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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlitlay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for cOlpliance 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 lay be required to be licensed in accordance _lth
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lav bE
<br />cited for a lisdeleanor violation under state law. If the owner Dr intended contractor are uncertain as to what lic~nsino
<br />requirelents aay'apply for the intended work, they are advised to ,contac.t the City Df Zephyrhills Building Deparhent, (8131
<br />7BB-bbll.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions Di 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 nDt entitled tD 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 .FIorida's ConstructiDn Lien Law - HOleowner's ProtEction
<br />Suide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than th~
<br />"owner., I certify that I have obtained a copy of the above described document and promise in gODd faith to deliver it t" the
<br />.owner. prior to cOlaencelent.
<br />
<br />:~.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all wDrk will be dDne in co.pliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />I
<br />
<br />Application is hereby lade to obtain a perlit 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 tD leet standards Df all laNs
<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 govern.ental agencies aay apply to the intended worK, and that it is
<br />IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not limited tc,:
<br />I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treataent
<br />I Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering WatercDurses
<br />I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I De artlent of Health & Rehabilitative Services Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I Environlental 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 voluse" will be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the worK and not as authority to violate, caocel altEi, 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 cDde.. Every perlit issued shall beCDle invalid
<br />unless the work authorized by such perlit is cOllenced within six sooths of issuance, Dr if work authorized by the per~lt is
<br />suspended or abandoned for a period of six lonths after the tile the work is comienced. One 90 day extension of tile, ~2f be
<br />allowed for the pertit with fee charge of SI5.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection aust 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 MAY RESULT IN YOUR PAYING TWICE FOP. IMPROVEMENTS TO ;OUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCINS, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMM CEMENT. J S UND ,500 IN VALUE DO NOT NEED TO RECORD AND P "TICE OF COMMENCEMENT".
<br />
<br />
<br />
<br />STATE OF FLORIDA~
<br />COUNTY OF ~D
<br />The foregoing ins~lument was acknowledged
<br />before me this. a-d-., 19~ by
<br />
<br />~ ') 0",""," Do\ -e..na.e.r
<br />who is persc.na 11 y known to me Or Wi'L' has
<br />~-6dL.I,-""J
<br />as identification and who
<br />take an oath.
<br />
<br />STATE OF FLORIDA ~ ~
<br />COUNTY OF I"lJt
<br />. The foregoing instrument
<br />befc,,-e me th i 5 ,1/ ;}- d-
<br />
<br />
<br />lo'Jas ack\,~l edged
<br />, 19~ by
<br />
<br />who is personally
<br />pl6duc.:ed
<br />as identification
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />
<br />(SignatLn-e)
<br />
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~~..
<br />....'~ ".
<br />~ g
<br />
<br />JUDITH L. SCHAPER
<br />Notory PubliC. State of Rorlda
<br />My Comm. Exp. June 6. 1997
<br />No, CC 292357
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />..~..., ."."
<br />o ~
<br />z Pi
<br />
<br />JUDITH L. SCHAPER
<br />Notary PubliC. State of FIorfclo
<br />My Comm, Exp. June 6. 1997
<br />No. CC 292357
<br />
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