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<br />CONDITIONS.OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersi~ned understands that this per.it ~ay be subject to "deed restrictions' which lay be lore restrictive than City
<br />re~ulations. The undersigned assu.es responsibility for cOllpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a tontracto~ or contractors to under~ake work, they aay be required to be licensed in accordance with
<br />state and IDcal regulations. If t~!' cbh'fractor is nDt,,'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 Hhat licensing
<br />require.ents .ay apply for the intended wDrk, they are advised to contact the City of Zephyrhills Building Departlent, (8131
<br />7BB-bb 11.
<br />
<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl 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 eay be an indication that he is not properly licensed and is not entitled to per.itting 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 LaH - Ho.eoNner's Protection
<br />Guide" prepared by the Florida Departaent of Agriculture and Consu.er Affairs. If the applicant is so.eone other than the
<br />"owner", I certify that I have obtained a copy of the above described doeulent and prolise 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 inferlation in this application is accurate and that all work Hill be done in cOlpliance with ,all
<br />applicable laws regulating construction, zoning, and land developaent.
<br />
<br />Application is hereby aade 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 perfor.ed to .eet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify tnat I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is
<br />I, responsibility to id~ntify what actions I lust take to be in coapliance. Such ag~ncies includ~ but are not lilited to:
<br />f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitiv~ Lands,
<br />Water/Wast~water Treataent
<br />t Southwest Florida Wat~r ManaQelent District - Wells, Cypress Bayh~ads, W~tland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - S~awalls, Docks, Navigable Waterways '
<br />f D~partlent of Health 1. R~habilitative S~rvic~s. Environaental Health Unit - Wells, Wastewater Treah~nt, S~ptic Ta~ks
<br />f US Environaental Protection AQency - Asb~stos abatel~nt
<br />I also certify that, if fill lat~rial is to be used in Flood Zon~ "A" or "A,etc.', it is understood that a drainage plan
<br />addressing a "colpensating volule" will be sublitted which is prepar~d by a'prof~ssional engineer r~gistered in the ~State of
<br />Florida prior to perlit issuance.
<br />
<br />A perait iS5U~d shall be construed to be a license to proceed with the Hork and not as authority to violate, canc~l alter, Dr
<br />s~t aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, or Violations of any code. Every perlit issued shall beeole invalid
<br />unless the work authorized by such pertit is coa.enced within six Bonths of issuance, or if Hark authorized by the permit is
<br />suspended or abandoned for a period of six aonth~ after the tile the work is com6enced. One 90 day ext~nsion of tile, lay be
<br />alloNed for the perait 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 lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR PAYING THICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,50 VALUE DO HOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />
<br />was acknowledged
<br />l 19_ by
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF ~~
<br />The foregoing instrument
<br />befcl\-e me th is -F( A. ?
<br />
<br />"Jas acknc'''Jledged
<br />~ 1 9.5!..:L: by
<br />
<br />STATE OF FLORIDA
<br />~
<br />COUNTY OF
<br />The foregoing instrument
<br />befclre me this
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />R, t-, B {<< /I' n oR /I e
<br />"Jho is pel-sona 11 y kno\'1ll to me 0+ \Iho has
<br />prQauEcd
<br />as identification and who did/did not
<br />take loath.
<br />
<br />(Signature)
<br />
<br />
<br />NOTARV
<br />
<br />(Name Typed, Printed or St~mped)
<br />NOTARY PUBLIC
<br />
<br />MARGARET PLUMMER
<br />€)MY Comm Exp. ,10/20/98
<br />JIOTAU Bonded By Service Ins
<br />:rUBUC No. CC415218
<br />( ] Ponon8IIy ~ ( ) <>>or I. D,
<br />
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