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<br />CONDITIONS OF PERMIT AFFIDAVIT,
<br />A. NOTICE OF DEED RESTGICTION~
<br />The undersigned understands that this per~it .ay be subject to "deed restrictions" which lay b~ lore restrictive than City
<br />regulations. The undersigned aSSUJe5 responsibility for cOlplianc!! with ar.y ar~licable d~~d restrictions.
<br />
<br />B. UNLICENSED CONTRACT[~S AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or c~ntractors to undtrt~Le work, they may be required to be licenspd in accordance with
<br />state and local regulations. If the "contrlictor i5 not licen5i?d as required by Ia", both the Ollner and contractor aay be
<br />cited for a .isdeleanor violation under state law. If the Ollner or intended contractor are unc~rtain as to what licensing
<br />requirelents lay apply for the intended llorK, they are advised to contact the Ci~y of Zephyrhills Building Departlent, 18131
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have thecontractorlsl sign portions of the
<br />'Contractor Sections' of this application for which they lliIl be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contiactor, are responsible for the work. If the contr~ctor wishes you to sign
<br />. as contractor that Day be an indication that he is not pr)perly 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 - HOleollner's Protection
<br />6uide" prepared by the Florida Departeent 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 document and promise in good faith to deliver it to the
<br />'owner' prior to cOlmencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'$ AFFIDAVIT
<br />I certify that all the inforlalion in this application is accurate and that all work will be done in cOlpliance ~ith all
<br />applicable laws regulating construction, zoning, ~nd land develop.ent,
<br />
<br />Application is hereby lade to obtain a p~rlit to do H~rk and installation as indicated. I certify that no work or
<br />installation has cOI.enced prior to issuance of a perlit and that all work will be perforled to ~eet standards of all laws
<br />regulating construction, City codes, zoning reyulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlentai agencies lay apply to the intended wort, and that it is
<br />IY responsibility to identify llhat actions I must take to be in cOlpliance. Such agencies include but are not lilited to:
<br />f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Hater/Hastewater Treataent
<br />f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Hatercourses
<br />f ArlY Corps of EnQineers - Seawall~, Do~ks, Navigable Water~ays
<br />t Departlent of Health ~ Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environ.ental Protection AQency - A=bestos abatement
<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 "coDpensating volule" Hill be 5ubaitted which is prepared by d professional engineer registered in the State of
<br />Florida prior ~o perlit issuance.
<br />
<br />A perlit issued shall be r~nstrued to be a licens~ to pro~eed with ~he Hork 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, constru~tion, or violations of any code. Ev~ry p~rlit issued shall becole invalid
<br />unless the work authorized by such perlit is co..enced within six months of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the 'time the work is cOllenced. . One 90 day extension of tile, lay be
<br />allowed for the per.it Hith fee charge of $15.00. The Extension shall be requested in writing to the Building Official. An
<br />approved inspection must be logged durin~ each six uonth peripd, or the project will be considered a~andoned.
<br />WARNING TO OWNER:. YOUR FAILURE TO RECORIl A NOTl~E OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINAlh:1Ho, CONSULT wITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VAlUl: DO NOT NEED TO RECO"D AND POST A "NOTICE OF COMMENCEMENT'.
<br />
<br />
<br />
<br />I
<br />
<br />~~ ~<M.Qp
<br />TURt: CONTRAI:TOR
<br />
<br />
<br />STATE OF FLORID~
<br />COUNTY OF \" it oS C 0
<br />The foregoing instrument was acknowledged
<br />before me this OIU_ S- ,1l)!l.!:t- by
<br />
<br />~a 'l'\.eJ"' .B let- '- 1<.' W ~ I (
<br />whc'(iSP'ersc,nally Imo~~lr whD has
<br />produced
<br />as identification and ~jhc' did/did nDt
<br />tak~an oath. a /1.
<br />~~ -' ~~~
<br />(Signature)
<br />\l .",. ., BIl.RBIl.RIl. Il.. Il.LLISON
<br />. (Name Typed, ed c.f"lo~~m~~1:4~8
<br />NOTARY PUBLI
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF (i...$ LO _
<br />The foregc,ing instrument ~la'S ac~nowledged
<br />befcl\-e me this .J2.(k..._~~ 19LL by
<br />
<br />
<br />whc, has
<br />
<br />not
<br />
<br />
<br />
<br />a"N~~A
<br />NO~.;~~Ubllc. :i8~~~r~~r'd.
<br />CO,":''"N' E~p. 03.26.98
<br />. o. CC 35B~"O
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