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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pertittay be subjett to 'deed restricti~ns" which tay be tore restrictive than Cit,
<br />regulations. The undersigned assutes responsibility for totpliance with any applicable deed restricti~ns.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RES~9NSJBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance hlth
<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 tisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requiretents lay apply for the intended work, they are advised to contact the City ~f Zephyrhills Building Depart.ent, (813)
<br />7BB-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor!s} sign p~rtions Df the
<br />"Contractor Sections' of this application for which they will be responsible. If you, as the owner sign as the contracb-,
<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 n~t entitled t~ pertitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~.
<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 - Hoteowner's ProtectIon
<br />Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs, If the applicant is SOleone ~ther than tce
<br />"owner", I certify that I have obtained a copy of the above described doculent and promise in good faith t~ deliver it t" the
<br />'owner' prior to cOI.encelent.
<br />
<br />! E. CONTRACTOR'S/OWNER'S AFFIDAVI~
<br />I certify that all the inforlation in this application is accurate and that all work will be done in co.pliance with all
<br />I applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby tade to obtain a pertit to do work and installation as indicated. I certify that no work Dr
<br />installation has coatenced prior to issuance of a pertit and that all work will be performed to leet standards of all la"s
<br />regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I alsD
<br />certify that I understand that the regulations of other governmental agencies tay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I tust take to be in cotpliance. Such agencies include but are not limited to:
<br />f Departaent of Environtental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treattent
<br />f Southwest Florida Water l'IanaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f De arttent of Health L Rehabilitative Services Environtental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f Environaental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill taterial is to be used in Flood Zone 'A' or "A,etc.., it is understood that a drainage plan
<br />addressing a "colpensating volule' will be subtitted which is prepared by a professional engineer registered in the State Df
<br />Florida prior to perlit issuance.
<br />
<br />A perait issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel altEi, Dr
<br />set aside any provisions of the technical codes, nor shall issuance of a ~er.it prevent the Building Official frot thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code.. Every perlit issued shall hecDle invalid
<br />unless the work authorized by such pertit is cot.enced within six tonths of issuance, or if worK authorized by the per~lt is
<br />suspended or abandoned for a period of six tonths after the tite the work is cOlienced. One 90 day extension of ti~e, ~at 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 c~nsidered abandoned.
<br />WARNING TO OIlNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO ';[,UR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMI'IENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A .NOTlCE OF COMMEI .EMENT".
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<br />
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<br />
<br />STATE OF FLORiDA
<br />COUNTY OF
<br />. The foregoing instrument
<br />before me this J,S-
<br />
<br />STATE OF F~~A
<br />COUNTY OF ~ co
<br />The foregoing instrument was ~~~owledged
<br />before me this ~, 19~ by
<br />
<br />was aC~~ledged
<br />, 19 by
<br />
<br />~ ,4JY)tt\A.in
<br />
<br />who is personally ~~1 to me or who has
<br />produced
<br />as identification and who did/~rl nnt
<br />
<br />tak~~.~~
<br />
<br />(Signature)
<br />
<br />who is personally
<br />produced
<br />as identification
<br />takral! oath.
<br />14 -"-') ~'-
<br />(SignatLrre)
<br />
<br />known to me or who has
<br />
<br />and who did/did not
<br />
<br />t/Yl (C~?J
<br />
<br />=
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI C
<br />
<br />(Name Typed. Prin -
<br />NOT ARY UBL I C OFFICIAL SEAL
<br />PAMELA M. BRYANT
<br />NOTtSW PU8UC.~~~~J~~.OF FLORIDA
<br />~,;." (..u-.~,,~~ EXP\Hr:-.:,:, :"EPT, 12, 1997
<br />
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<br />
<br />SUSAN M. ALMY
<br />Notary public. stote of Florida
<br />My Com,,", Exp Mor 28.1998
<br />No. 359622
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