be lore restrictive than City
<br />regulations. The undersigned aSSUles, responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTQRS AND CONTRACTOR RESPONS)BILITIES
<br />If the owner has hired a contractor Dr contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations. If the'~onttlctor 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 Khat licensing
<br />requireaents lay apply for the intended lJork, they are advised to contact the City of Zephyrhills Building Departlent, 18131
<br />788-6611.
<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 resporlsible. 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 pr)perly 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 document and promise in good faith to deliver it to the
<br />.0Mner. 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 HorK Hill be done in cOlpliance with all
<br />applicable laMS regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perl it to do MorK and installation as indicated. I certify that no Mork or
<br />installation has cOllenced prior to issuance of a perlit and that all Hork Hill be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulationsl 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 lilited to:
<br />I Departlent of Environlental Reoulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Yater/Wastewater Treatment
<br />I Southwest Florida Water "anaoelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Enoineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I US Environlental Protection AQency - A~bestos 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 .compensating volule. Hill be sublitted Mhich 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 Hork 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 planj, construction, Dr violations of any code. Every p~rlit issued shall becole invalid
<br />unless the Nork authorized by such pertit is cOllenced Mithin six months of issuance, or if Hork authorized by the perlit is
<br />suspended Dr abandoned for a period of six lonths after the time the worK is cOlienced. One 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 Official. An
<br />approved inspection lust be logged durin) each six lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORll A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROYEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TD OBTAIN FINAlElIlG, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE .RECORDING YOUR NOTICE OF
<br />CO""ENCE"ENT. JOBS UNDER $2,500 IN YALUl: DO NOT NEED TO RECORD AlID POST A 'NOTICE OF COMMEIlCEMENT".
<br />
<br />
<br />~ .
<br />" , fJJ) ~~~ L JJJLC}
<br />SIG URE: COIHRACTOR
<br />
<br />~T(ip..~~
<br />51 A URE: OWNER OR AGENT
<br />
<br />, ,
<br />
<br />e.:t': (L G-
<br />who i personally r who has
<br />produced
<br />as identification and who did/did not
<br />
<br />ta:~~. S) ~~/'.-'
<br />(S~~re) lA-(
<br />
<br />
<br />was acknowledged
<br />, 19:Ef- by
<br />
<br />STATE OF FLORIDA D
<br />COUNTY OF U- ~
<br />The foregoing instrument
<br />befc,re me th i s _~ 7
<br />
<br />was acknowledged
<br />, 19..:i...l- by
<br />
<br />STATE OF FLORIDA (,)
<br />COUNTY OF r ~
<br />The foregoing instrument
<br />before me this q4"1
<br />
<br />
<br />/ "-'-K. w
<br />~ho ersonally known
<br />produced
<br />as identification and who did/did not
<br />take~ ath.
<br />~ a~ Ae
<br />(Signa u,.-e)'-
<br />
<br />Dr whc. has
<br />
<br />,
<br />
<br />-9;.~
<br />
<br />,(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~!'
<br />
<br />~!'
<br />
<br />No'ary Public. State of Florida
<br />tlM<BARA II. ALLISON
<br />My Comm, Exp. Mar. 26. 1994
<br />Gomm. No. All 759537
<br />
<br />Notary PIJDUt, ~tate of Florida
<br />BA,<IjARA A. ALLISON
<br />My Comm. Exp. Mar, 26. 1994
<br />Comm. No. AA 759537
<br />
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