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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subject to udeed restrictions" which lay be more 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 lisdeJeanor 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 Department, (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 I 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 - HOIeowner's Protection
<br />Guide" prepared 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 information 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 permit 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 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 governmental agencies lay apply to the intended work, and that it is
<br />my responsibility to identify what actions 1 must take to be in compliance. Such agencies include but are not limited to:
<br />* Departlent of Environmental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />* Southwest Florida Water KanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departaent 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 PAU or uA,etc.', 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 permit 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 peIlit issued shall becOle invalid
<br />unless the work authorized by such permit is commenced within six months 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 cOllenced. One 90 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 COKKENCEKENT MAY RESULT IN YOUR PAYING TWICK 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 PNOTICE OF COMMENCEMENT".
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<br />~~~~
<br />S NATURE: OWHER AGENT
<br />
<br />4~~~
<br />NATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF -Pa..s Co '
<br />The foregoing instrument was acknowledged
<br />before me this \'l\~:i. , 19.:J1L by
<br />
<br />" \a/Y\ e. T B-1 li L K w -e- LL.
<br />who !s personally known to me or who has
<br />produced AI/A
<br />as identification and who didLdid not
<br />take ~?at~. /) . .
<br />~~ -"< QJu2L.:un,-,
<br />(Sign ture)
<br />
<br />STATR OF FLORIDA i')
<br />COUNTY OF C Q..s c.... 0
<br />The foregoing instrument was acknowledged
<br />before me this ~.;L , 19~ by
<br />
<br />J a Y\<e.. 1 BlCi.,--KweL-L
<br />who is person~lV known to me or who has
<br />produced 4/_
<br />as identification and who did/did not
<br />take an~th. -----
<br />,a a e[OA~~
<br />(Signa~u e)
<br />
<br />(Name Typed,
<br />NOTARY PUBLI
<br />
<br />
<br />e ~,~..t!lob~ lIf Florida
<br />"'ll'y ~"'w.'W~~i.26.98
<br />(,,,mm. No. CC 358940
<br />
<br />(Name Typed, Pri
<br />NOTARY PUBLIC
<br />
<br />
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