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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit 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. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas 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 />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />UContractor SectionsU 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 uFlorida's Construction Lien Law - HOIeowner's Protection
<br />Guidell prepared by the Florida Department of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />uowner", I certify that I have obtained a copy of the above described docuaent and prolise in good faith to deliver it to the
<br />uowner" prior to couenceaent.
<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 per.it to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a permit and that all work will be perf oIled 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 governmental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I must take to be in cOlpliance. Such agencies include but are not limited to:
<br />* Department of EnviroDlental 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 />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* DepartJent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater Treatamlt, Septic Tanks
<br />* US Environmental Protection Agency - Asbestos abateJent
<br />I also certify that, if fill laterial is to be used in Flood Zone "AU or RA,etc.", it is understood that a drainage plan
<br />addressing a "colpensating volUleu will be submitted 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 per.it issued shall becOle invalid
<br />unless the work authorized by such perlit is commenced within six lonths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six IOntlls after the tile the work Is cOllenced. One 9D 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 COMMENCEMENT KAY 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 />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHKENCKHENT".
<br />
<br />~~~~
<br />S ATURE: OWNER OR AGENT
<br />
<br />~~. "
<br />" ./~1~/
<br />I ATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF ~~
<br />The foregoing instrument was acknowledged
<br />before me this _~,:.?-g- ___, 19 '7&_ hy
<br />
<br />~J O--ft eA- 43 / U-0 kw e~~L
<br />who is personally known to ~e or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />take a~k S? ~
<br />(Signature)
<br />
<br />STATF. OF. FLOR!D~~
<br />COUNTY OF f-~
<br />The foregoing instrument was acknowledged
<br />before r.le thio _;< --;). r , 19 C; (p __ by
<br />
<br />\.\a-vtJ 61tL( kwe t.C
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an o~,~ p ~~
<br />
<br />(Signatu~ -
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />.""YAIlA". ALLISON
<br />NO'lit~ !tubllo, stale of Florllla
<br />M~ Ccll'lttt., hp"i Cl~..26.9!l
<br />Ollllllft. NOI tj" 3581l4li
<br />
<br />
<br />BARBARA A. ALLISON
<br />Not.r~ PUbliC:, State of Florida
<br />M~ Comm. hp, 03.26.98
<br />Comm. No. CC 368940
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