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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE'OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it.ay be subject to 'deed restrictions" which lay be lore restrictive than City
<br />regulations, The undersigned assu.es responsibility for co.pliance 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 .ay be
<br />cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to Khat licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, IBI3)
<br />78B-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) 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 - HOleowner's Protection
<br />Guide- prepared by the Florida Depart.ent 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 prosise in good faith to deliver it to the
<br />"owner- prior to cOllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work Dr
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I .ust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />I Departlent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />I Southwest Florida Water "anaQe.ent 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. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I US Environ.ental Protection AQency - Asbestos abatelent
<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 volule- will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<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 pertit prevent the Building Official frol 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 cOltenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six .onths after the tile the work is co.tenced. One 90 day extension of tile, lay be
<br />allowed for the pertit 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 tonth period, or the project will be considered abandoned,
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COK"ENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR IKPROVE"ENTS TO Y~UR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CO KENCE"ENT. JOBS UNDER $ , VALUE DO NOT NEED TO RECORD AN POST A "NOTICE OF COMMENCE
<br />
<br />
<br />
<br />STATE OF FL~IDA
<br />COUNTY OF ~ srn
<br />The foregoing i?ftrument was acqnOWledged
<br />beforemethis:ie0J~, 190 by
<br />I \
<br />" '];roro tA). rrL.h.t ^
<br />who'1s personally knQ~n_to me or who has
<br />produc AJ /f!
<br />as i ific' on who did/did not
<br />tak oat .
<br />
<br />STATE OF FLO~A
<br />COUNTY OF .vii q(' C _
<br />The foregoing inetrument was ac~nr~ledged
<br />before me th i s .::( n~. .J...:l. 19 I... by
<br />I .
<br />\. 7f ror-u. W . H.A If LA-
<br />who is ~ersonallY known to me or who has
<br />produced A-J / A
<br />as id tific' who did/did not
<br />take n oath
<br />
<br />
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~',.~
<br />.... ,.
<br />~ ~
<br />
<br />!ANV.., O. HARPER
<br />Notary I"ublic. State of Florida
<br />My Comm. Exp. June 29.1997
<br />No. CC 296570
<br />
<br />~',.~
<br />.... ,.
<br />: 'Pi
<br />
<br />TANYA D. HARPER
<br />Notary Publlc. Stote of FIoIWo
<br />My Comm. Exp. June 2', 1997
<br />NO. CC 296570
<br />
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