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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 Ndeed restrictionsN 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 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (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 />"Contractor 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 per.itting 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 - HOIeovner's Protection
<br />GuideU prepared by the Florida Department of Agriculture and Conslller Affairs. If the applicant is sOleone other than the
<br />uowner", I certify that I have obtained a copy of the above described docUlent and pro.ise in good faith to deliver it to the
<br />uowner" prior to couencl!lent.
<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 compliance 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 bas 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 lilited to:
<br />* Department of Environmental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />* Southwest Florida Water Kanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rehabilitative Services, Environmental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />* US Environmental Protection Agency - Asbestos abatement
<br />I also certify that, if fill laterial is to be used in Flood Zone NAI or "A,etc.N, it is understood that a drainage plan
<br />addressing a ucolpensating volUle" 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 perlit 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 perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllllenced. One 90 day extension of tite, JaY 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 HAY RESULT IN YOUR PAYING TWICE FOR LKPROVEHEHTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RE~ORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A uNOTICE OF COMMENCEMENTu.
<br />
<br />
<br />~~ /?,~-Q)
<br />
<br />S ATURE: OWHER OR AGENT
<br />
<br />~"" ~d_,.~_
<br />
<br />GNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA t)
<br />COUNTY OF .-~
<br />The foregoing instrument was acknowledged
<br />before me this ~ LS , 19-.fiL by
<br />
<br />K.e u ,.." {J A "Q \"'" ~S
<br />who is ~ersona~own to ~e or who has
<br />produced
<br />as identification and who did/did not
<br />~an oatho41l__L.
<br />-t ~Q(J
<br />(S ature)
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF P .6<.0
<br />Thp. fnrp.uninr. ~~stDJm~~t
<br />before me this
<br />
<br />,was ackno\"11edged
<br />, 19H- by
<br />
<br />
<br />who is or who has
<br />produced
<br />as identification and who did/did not
<br />take ~ ;;J.p.~~...1lP
<br />(Sign~
<br />
<br />(Name Typed
<br />NOTARY PUB
<br />
<br />
<br />" t..!,y P~,I,Ij~. St.:'lte of Florida
<br />, Nell
<br />. 1'" '-''.l'n. .:.:,;.;. 9-18-96
<br />L.. I', ;': ~" "'\...- 228545
<br />
<br />Nota,)' "ubllc. State of Florida
<br />JANET SLACKWElL
<br />My ell",.... Exp. 9.18.96
<br />Co...",. No. CC 228545
<br />
<br />(Name Typed, Pro
<br />NOTARY PUBLIC ~.".:; '.
<br />
<br />,j,
<br />
<br />
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