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<br />.' CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perJit lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. rhe undersigned assUles responsibility for cOlpliance 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 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 lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requiretents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />188-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, be is advised to bave 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 be 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 "Florida's Construction Lien Law - HOIeOWJ1er's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs, If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />"owner" prior to COIleDCetent,
<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 perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perJit and that all work will be perfolled to teet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developteDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governJental agenCies JaY apply to the intended wort, 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 />t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />t Southwest Florida Wqter Managetent District - Wells, Cypress Bayheads, Wetland Areas, Altering watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Naterways
<br />t Departlent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater rreatlent, Septic ranks
<br />t US EnvirODlental Protection Agency - Asbestos abatetent
<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 uCOlpensating volUle" will be subtitted 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 tbe 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 perti! issued shall beCOle invalid
<br />unless the work authorized by such perlit is cOllenced within six IOntbs of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tite the work is COllenced. One 90 day extension of tile, JaY be
<br />allowed for the perJit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each six IOntb period, or the project will be considered abandoned.
<br />WARlfIHG TO OWNER: YOUR FAILURE TO RECORD A NO'l'ICE OF COMMBNCEMElft' MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMEMTS TO YOUR
<br />PROPERTY. IF YOU Ilft'END TO OBTAIH FIIfAIICING, CONSULT NITH YOUR LElfDER OR All AnoRIfIY BEFORE RECORDING YOUR NOTICB OF
<br />COMMBIfCEMBlft'. JOBS UNDER $2,500 IN VALUE DO NO'l' NEED TO RECORD AlfD POST A "NOTICE OF COMMEHCBMBNT",
<br />
<br />
<br />~~~4
<br />SIGIfAfURB: MER OR AGENT SIGNA~ CO C'fOR
<br />
<br />STATE OF FLORIDA
<br />COUH'fY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath_
<br />
<br />STATE OF FLORIDA
<br />COUH'fY OF
<br />The foregoing instrument was acknowledged
<br />before me this 'I-.;:L , 19 9 ~ by
<br />
<br />~L 'JJ~,
<br />
<br />who personally known to me or wh~ has '
<br />produced (,JJ...66 - Y/'.3-Sl>'~ 0 cu.- - D ll. L~
<br />as identification and who did/did not
<br />take an oath')1 IA .
<br />
<br />(SZl~1 /h~e--(\
<br />
<br />&0
<br />(Name Type , Printed or tamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />"~i'*'fi:k', Nancy A. Moody
<br />f.,f .''f~ MY COMMISSION # CC534806 EXPIRES
<br />c.'. :~: February 21, 2000
<br />:r)i~~~"'''' BONDED THRU TROY FAIN JNSURANCE. INC
<br />
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