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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" Ihich laY be lOre restrictive than City
<br />regulations. Ihe undersigned assUl8S responsibility for COIpliance lith any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas hired a contractor or contractors to undertake IOrk, tbey lay be required to be licensed in accordance lith
<br />state and local regulations. If the contractor Is not licensed as required by lal, both the owner and contractor .y be
<br />cited for a lisdeleanor violation under state lal. If the owner or intended contractor are uncertain as to what licensing
<br />requirelentB laY apply for the intended IOrk, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611. ·
<br />
<br />FurtberlOre, if the owner has hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />'Contractor Sections' of this a~plicaUon for which they lill 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 tbe contractor lishes you to sign
<br />as contractor that laY be an indication that be is not properly licensed and Is not entitled to peraitting privileges in the
<br />City of Zepbyrhills. .
<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, bave been provided lith a copy of 'Florida's Construction Lien Lal - HoIeowner'8 Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUl8r Affairs. If the applicant is sOleODe other than the
<br />"OlDer", I certify that I have obtained a copy of the above described dOCUleDt and prOlise in good faith to deliver it to the
<br />"olner" prior to COIIBDCelent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforlation in thiB application iB accurate and tbat all IOrk lill be done in COIpliance lith all
<br />applicable lals regulating conBtruction, laning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that DO IOrk or
<br />installation bas COIIeRced prior to issuance of a perlit and that all lork lill be perfoIJed to leet standards of all 18ls
<br />regulating conBtruction, City codeB, loning regulations, and land developleDt regulations in the jurisdiction. I alBo
<br />certify that I understand that the regulationB of other goverDIeDtal agencieB laY apply to the intended work, and that it is
<br />IY responsibility to identify Ibat actions I lust take to be in coapliance. Such agencies include but are not li.ited to:
<br />t Departlent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water/Wastewater Ireatlent .
<br />t Soutblest Florida Water Managel8Dt District - WellB, Cypress Baybeads, Wetland AreaB, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, lavigable Waterways
<br />t Departlent of Health i Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Ireatlent, Septic lanks
<br />t US InviroDleDtal Protection Agency - Asbestos abatl!lent
<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 volUl8" lill be subtitted Ihich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit iSBuance.
<br />
<br />A perlit issued sball be construed to be a license to proceed lith tbe lork and not as authority to violate, cancel alter, or
<br />Bet aside any provisions of the technical codes, nor shall iBsuance of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery peIllt Issued shall becoIe invalid
<br />unless tbe lark authoriled by sucb perlit is cOllBDCed lithin sil IODthS of issuance, or if work authoriled by the perlit is
<br />suspended or abandoned for a period of slllOnths after the tile the IOrk is couenced. One 90 day l!Itension of tile, lilY be
<br />allowed for the perlit with fee charge of $15.QO. Ihe extension shall be requested in lriting to the Building Official. An
<br />approved inspection lust be logged during each six IOnth period, or the profect lill be considered abandoned.
<br />WARMIIG TO OWlIlR: YOUR FAILURI TO RlCORD A .IOTtel OF C(lNICEIIW MAY RESULT II YOUR PAYlIG TWICI FOR IMPROYIIIID'S TO YOUR
<br />PROPIRTY. IF YOU II1DD '1'0 OBTAII FIIANCIIG, COHSULT WITH YOUR LIIOIR OR AI AnORlIY BEFORl RlCORDIIG YOUR IOTICH OF
<br />COMKENCEHlIT. JOBS UIDER $2,500 11 VALUE DO NOT NEED TO RlCORD AlfD POST A 'IOTICl OF ClIIMEICIDIIIJ1.
<br />
<br />
<br />f2 DP-C/~?~ ~
<br />
<br />
<br />STAT! OF FLO~A
<br />COUNTY OF -r~
<br />The foregoing instrument was acknowledged
<br />
<br />beZ;i:#:t~ 19~ by
<br />
<br />who is personally known to/me or who has
<br />produce t:ZdfU Of) O~ ~ (..) ~
<br />as id l.fication and wh did/~ not
<br />ta oa h.
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF PASS,)
<br />The foregoing instrument was acknowledged
<br />before me this /\UGlIST 23, 19~ by
<br />
<br />
<br />ALONZO ~~HIT':: KI~SEY
<br />who is personally known to me or who has
<br />produced J:'l ')(;1 I 9/\ QI"> I II'=-?,> I T CEI'i1SI='
<br />as identification and who did/did not
<br />
<br />;;r";e t.~/rlAf
<br />(Sig ure) ~-
<br />RI)RTN qlIlFRJ:'q
<br />(NilIIe Typed, Printed or Stuped)
<br />NOTARY PUBLIC
<br />
<br />(Name :J,!yped, Prin (J or Stamped)
<br />NOTARY PUBLIC,...
<br />..~~... OFFICIAL SEAL
<br />l ~\ BARBARA A. HuppERT
<br />i. i My Commission Explr..
<br />~. ; Nov. 27. 1996
<br />..~~ClFf\.~.. Comm. No. CC 240384
<br />......... .
<br />
<br />".~i.n::,.. ;,uBiN LEE S1LVEREST
<br />~Y:''''''''iA
<br />f..:~.~:~ t>;if COMMISSION' CC lIlIlI2I4
<br />~~ ~ EXPIRES: December 14, 1997
<br />~Rl'" .,' llandBd 11Iu NolIIy PIIIIIo lftIIndIII
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