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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 .ay be lore restrictive than City
<br />regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictio~s.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<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 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 Dr 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 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 .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 - HOleowner's Protection
<br />6uide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is so.eone 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 co..encelent.
<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 co.pliance 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 per.it and that all work will be perfor.ed to leet 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 govern.ental agencies .ay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not li.ited to:
<br />f Depart.ent of Environlental Requlation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />f Southwest Florida Water "anaqe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Ar.y Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />f Depart.ent of Health L Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />f US Environlental Protection Aqency - Asbestos abate.ent
<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 volute" will be sub.itted 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 work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beco.e invalid
<br />unless the work authorized by such per.it is cOllenced within six tonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned fOT a period of six lonths after the tile the work is cO.lenced, One 90 day extension of tile, lay be
<br />allowed for the pertit 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 project will be considered abandoned.
<br />WARNIN6 TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"KENCEnENT nAY RESULT IN YOUR PAYING TWICE FOR I"PROYEnENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COKIENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOlICE OF CO"KENCEnENT".
<br />
<br />rL;/~
<br />
<br />~IURE: 0IIIlEll1IR AGEflI
<br />
<br />i:JtJLJ4U-0~ /C.-L.-..f'TEVt;; {!o,Us:.-r
<br />SI6NATURE: CONTRACTOR '
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF ---:p (4 Sc.o
<br />The foregoing instrument
<br />before me th i s ~eb ;;J.S;
<br />
<br />was acknowledged
<br />, 19:1:L by
<br />
<br />STATE OF F~~A
<br />COUHTY OF a5>C 0
<br />.. The foregc.ing instrument
<br />befc:,re me this F'eb. ~~-
<br />
<br />was acknowledged
<br />, 19:t:L- by
<br />
<br />Nel<:....
<br />who is ersonally known to me or who has
<br />produced
<br />as identification and' who did/did not
<br />tak~ an oath. , ~.
<br />&!.... t:!~ a...tJ,J/\~ '
<br />(Signature)
<br />']). lU..clh er; tVe. MM+i oJ -It eCI 75 7 ~-'t 7
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />'J)e.i::)(- di... W. s-fe ~
<br />who is personally known to me or who has
<br />produced fL \).... Li~..:tt-5310"114-5.)-q~<.f
<br />as identification and who did/did not
<br />tak~ an oa. th. ~.-r- '
<br />f:::)'~"l~'
<br />(Signature)
<br />7), K.tAf-{,e-r~.ve. Y11.,[.<1+;/IJ #=-cc.I~7~7
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />NOTARY PUJ;,U:::, STATE OJ? FLORIDA.
<br />MY COMMISSION EXFIRES: August 26, 1995.
<br />BONDED Tl!RU NOTARY PUBLIC UNDERWRlJERS.
<br />
<br />NOTARY PUELlC, STATE OF FLORIDA
<br />MY COMMISSION EXPIRES: August 26 '1995
<br />1l0NDED THRU NOTARY PUBLIC.UNDERWRhERS. .
<br />
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