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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perJit lay be subject to 'deed restrictions' which lay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for COIpliance 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 with
<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 lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireJents 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 />.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 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 'Florida's Construction Lien Law - HOJeOWRer's Protection
<br />Guide" prepared by the Florida DepartJent 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 docUlent and prolise in good faith to deliver it-to the
<br />.owner" prior to COlJeJlceJent. -
<br />
<br />E. CONTRACTOR'S OWNER'S AFFIDAVIT
<br />I certify that all e inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby Jade 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 perlit and that all work will be perforJed to leet standards of all laws
<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 goverDJental agencies lilY apply to the intended wort, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Havigable Waterways
<br />t DepartJent of Health , Rebabilitative Services, EnvirODJeRtal Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />t US EnviroDlental Protection Agency - Asbestos abateJent
<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 'COlpensating volUle' will be subtitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perJit 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 ~e Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall becOle invalid
<br />unless the work authorized by such perJit is cOllenced within sil IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of sil IODths after the till! the work is coaenced. One 90 day extension of tile, lilY be
<br />allowed for the perlit with fee charge of $15.00. The extension 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 FAILURE TO RECORD A NOTICE OF COHMENCEMEHT MAY RESULT IN YOUR PAYIHG TWICE FOR IHPROVEMENtS TO YOUR
<br />PROPERTY. IF YOU INtEND TO OBTAIH FIKAHCING, COMSULT WITH YOUR LENDER OR AM ATTORNEY BEFORE RECORDING YOUR MOTICE OF
<br />COMMENCEMENT. JOBS UMDER $2,500 IN VALUE DO NOT HEED TO RECORD AND POST A "NOTICE OF COHMEHCEMEMT".
<br />
<br />
<br />
<br />SIGIIAI1lHH: SIGNAP~UJf I<tJnJN
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNty OF ..,0 t\ oS ex:>
<br />The foregoing instrument was acknowledged
<br />before me thi~ }.tPrf<-o1J . , 19..25.. by
<br />
<br />lIL-be:R-r .s IU~
<br />who is personally known to me er whe has
<br />'pFe811ced -
<br />as id9RtificatieR and who ~did not
<br />
<br />tak~~ f} .&<f7~
<br />(Signature)
<br />J( A- nil FE AJ ...:T. ' .J3R tn...J W
<br />(Name' Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF 1(1-5 C-o
<br />The foregoing instrument was aCknowledged
<br />before me this ~3 ~~,~, 19~ by
<br />
<br />/)LA~/' \ c:; IUS
<br />who is personally knoWn te 119 91" illig luJ..!.
<br />produced
<br />as ideRtificatioR and who -4W1did not
<br />
<br />take an oat~4ti h-;J !f&L0
<br />
<br />(Signature) , /
<br />K A-771l FE A J J. 13R.rn..J!)L
<br />(Name'Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />I;,f,'~
<br />~lf
<br />. ~,' ~~'
<br />
<br />
<br />!EN ,I gROWN
<br />S~,..6 ~f ,"
<br />My Gomm. Ex .
<br />Comm.
<br />
<br />
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