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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. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONS1BILITIES
<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 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 Departlent, (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 "Florida's Construction Lien Law - Hoaeowuer's Protection
<br />Guide" p{epared by the Florida Departlent 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 docUlent 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 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 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 development 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 lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />* Department of Environmental Regulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Southwest Florida Water Manageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* Army Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* DepartJent of Health & Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US Environmental Protection Agency - Asbestos abateaent
<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 submitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A permit 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 perJit issued shall becoae invalid
<br />unless the work authorized by such perlit 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 couenced. One 90 day extension of tiae, JaY be
<br />allowed for the perJit 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 Sil IOnth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKMENCBHENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROVKHEHtS TO YOUR
<br />PROPERTY. IF YOU IH'JElffi TO OBTAIN FlHAHCING, CONSULT WITH YOUR LEHDKll OR AM ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMllEHCiIlIlIfr ER 12,500 IH VALUE 00 HOT HiED W HECORD !IlO POS! A 'HO(l" OF r~='.
<br />
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<br />
<br />SIGNATURE: CONTRACTOR ---
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing- instrument -was'''acknowledged
<br />before me this !b t:tr ~ 19 ~ by
<br />
<br />.who is personally known to ~e or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />ta~~~~.~~.
<br />
<br />(Signature) ~
<br />
<br />(Nam~ Typed, Printed or Stamped)
<br />~".y "II,
<br />NOTARY PUBLIC .<:> .d. (,.. BOBBIE J BURKE
<br />* ~ * My CommInion CCS43871
<br />.....~,... ElCpir..Mar.31.2000
<br />";. ~~
<br />~ OF f~\l,
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />before me this /.0 Pli.67 ~, 19~ by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />~~~ ~~d
<br />
<br />'--1tfgnature )G
<br />
<br />(Name Typed, pr~~( or Stamped)
<br />NOT ARY PUB L I C .<:> ,.. BOBBIE J BURKE
<br />*M* My~CC543811
<br />.. ... Ellpir_ Mar. 31. 2000
<br />~ ~
<br />,.~ OF f~\l"
<br />
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