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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. . NOTICE OF DEED RESTRICTIONS
<br />!he undersigned understands that this penit lay be subject to 'deed restrictions' which JaY be lOre restrictive than City
<br />regulations. !he undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED, CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner hai 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 />requirl!lents 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 bas bired a contractor or contractors, he is advised to have the contractor(s} sign portions of the
<br />'Contractor Sections' of this application for wbich 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 wisbes you to sign
<br />as contractor that lay be an indication that be is not properly licensed and is not entitled to penitting 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, bave been provided with a copy of 'Florida's Construction Lien Law - HOJeowner's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and ConsUJel' Affairs. If the applicant is sOleone other than the
<br />'owner', I certify that I bave obtained a copy of the above described dOCUJeDt and prOlise in good faith to deliver it to the
<br />"owner" prior to coaencl!lent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforaation 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 bereby lade to obtain a penit to do work and installation as indicated. I certify that no work or
<br />installation bas COJlt!Jlced prior to issuance of a penit and that all work will be perfoned 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 lay apply to the intended wort, 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 RnviroDJeDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDJentally Sensitive Lands,
<br />Vater/Vastewater TreatJent
<br />t Southwest Florida Water Hanagl!lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t AllY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health i Rehabilitative Senices, RnvirODlental Health Unit - Vells, Wastewater TreatJent, Septic Tanks
<br />t US RnvironJental Protection Agency - Asbestos abateJent
<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 'co.pensating volUJe' will be suhlitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to penit issuance.
<br />
<br />A penit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />Bet aside any provisions of the technical codes, nor shall issuance of a penit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every penit issued shall becOle invalid
<br />unless the work authorized by such pel1lit is co.nced within six IOnths of issuance, or if work authorized by the penit is
<br />suspended or abandoned for a period of sillOntbs after the tile the wort is coaenced. One 90 day extension of tile, lay be
<br />allowed for the pel1lit with fee charge of $15.00. !he extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each sillOnth period, or the project will be considered abandoned.
<br />WARNING TO OWHER: YOUR FAILURB TO RECORD A NOfICE OF COHHEHCEMEHI MAY RESULf IN YOUR PAYING nICE FOR IHPROVEHm'S TO YOUR
<br />PROPERTY. YOU 0 OBTAIN FlKAHCIJlG, COJlSULT WITH YOUR LEXDER OR 111 AnO RECORDING YOUR HorICE OF
<br />0MMEJf ER $2, IN VALUE 00 HEED T POST A ' OF COMHElf II.
<br />-----=:::>
<br />
<br />
<br />STArE OF FLORI~ d
<br />COurrrY OF /' n er '" 0
<br />The foregoing instrument was acknowledged
<br />before me this 21 lJuc.r ' 191Y by
<br />
<br />PD I)^o..- mCL.r 1"'1
<br />who is personally known to me or who has
<br />produced Ie "'.oc..c.--'l -+ t::> "" ~
<br />as iden ific ion and who 4IlII/di not
<br />tak 0
<br />
<br />
<br />STATE OF FLORIDtk I
<br />coum OF I' 1"\ ., ^ ~ 0
<br />The foregoing instrument was acknowledged
<br />before me this 2&1 AV1 ,19~ by
<br />
<br />Dt::> 1)/1.&1 /n#!1t r I~
<br />who is personally known to me or who has
<br />produced Ie " o~ -!-o I11-R..
<br />as identifica ion d whoJIIR/did not
<br />take an 0
<br />
<br />(Signa r
<br />
<br />
<br />OFFI !AL Y SBAL
<br />JOHN F ANTHONY
<br />NorARY PUBLIC STATE OF FLORIDA
<br />COMMISSION NO. CC328541
<br />MY COMMISSION EXP. DEe 11.1997
<br />
<br />(Name Typed, Printed
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped) .
<br />NOTARY PUBLIC FFICIAL N EA
<br />JOHN F ANTHONY
<br />NorARY PUBLIC STATE OF FLORIDA
<br />COMMISSION NO, CC328541
<br />MY COMMISSION EXP. DEe. 11,1997
<br />
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