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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait lay be subject to udeed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assuaes responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONS!BILITIES
<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 lisdeaeanor 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 Departaent, (813)
<br />788-6611.
<br />
<br />Furthermore, 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 "Plorida's Construction Lien Law - HoaeowDer's Protection
<br />Guide" prepared by the Florida Department of Agriculture and Consuaer Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described docuaent and prolise in good faith to deliver it to the
<br />"ownerll prior to cOlllleIlceaent.
<br />
<br />E. CONTRACTOR'SjOWNER'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 cOIIenced 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 develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governaental agencies lay apply to the intended work, and that it is
<br />.y responsibility to identify what actions I lust take to be in cOtpliance. Such agencies include but are not lilited to:
<br />* Departlent of Environmental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater Treataent
<br />* Southwest Florida Water Manageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* Arty Corps of Engineers - Seawalls, Dockst Navigable Waterways
<br />* Departaent of Health & Rehabilitative Services, EnvironJental Health Unit - Wells, Wastewater Treataent, Septic Tanks
<br />* US Environaental Protection Agency - Asbestos abatement
<br />I also certify that, if fill laterial is to be used in Flood Zone IIA" or "A, etc. ", it is understood that a drainage plan
<br />addressing a "cOJpensating voluae" will be suhlitted 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 frot thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perait 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 IOnths after the tile the work is cOIIenced. One 90 day extension of tile, aay be
<br />allowed for the perait 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 IOnth period, or the project will be considered abandoned.
<br />WARNING TO OItNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCKHENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEHKlfTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FIHANCING, CONSULT IHTB YOUR LENDER OR All ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A UNOTIC~TII.
<br />
<br />
<br />~ ~
<br />// ....~
<br />
<br />' IGNAT RE: OWllER 0 GElIT . SIG'RE:' CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNYY OF P f} ,sC 0
<br />The foregoing l~ent was acknowledged
<br />befor~ me this jgr , 19J[jL by
<br />
<br />/-- )rEv/11/ ~IV
<br />C:~.bo is personally known to me) or who has
<br />produced -
<br />as identification and who did/did not
<br />
<br />::v::~ ~,~~~-
<br />(Signature)
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF P I'l s c 0
<br />Th~ foregoing i~umnnt
<br />before me this /~
<br />.
<br />
<br />was ackr.owledged
<br />, 19~ by
<br />
<br />. k,; iJ 11-1/ If Y 1"119 /J/
<br />~s personally known to ~or who has
<br />producea -
<br />as identification and who did/did not
<br />
<br />tak~ ~~_
<br />(Signature) ~
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC </),w-y ~
<br />fI DOI\ItM M SINCLAIR
<br />* * MY~~"""',_.M,CC38261$l
<br />~OF~ Expire" ,hm. 14, 1~
<br />
<br />(Nam~ Typed, Printed or Stamped)
<br />NOTARY PUBLIC ~
<br />""~, DONNA M SINCLAIR
<br />* ~ * My Commission 00381818
<br />~, Expire.. Jun 14. 1~
<br />".~OFf\.'
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