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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perJit laY be subject to 'deed restrictions" which lay 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 lisdeteanor 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 bired a contractor or contractors, be is advised to bave tbe 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 per.itting privileges in the
<br />City of Zepbyrbills.
<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 - HOIeOWDer's Protection
<br />Guide" prepared by the Florida Departlent 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 />Nowner" prior to cOlllellcelent. -
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify tbat all the inforlation in tbis application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developaent.
<br />
<br />Application is bereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation bas COJIenced prior to issuance of a per.it and tbat all work will be perforJed to Jeet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveruental agencies laY apply to the intended work, and that it is
<br />.y responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not li.ited to:
<br />* Deparllent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and KnviroDlentally Sensitive Lands,
<br />Water/Vastewater Treatlent
<br />* Southwest Florida Water Hanagelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health & Rehabilitative Services, EnvirODJental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />* US EnviroDlental Protection Agency - Asbestos abatelent
<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 volUJeu will be subtitted wbicb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance. '
<br />
<br />A perlit issued sball be construed to be a license to proceed witb the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball 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 perJit issued shall becOle invalid
<br />unless the work authorized by such perJit is cOJJenced within six IOnths of issuance, or if work autboriled by the per.it is
<br />suspended or abandoned for a period of six IOntbs after the tile the work is c_enced. One 90 day l!Itension of tile, laY be
<br />allowed for the perJit with fee charge of '15.00. Tbe l!Itension sball be requested in writing ~o the Building Official. An
<br />approved inspection .ust be logged during eacb six IOnth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YO CORD OF COHHENCEMEN'I' HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU NAN NG, CO SULT WITH YOUR LENDER OR AN ATTORJIEY BEFORE RECORDING YOUR HO'fICE OF
<br />COMMENCEMENT. BS ALU 00 N NEED TO RECORD AND POST A uNOTICE OF COHHKNCKHBNT".
<br />
<br />
<br />
<br />SIGIIAIORE~
<br />
<br />
<br />STATE OF FLORI~
<br />COUNTY OF ' A SLo
<br />The foregoing instrument was acknowledged
<br />before me this g> -~~ , 19:J.:L by
<br />
<br />f{A-~ OAfJie/ C;
<br />who is ersonally known to m~ or who has
<br />produced
<br />as identification and who did~ld n~
<br />
<br />take ZZth"5.-n1~f
<br />(Sign r~
<br />:Se~~v H./YltJlJ-k.s fIC.
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF P,o.s'--o
<br />The foregoing instrument was acknowledged
<br />before me this ,q-:l5" , 19.3..!:L.. by
<br />
<br />~ ) h~l + .s i fY) S
<br />who is ersonally known to ~ or who has
<br />produced
<br />as identification and who did~id no~
<br />take an oathori /'1.~~t/
<br />
<br />(Signature) / ....,. /
<br />-:::fceLt 1-1. rYJo/'l/E.s Sf:,
<br />(Name'Typed, Prin ed or Stamped)
<br />NOTARY PUBLIC IKttJIRY pQ8LtC itA. ar ru:amt.
<br />MY aHUSSIOIl UP. JULY 14,1_
<br />BOl'IDED 'l'JBW _IIIIIL DI. ..
<br />
<br />NQXMY PUBLIC 51'A'1'I \E I'LOIUOA
<br />MY Cot9USSIOIl UP. JULY 14,ltt6
<br />BOIIIZD ~ U 1I..lL DB. ~.
<br />
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