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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 Rdeed 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 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 owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />RContractor 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 - HOJeOWIler's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is SOBne other than the
<br />"owner", I certify that I have obtained a copy of the above described docUJent and prOJise in good faith to deliver it to the
<br />"ownerR prior to COIlellCl!l8llt.
<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 bas cOllenced prior to issuance of a perlit and that all work will be perforJed to leet 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 governJental agencies laY apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to:
<br />t Departlent of EnviroRleRtal Regulation - Cypress Bayheads, Wetland Areas and EnviroRlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rebabilitative Services, EnvironJeRtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US EnviroRlental Protection Agency - Asbestos abatelent
<br />I also certify that, if filllaterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a 'cOJpeRsating VOIUleR will be sublitted which 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 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 frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becOJe invalid
<br />unless the work authorized by such perlit is cOllellced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOntbs after the tile the work is c~ced. One 90 day extension of tOe, 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 .ost be logged during each six IOnth period, or the project will be considered abandoned.
<br />WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEHCEIlEH'I' MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMDTS TO YOUR
<br />PROPERTY. IF YOU IH'I'END TO OBTAIN FIHAJlCING, CONSULT WITH YOUR LENDER OR All AnoRm' BEFORE RECORDING YOUR NOTICE OF
<br />COMMENC H'I'. JOBS UNDER $2,500 IN VALUE 00 NOT HEED TO RECORD AJID POST A "NOTICE OF COMMENCEMEH'I'".
<br />
<br />
<br />
<br />
<br />ATE OF FLORIDn:2
<br />coum OF v &~W
<br />The foregoing instrument was acknowledged
<br />before me thi~.1 , 19~ by
<br />
<br />1/::f2AA.Ar><~L ~//LA ~ '-. /-
<br />who i~ personally known to me or who has
<br />produced
<br />as identification
<br />t ke ath.
<br />
<br />;c ~.~
<br />" IGNATURB: OWHER OR AGEH'I' ,., J j _..
<br />~~~~
<br />
<br />STATE OF FLOR. I~
<br />COUHTY OF ~
<br />The foregoing instrument was acknowledged
<br />before me this' , 19.J.y by
<br />
<br />
<br />
<br />p~J
<br />
<br />o
<br />( ame Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~ Wo'DrY 'ubt!c. ~ta'e of FtorMa
<br />Mv Commiuicn bpires f!left" 12, '\:J · J
<br />Bonded Tnru Tl01 fain .ln~U[Qo<. Ill.. _ -
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