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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 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 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (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 - HOIeOWner's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and Conslller 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 couencl!.lent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the 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 lade 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 perforaed 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 goveIDIental agencies JaY apply to the intended work, and that it is
<br />.y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />· DepartJent of Environaental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />· Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />;, US Enviroiliental Protection Agency - Asbestos abateJIEnt
<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 sublitted 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, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall becOle invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perJit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is couenced. One 90 day extension of tile, JaY be
<br />allowed for the perJit 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 IOnth 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 FOR IHPROVEMEIn'S TO YOUR
<br />PROPERTY. IF YOU IIn'END TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN AnORNEY BEFORE RECORDING YOUR NOTICE OF
<br />
<br />
<br />~J~.D:;;L~ 00 K~ RW ro~~~..
<br />
<br />IGNATURE: OWlfER OR AGENt' ~TU . 0 TOR
<br />
<br />STATE OF FLORIDA
<br />COUNlY OF ~
<br />The foregoing inst ent was acknowledged
<br />before me this m..:..v 7, 19 96" by
<br />
<br />~~~O~F;'LORI~~~
<br />
<br />Th.e foregOing in~~ acknowledged
<br />be~ore me this ~~ 19~by
<br />
<br />who is personally~wn to~ or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />tak~: r( ~I"II )
<br />(Signature) 'f
<br />bZ?o R..o r-N ~ K. f3 R. tJ uJ I\J
<br />(Name Typed, rint~d or Stamped)
<br />NOTARY..rJJ@LIC
<br />.. ~Qift.RY ~
<br />( ~W")
<br />\~~J
<br />*.41'~ !<~..
<br />**.~::~....*t:
<br />
<br />who is pe
<br />produced
<br />as identification an~did not
<br />
<br />t.~t7 ~
<br />(Sign.tur) III r. / ,e.2J
<br />
<br />(Name Typed, Printed Or~~ed)
<br />NOTARY PUBLI~
<br />...'tA~";:"" LORNA V. REED
<br />f!!"'ii.VP;f~ MY COMMISSION' CC 359612
<br />~'6:Ji EXPIRES: Marth 20. 1998
<br />~':''Jf.lif..f:.'tf..... BondlId Thru NolaIy Publlc Undelwrillll1
<br />
<br />
<br />OFFICIAL SEAL:
<br />DOROTHY K. BROWN
<br />My Commission Expires
<br />March 30, 1996
<br />Comm. No. CC 187345
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