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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peIllit 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. 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 lisdemeanor 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 DepartJent, (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 - HOIeowDer's Protection
<br />Guide" prepared by the Florida Department 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 docuaent 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 information in this application is accurate and that all work will be done in compliance with all
<br />applicable laws regulating construction, zoning, and land development.
<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 perforJed 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 governaental agencies lay apply to the intended work, and that it is
<br />my responsibility to identify what actions I must take to be in cOlpliance. Such agencies include but are not li.ited to:
<br />· Department of Environmental Regulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treataent
<br />· Southwest Florida Water Manageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· DepartJent of Health & Rehabilitative Services, EnvirOlllental Health Unit - Wells, Wastewater Treatment, 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 "cOlpensating volUle" will be sub.itted 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 frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall becGle invalid
<br />unless the work authorized by such per.it 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 cOllenced. One 90 day extension of tile, laY 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 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKHENCEMENT KAY RESULT IN YOUR PAYING TVICE FOR lKPROVEMEKTS TO YOUR
<br />PROPERTY. IF YOU IHTEKD TO OBTAIN FINANCING, CONSULT WITH YOUR LEHDKR OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'INOTICE OF COKHENCEHENTN.
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<br />
<br />~~ .~~MCTOO
<br />
<br />STATE OF FLORIDAi1
<br />COUlflY OF c:.tL-<: CO
<br />The foregoing in~rument was acknowledged
<br />before me this ~// rr , 19~ by
<br />
<br />
<br />(wh~ is /r~~~~ kn~~':o~or who has
<br />
<br />produced
<br />as identification and who did/did not
<br />take fC!J1 oath. ' ;J /J-_
<br />~~.~
<br />(Signature)
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF P/tS C c) _
<br />The foregoing i~ent was acknowledged
<br />before me this _/~ , 19~~ by
<br />
<br />
<br />who is ersonally
<br />prOduced
<br />as identification and who did/did not
<br />take~ VfvI.~-
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />
<br />NOTARY PUBLIC : .,st~III/.,:,..,,,. ~:'!';CLAIH
<br />
<br />;. ~:: .' ':''-ull CC38281.
<br />~ .. L 1""<'" JJlo. 14,1888
<br />'\; I1f f\.ov.\<:>"
<br />
<br />(Nam~ Typed, Printed or Stamped)
<br />NOTARY PUBLIC ~...,.y ~
<br />ti DONNA M SINCLAIR
<br />* lb:AiT * My Commillllion CC3826HI
<br />~_, Expires Jun, 14.1998
<br />~~DFf\.~'"
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