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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pertit lay be subject to "deed restrictions" which JaY be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for COIpliance 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 lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireJents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (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 - HOJeOIDer's Protection
<br />Guide" prepared by the Florida DepartJent 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 docUlent and prOlise in good faith to deliver it to the
<br />"owner" prior to COJJellceJent, -
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforJation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, laning, 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 cOlleDced prior to issuance of a pertit and that all work will be perfoIJed to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveruental agencies JaY 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 DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />t Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health , Rebabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />t US EnviroDlental Protection Agency - Asbestos abateJent
<br />I also certify that, if fill Jaterial is to be used in Flood Zone "A" or MA,etc.", it is understood that a drainage plan
<br />addressing a "cOlpensating volUJe" 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 pertit issued shall becOle invalid
<br />unless the work authoriled by such pertit is cOJJenced within sil IOnths of issuance, or if work authoriled by the perlit is
<br />suspended or abandoned for a period of sil101lths after the tile the work is couenced. One 90 day extension of tile, lilY be
<br />allowed for the pertit with fee charge of $15.00. The extension shall be requested in writing ~o the Building Official, An
<br />approved inspection lust be logged during each sil IOnth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOU 0 F COHHENCBHENl' HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMEMl'S TO YOUR
<br />PROPERTY. IF YOU TO OBTAIN FI CING, CON T WITH YOUR LINDER OR AN ArTORNEY BIFORl RIlCORDING YOUR MOTICI OF
<br />COHHENCEMEM!/1'C S UN $2,500 IN UI DO N NIID TO RlCORD AND POST A IINOTICE OF COHHBNCEMENT".
<br />
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<br />
<br />SIGHATURE: COHTRACTOR
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF fJA5~ n
<br />The foregoing instrument was acknowledged
<br />before me this ~ft5T 1", 19-fr. by
<br />
<br />~V ~~AJ/&L.s
<br />wtlo is persona ly known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />take~h. ,Jg /3.
<br />;{~~J.-/~ ....~
<br />(Signa u e) ~
<br />kA-rHt.EE~ J. . ~.n.J
<br />(Name Typed, Printed or tamped)
<br />NOTARY PUBLIC
<br />
<br />STArE OF FLORIDA ~
<br />COUNTY OF IfI-s tJ 0
<br />The foregoing instrument was acknowledged
<br />before me this ,'a<tu.~r J? , 19~ by
<br />
<br />At--l5dr 5fN_S"
<br />who is personally known to me or who has
<br />produced
<br />as identifi ation
<br />take h.
<br />
<br />
<br />'Ii
<br />
<br />KATHLEEN J, BROWN
<br />r; "".,~: :! rlr:~"'''''
<br />My G;; :", (:"0. f"J'.. i~35
<br />Corr:m. , ~': C.;oC :',1
<br />
<br />~
<br />
<br />KAntlEEN J. BROWN
<br />Stale of Florida
<br />My C;;nm, Exp. April 2. 1995
<br />Ccmm, # CC OSS6~ 7
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