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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait aay be subject to "deed restrictions" whith lay be lore restrictive than City
<br />regulations, The undersigned assuaes responsibility for coapliante 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 aay be required to be licensed in accordante with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor aay be
<br />cited for a aisdeaeanor violation under state law. If the owner ~r intended contractor are uncertain as to what licensing
<br />requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (8131
<br />788-6611.
<br />
<br />Furtheraore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl 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 peraitting 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 - HOleowner's Protection
<br />Guide" prepared by the Florida Departaent of Agriculture and Consuaer Affairs. If the applicant is soaeone other than the
<br />"owner", I certify that I have obtained a copy of the above described docuaent and protise in good faith to deliver it to the
<br />"owner" prior to coa.enceaent.
<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 .ade to obtain a perlit to do MOrk and installation as indicated, I certify that no work Dr
<br />installation has cOlaenced prior to issuance of a per.it and that all work will be perforaed 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 />. Departlent of Environlental Requlation - Cypress Bayheads, Metland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treataent
<br />. Southwest Florida Water "anaqe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />. ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />f Depart.ent of Health l Rehabilitative Services. Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />. US Environaental Protection Aqency - Asbestos abatelent
<br />I also certify that, if fill aaterial is to be used in Flood Zone "A" Dr "A,etc,", it is understood that a drainage plan
<br />addressing a "coapensating 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 frol thereafter
<br />requiring 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 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 lonths after the tile the work is COllenced, One 90 day extension of tile, aay 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 aonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR IHPROVEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT MITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COHKENCBKENT. JOBS UNDER $2,500 1M VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKKENCE"ENT",
<br />
<br />
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<br />
<br />SIGNATURE: CONTRACTOR~
<br />
<br />
<br />STATE OF FLORIDA I (Ill /
<br />COUNTY OF 11: C; ~ 01'"'
<br />The foregoing instru~ent ~rs acknowledged
<br />befc,re me this 1 "3!tf1l, 19~ by
<br />
<br />/R(.'>~t f~ ,E-u~s
<br />.. ~._--
<br />who is personally known to me or who has
<br />produced
<br />as identification and who ~
<br />takEt al). ~ . (\ .
<br />~~ .. n...J.1\./)
<br />(Signatprel.
<br />Lit V o/'litIJA j) 1+0\ 5
<br />(Name Typed, Printed or stamped)
<br />NOTARY PUBLI C
<br />
<br />STATE OF flORIDA U 0\1 { \
<br />COUNTY OF I \. \c; k1tN1J~'^
<br />The foregoing ins~rumen was acknowledged
<br />before me th is Ar n\ q 19cr, by
<br />
<br />_ __~~~_ ,.~,~ _~~frfe._ _"__ --.--
<br />~ho is personally known to me or who has
<br />produced
<br />as identification
<br />take an oath.
<br />~
<br />(Signature)
<br />SA-NOf\A Ir
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />Offlolal S.al ~
<br />SANDRA C. ANGEL
<br />NotalY Pllblic. Slate of Florida
<br />My Gomm. Ix!)I". April 29. 1999
<br />No CC.447'*3
<br />
<br />omcla' Seal ~
<br />lADONNA DAVIS
<br />Notary Public, Slale of Florida
<br />My comm. expires Feb. 5. 1999
<br />No. CC437138
<br />
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