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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 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 .hat 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 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 />6uide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />'oNner", I certify that 1 have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />'owner' 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 pertit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a pertit and that all work will be perforled to .eet 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 governlental agencies .ay 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 />t Depart.ent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water "anagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />t US Environaental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood 20ne "A' or 'A,etc.", it is understood that a drainage plan
<br />addressing a 'colpensating yolute' will be sublitted which is prepared by a professiDnal engineer registered in the State of
<br />Florida prior to pertit issuance.
<br />
<br />A pertit issued shall be construed to be a license to proceed Mith the Mork and not as authority to violate, cancel alter, Dr
<br />set aside any provisions of the technical cDdes, 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 perlit is cOllenced 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 tile the work is cOllenced. 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 during each six lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT nAY RESULT IN YOUR PAYING TWICE FOR I"PROVEnENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCIN6, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDIN6 YOUR NOTICE OF
<br />COKKENCEnEMT. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A 'NOlICE OF connENCEnENT..
<br />
<br />e C\"J~ 2:4 cJt~
<br />SI6NATURE: OWNER OR A6ENT
<br />
<br />~IU- rut - J~u-,-
<br />SI6NATURE: CONTRACTOR
<br />
<br />
<br />~~~~yO~/lORIDA PR.5 eo
<br />
<br />The foregoing instrument was acknowledged
<br />before me this 1,&)"#" :TIJA.,i 19!1.:L by
<br />
<br />DO,eiS fY). T)finfRS
<br />who is personall y ~mown to me or ~ho has
<br />produced D 12 f lJ fjJ..S /v1(!,EN6 ~/
<br />as identification and'who did/did not
<br />tak~n, oa~h. 0.,-' / ~ +-1-
<br />VXLUL- -tP . LJ ~
<br />(Si ature) ~
<br />J-JNOA ,T 0 T'L
<br />(Name Typed, Printed or Stamped)
<br />
<br />NOTARY PUBLIC '~~'''!:'~::',O~~~'da;
<br />
<br />LINDA J. OT , com no 5. 1998
<br />Notary Public. State M, ' ';~4
<br />My Comm, Exp. June . ,omn,
<br />Comm, No. CC 3~ 68 ~.,V'",.y..' .
<br />
<br />STATE OF FlORID~
<br />COUNTY OF 11.0 t- 0
<br />. The foregoing instrument
<br />befc.re me this 7 -;{~
<br />
<br />was acknowledged
<br />, 19.2..!1- by
<br />
<br />---PE0~ uJ. 0-rt J€:-
<br />who is personally known to me or who has
<br />pl-oduced V R I V t,e.. ~ Iv j (:-f tJ S E
<br />as identification and who did/did not
<br />
<br />ta~ aaa.' 9 BJi:
<br />' /1/)(. tl/ / .' ,-
<br />(8' ~re) -----=
<br />1-./ bfl ,T. 0 I I
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />
<br />LINDA J. DTT
<br />Notary Public. State of Florida
<br />My Comm, Exp. June 5. 1998
<br />Comm, No, CC 378684
<br />
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