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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 aay 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 2ephyrhills Building Departlent, 18131
<br />78B-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractorlsl 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.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<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 or
<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 lay 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 lilited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water "anaQetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlV Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent 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. Dr .A,etc.., it is understood that a drainage plan
<br />addressing a 'colpensating volule- Mill 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 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 perlit is cOI.enced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended Dr abandoned for a period of six tonths after the tile the work is co..enced. 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, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKMENCEMENT "AV RESULT IN YOUR PAYING TWICE FOR I OVEKENTS TO YOUR
<br />PROPERTY. IF YOU IN T AIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDIN YO NOTICE OF
<br />CO""EMCE"ENT. JOB UN $ 00 VALUE DO NOT NEED TO RECORD AND P -NOTICE OF COMMENCEMENT..
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<br />SIGNATURE: OWNER OR AGENT
<br />
<br />.~
<br />
<br />
<br />STATE OF FLORID~ Lf<:'.
<br />COUNTY OF (9
<br />The foregoing instrument was ack~wledged
<br />befct}-e me this 0:;;7 O"cJLY, 19~ by
<br />
<br />keYiAJ L_ S(/l-LI tl/fAJ
<br />1 k
<br />
<br />STATE OF FLORIDA r l~ '3
<br />COUNTY OF ~
<br />. The foregoing instru
<br />befc,re me th i 5
<br />
<br />Y (Lt sc.l L-LA
<br />
<br />~-'~ personally
<br />produced
<br />as 'fication
<br />
<br />-
<br />as aCf:p~ledged
<br />, 19~ by
<br />
<br />N. MaCIEL
<br />or Stamped)
<br />
<br />,'-:r.~"t~., KATHERINE N. MERCIER
<br />/~iJ.""-"ii'" MY COMMISSION' CC 209050 EXPIRES
<br />~~i. .i;i June 18. 1996
<br />--.1>,;...... ';l IOHOEllTHRllTROY fAIN INSURANCE. IN!:,
<br />'r"Rr.t~""'"
<br />
<br />MNDIlAL IiII.lWFORD
<br />MJI'ARY PUBUcRA1I OJI~
<br />~NO.~ )
<br />..l@~~ UP. !II,Ilr:r~ ~ ,i
<br />~I..,..,......._...._"..;!~~~~~:=,'~~."'.
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