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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOT1CE 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 cOlplianre 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 laM, both the owner and contractor lay be
<br />cited for a lisdeleanor violation under state law. If the ONner 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, (8131
<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 - HOleoNner'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 co.pliance Nith 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 perfor.ed 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 "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY 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 AQency - 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 pertit 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 />requ~ring 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 cOllenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the work is cO.lenced. One 90 day extension of tile, lay be
<br />allowed for the perlit with fee charge of SI5.00. 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 Nill be considered abandoned.
<br />WARNINS TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF Co"HENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CoH"ENCEHENT. JOBS UNDER S2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COK"EUCEKENT .
<br />
<br />
<br />
<br />SIG
<br />
<br />S
<br />
<br />STATE OF FLORIDA P
<br />COUNTY OF A~ eO
<br />The foregoing instrument was acknowledged
<br />before me thisllU'fe.nb0rIl>, 19~ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF P ASCD
<br />The foregoing instrument was acknowledged
<br />befc.re me this (\1l1oi'Y\b.tr!(P , 19~ by
<br />
<br />
<br />-~\
<br />
<br />who i personally known to me or who has
<br />produced
<br />a5 identificat~_a;,d ,WhO did/did not
<br />take an oath. ~~
<br />
<br />(Signature) \ \' c ,_
<br />~ Q,W, ~ JJJO...oY'\
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI
<br />
<br />who i ersonally'known to me 0 who has
<br />produced
<br />as identification nd who did/did not
<br />take an oath.
<br />
<br />
<br />(Signature)
<br />f\- Jr:di,t LV.- Scu~
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI C
<br />
<br />
<br />NATALIE SWAN
<br />Notary Public, Stat, of Floria
<br />My Comm, Exp. Oct. 12. 1989
<br />Comm, No, CC 501333
<br />
<br />
<br />NATALIE SWAN
<br />Notary Public. State of Florida
<br />My Comm, Exp.Oct, 12, 1999
<br />Comm, No, CC 501333
<br />
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