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<br />. CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this perait lay be subject to udeed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONS1BILITIES
<br />If the owner has hired a contractor or contractors to undertake wort, 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 .isdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirements lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />rurtbermore, 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 wbich tbey 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, bave been provided with a copy of "Florida's Construction Lien Law - Haaeowoer's Protection
<br />Guide" prepared by the Florida Department of Agriculture and ConsUler Affairs. If the applicant is sOJleone other than the
<br />.owner", I certify that I bave obtained a copy of the above described docUlent and prolise in good faith to deliver it to the
<br />"owner" prior to couenceaent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforlation in tbis application is accurate and that all work will be done in compliance with all
<br />applicable laws regulating construction, zoning, and land developtent.
<br />
<br />Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or
<br />installation bas cOllenced prior to issuance of a perlit and that all work will be perforaed to teet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in tbe 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 />my responsibility to identify wbat actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />* Department of Environmental Regulation - Cypress Baybeads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Southwest Florida Water Manageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health & Rehabilitative Services, EnvirOlllental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />* US Environmental Protection Agency - Asbestos abatement
<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 "cOIpensating volUle" will be submitted wbicb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />
<br />A permit issued sball be construed to be a license to proceed with tbe work and not as authority to violate, can'cel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOt thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall becaae invalid
<br />unless tbe work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the perait is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day extension of tile, laY be
<br />allowed for the perJit with fee cbarge of $15.00. The 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 be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKKNCKKENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVKKEHTS TO YOUR
<br />PROPERTY. IF YOU IlffEHD TO OBTAIN FUIAHCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COKMEN $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKKKNCKKENT".
<br />
<br />
<br />4~~~::
<br />
<br />SIGNATURE.
<br />
<br />
<br />STATE OF FLORIDA P
<br />COUlITY OF lis C 0
<br />The foregoing 1~~enFJwa8 acknowledged
<br />before me this. 7I~, 19~ by
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF fJ ~ C 0
<br />,
<br />The foregoing i~~as ackno!ledged
<br />before me this . , 19~ by
<br />
<br />who is personally known to me r who has
<br />puce
<br />as identification and who did/d~d not
<br />take 1f'l oa th . . JJ /J -
<br />~--A~'~
<br />(Signature)
<br />
<br />~ is personall~ known ~ or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />take~ '-In ,.~ '
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC ~~~
<br />. OONNAM SINCLAIR
<br />* * My Commission CC3eaB18
<br />0/' Expires Jun, 14. 1998
<br />~~ l1F R.O~~
<br />
<br />(Nam~ Typed, Printed or Stamped)
<br />NOTARY PUBLIC ;~, ~
<br />11 OONNA M "NOLAIH
<br />*. * My Comm../on CO....,ft
<br />"'.. ~.Ill,.. Jun, 14, 1tN
<br />~'t,..,
<br />
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