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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 lisd8leanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requir8lents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
<br />768-6611 .
<br />
<br />Further.ore, 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 - HOJeowner'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 II prior to cOllellcl!lent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the infor.ation in this application is accurate and that all work will be done in co.pliance 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 perforJed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveInlental agenCies aay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not Iilited to:
<br />t Department of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and HnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />t Southwest Florida Water Hanag8lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rehabilitative Services, Bnvironlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />t US HnvirODlental Protection Agency - Asbestos abat8lent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "AB or "A,etc.", it is understood that a drainage plan
<br />addressing a uCOIpensating volUleu will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it issuance.
<br />
<br />A pe~lit 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 per.it prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becOle invalid
<br />unless the work authorized by such per.it is cOlIBnced within six IOnths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six IOntbs after the tile the work is cOllenced. One 90 day extension of tile, aay be
<br />allowed for the perait with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six IOnth period, or the project will b~ considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHBNT MAY RESULT IN YOUR PAYING 'NICE FOR IMPROVEHBKTS TO YOUR
<br />PROPERTY. IF YOU IHTEHD TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COHHENCEHBNT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHHENCEHBNT".
<br />
<br />SIGNATURE: OWlfER OR AGEH'l'
<br />
<br />STATE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<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 />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~ m.Cb~
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATB OF FLORIDA .~.
<br />COUNTY OF r A-S eo
<br />The foregoing ~t~as a~;9wledged
<br />bef~e me this ' I, 19~ by
<br />
<br />t\\A.~sel' ~ ,.e~
<br />who is personally known to me er who ha~'
<br />produt.:ea
<br />as ideetifieatioB and who d44fdid not
<br />
<br />~~
<br />(Si9~~~ L ,Eu-chL~
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />.iI***If..
<br />....~~l.I\'t ~';"" OFFiCIAL SEAL
<br />.. .....- .
<br />; <D \ BRENDA L. BllCHANAN
<br />: : My Commission Expires
<br />\ i Nov. 13. 1996
<br />""~~OFfl~.. Comm. No. CC 240110
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