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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this petlit lay be subject to Ideed restrictions" which lay be lOre restrictive than City
<br />regulations. fhe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas 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 ower and contractor lay be
<br />cited fora lisdeleanor 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 hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />IContractor 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 IPlorida's Construction Lien Law - HOIeOWDer's Protection
<br />Guide" prepared by the Plorida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />lowner", I certify that I have obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the
<br />"owner I prior to cOlleDcelent. -
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />
<br />Application is hereby aade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a per.it and that all work will be perforted to teet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developteDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governtental agencies laY apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />* Departlent of Knvirontental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlentally Sensitive Lands,
<br />Water/Wastewater freatlent
<br />* Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* Ar.y Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health & Rehabilitative Services, Bnvirontental Health Unit - Wells, Vastewater freatlent, Septic tanks
<br />* US EnviroDlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill .aterial is to be used in Flood Zone HAl or "A,etc.l, it is understood that a drainage plan
<br />addressing a .cOlpensating volute. will be sub.itted whicb is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it 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 perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued sball becOle invalid
<br />unless the work authorized by such per.it is cOll8Dced within sil IOnths of issuance, or if work authoriled by the perlit is
<br />suspended or abandoned for a period of sil IOntha after the tite the work is cOllellced. One 90 day eltension of tiae, lilY be
<br />allowed for tbe petlit with fee charge of $15.00. The eztension shall be requested in writing ~o the Building Official. An
<br />approved inspection lust be logged during each sil IOnth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURH to RHCORD A NOTICB OF COMHBJICBHBHT MAY RHSULT IN YOUR PAYING tWICE FOR IKPROVBHBHTS TO YOUR
<br />PROPERTY. IP YOU INtEND TO OBTAIN PINAHCING, CONSULT WITH YOUR LENDER OR AN ATTORNBY BEFORH RHCORDIHG YOUR NOTICB OF
<br />
<br />
<br />c::~ :2:1 vn::2~mmMm ~ A .~~~
<br />
<br />SIGNATURH: OWHBR OR AGBNt SIGNATURE: 0 RACTOR .
<br />
<br />STATE OF FLORIDA
<br />COUHTY OF fA S CD
<br />The foregoing instrument was acknowledged
<br />before me this S E.:PT 1-7, 19...!l..!L by
<br />
<br />"Rtf! rJ AR"[) '])A }.)U'::l S
<br />who is personally known to me or whe has
<br />-iJl'cdaced
<br />~ jrlpntificatinn and who did/did
<br />take an oath.
<br />U
<br />(Signature) ,
<br />itA TH ~J .,...1, 13~~~
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF F Asc-c>
<br />The foregoing instrument was acknowledged
<br />before me this SEPr:J.7, 19~ by
<br />
<br />ALt3.:..R-, S/HA/f-S
<br />who is personally known to me or whe has
<br />pcedaced
<br />as idestificatieB and who did/did not
<br />take an 0(1. th ......4.',,(,. "I 'i) ,,2, I
<br />~_CJj_.L--1 \ ~ ~u~
<br />(Signature) . f /72.1" I
<br />I( All-I i .F t:.., I If: ~t'LJ~
<br />(Name'Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />THLEEN J. BROWN
<br />State of Florida
<br />Colli1\. ElIIIo April 2, 19l15
<br />ColIIft. . CC ClII6617
<br />
<br />~
<br />
<br />THLEEN J. BROWN
<br />KA State of Florida
<br />..,=~~~995
<br />
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