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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit '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 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 - HOleowner's Protection
<br />Guide. prepared by the Florida Departlent 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 cOllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'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 Dr
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforled 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 governlental agencies aay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I aust take to be in cOlpliance. Such agencies include but are not liaited to:
<br />f Departaent of Environaental Requlation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treataent
<br />f Southwest Florida Water "anaqeaent District - NeIls, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlV Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />f Departaent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection Aqencv - Asbestos abatelent
<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 perait prevent the Building Official frol 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 co.eenced within six lonths of issuance, or if work authorized by the perait is
<br />suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, lay be
<br />allowed for the perlit 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 lonth period, Dr the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />C~C~T. JOBS u~ $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A .NOTI E OF CO""~NCE"ENT..
<br />
<br />
<br />tI~ 1< M~ i:t~ .
<br />
<br />SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR
<br />
<br />
<br />STATE OF FL~A
<br />COUNTY OF . ,J(J SCr\
<br />The foregoing instrument
<br />before me this '<)~JC~
<br />
<br />~~-R! t jl/~
<br />
<br />who is personally known
<br />produced A~~
<br />as iden ficati d w
<br />take at
<br />
<br />was aclmowladgerl
<br />, 19 9) by
<br />
<br />STATE OF FLOR~
<br />COUNTY OF .:tL" CJ
<br />The foregoing instrument
<br />before me th i s 15~\J'~ 11
<br />
<br />was acknowledged
<br />,19'7;- by
<br />
<br />
<br />did/did not
<br />
<br />l)/AI'ILffl L JII,/fc-.-
<br />who is personal~J~known
<br />p-rBBt......"d Mn
<br />as identi 'cati In
<br />take a
<br />
<br />to me DT wno has
<br />
<br />to me o.F ~~he. ha6
<br />
<br />(Name Typed, printN~l~orlda
<br />NOTARY PUBLIC Notary PU IIC,' Mar 25 1998
<br />My comm. exp reI . '0
<br />Oamm. No. CO 88856
<br />
<br />
<br />- /did not
<br />
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