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<br />CONDIT~ONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICT~~rr
<br />The undersigned understands that this per.it lay be subject to "deed restrictions" which .ay be .ore 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 .ay 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 .isde.eanor violation under state IaN. If the owner or intended contractor are uncertain as to what licensing
<br />require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
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<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 per.itting privileges in the
<br />City of Zephyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<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 />Guide" prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the
<br />"owner" prior to co..ence.ent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation 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 develop.ent.
<br />
<br />Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no worK or
<br />installation has co..enced prior to issuance of a per.it and that all work will be perfor.ed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern.ental agencies .ay apply to the intended Mork, and that it is
<br />IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not li.ited to:
<br />I Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />I Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I US Environ.ental Protection AQency - Asbestos abate.ent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.., it is understood that a drainage plan
<br />addressing a "co.pensating volu.e" will be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it issuance.
<br />
<br />
<br />A per.it 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 per.it prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such per.it is co.teneed within six .onths of issuance, or if Mork authorized by the pertit is
<br />suspended or abandoned for a period of six .onths after the tile the Mork is cottenced. One 90 day extension of tile, lay be
<br />allowed for the per.it 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 .onth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COH"ENCEHENT "AY RESULT IN YOUR PAYING TWICE FOR IHPROVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N ICE OF
<br />CD ENeE",HT. JD'S UHDER ".50 IH V, HDT HEED TD REC..D' POST' "HDTICE DF C~EHT'
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<br />
<br />STATE OF FLORI~
<br />COUNTY OF .\ (' ('1
<br />The foregoing i~et,;tI:51t was aCknOW,ledged
<br />before me this , 19~ by
<br />
<br />, 1f r () f\U lAJ ~~ liLL
<br />who is personally knowl1-to me or who has
<br />produc l\ Jill
<br />as i tifi ion
<br />take an
<br />
<br />STATE OF FLOR~
<br />COUNTY OF tiLSf'1)
<br />The foregc,ing in~tryment vJas ackno\.'Jledged
<br />bcf:TE:' me th i s reM, ck;l , 19 -9!J- by
<br />'-' I .,-----...
<br />\ Tfr/)rtf /~. /7fi {~A..
<br />who'1s ~rsonally known to me or who has
<br />produce A I//l
<br />as ide lficat"o~ not
<br />take clath.
<br />
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOT ARY PUBLI C
<br />
<br />~.~
<br />1.i~
<br />
<br />rANYA D. HARPER
<br />Notary Public:. State of Aortda
<br />My Comm. Exp. June 29. 1997
<br />i>l(>. CC 298570
<br />
<br />~... _, TANYA D. HARPER
<br />i ~ Notay PublIc. State of Aortda
<br />My Comm. Exp. ..kI'Ie 29. 1097
<br />No. CC 298570
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