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<br />CONDITIONS OF PERMIT AFFIDAVIT .
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it .ay be subject to -deed restrictions" which .ay be .ore restrictive than City
<br />regulations. The undersigned assu.es responsibility for co.pliance 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 .ay 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 .ay be
<br />cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to "hat licensing
<br />require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, 1813J
<br />788-6611.
<br />
<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsJ 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 .ay 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 Law - Ho.eowner's Protection
<br />Guide- prepared by the Florida Depart.ent 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 docu.ent and pro.ise in good faith to deliver it to the
<br />"owner- prior to co..ence.ent.
<br />
<br />E. CONTRACTOR'S/OWNER'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 develop.ent.
<br />
<br />Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has cO.lenced prior to issuance of a per.it and that all work will be perfor.ed to .eet 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 govern.ental agencies .ay apply to the intended work, and that it is
<br />.y responsibility to identify what actions I .ust take to be in coapliance. Such agencies include but are not li.ited to:
<br />I Depart.ent of Environlental ReQulation - Cypress Bayheads, ~etland Areas and Environ.entally Sensitive Lands,
<br />~ater/Wastewater Treat.ent
<br />I Southwest Florida Nater "anaQe.ent District - NeIls, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Ar.v Corps of Enaineers - Seawalls, Docks, Navigable Waterways
<br />I Depart.ent of Health & Rehabilitative Services, Environ.ental Health Unit - Wells, ~astewater Treat.ent, Septic Tanks
<br />I US Environ.ental Protection Aqencv - Asbestos abate.ent
<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 volu.e" will be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it issuance.
<br />
<br />
<br />A per.it 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 fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beco.e invalid
<br />unless the work authorized by such per.it is cO'lenced within six .onths of issuance, Dr if work authorized by the per.it is
<br />suspended or abandoned for a period of six .onths after the ti.e the work is co..enced. One 90 day extension of tile, lay be
<br />allowed for the per.it with fee charge of SI5.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection .ust be logged during each six .onth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"~NCE"ENT "AY RESULT IN YOUR PAYING T~ICE FOR I"PROVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT ~ITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CO""ENCE"EHT. JOBS UNDER S2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A -NOTICE OF CO~NCE"ENT".
<br />.. . ~;).. f""\
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<br />~'Jr<;('i":> j,/:<JJ ~LiVAl/
<br />
<br />SIGNATURE: O~NER OR AGENT , . ~IGNATURE: CONTRACTOR C
<br />
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<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF f1C~,A:JCO
<br />The foregoing instrum~nt w~s acknowledged
<br />befc,re me thisl:)I'Y1(.U74..t/19~y
<br />I
<br />
<br />XSTATE OF FlORIDl()
<br />COUNTY OF T;;"
<br />The forego' g instrument was ack~owledged
<br />befc.re me this F)I-r.IILt;J'iI19 CIS by
<br />,
<br />
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did nnt
<br />take an oath. ./
<br />o ~~~c,j<:\ C %'X1~-J
<br />(Signature)
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take A"1 oa.t.h.' -r
<br />L 'jQ ....c~/<-,.{/Ot ~ (..f:"r-Yrlt://)
<br />(Signature)
<br />
<br />(Name Ty
<br />NOTARY P
<br />
<br />
<br />i n FL eCl
<br />......... Oct f ._
<br />.....'CC.,.
<br />C P(RSONMI.'~~E
<br />\'iJ-1IRODUCEO LD. .
<br />
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<br />NOT
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