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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait lay be subject to "deed restrictions" which lay be lOre restrictive thari City
<br />regulations. fhe undersigned assOles 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 Zepbyrhills Building Departtent, (813)
<br />788-6611.
<br />
<br />FurthertOre, if the owner has bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for wbich 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 - HOIIl!owner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuter Affairs. If the applicant is SOEOne other than the
<br />uowner", I certify that I have obtained a copy of the above described docutent 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 developllent.
<br />
<br />Application is bereby 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 perait and that all work will be perfoIled 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 governtental agencies laY apply to the intended work, and that it is
<br />If responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not litited to:
<br />t Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treattent
<br />t Soutbwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rehabilitative Services, Environtental Health Unit - Wells, Wastewater Treattent, Septic Tanks
<br />t US EnviroDlental Protection Agency - Asbestos abateaent
<br />I also certify that, if fill laterial is to be used in Flood Zone HAil or "A,etc.", it is understood that a drainage plan
<br />addressing a uCOlpensating volOle" will be suhtitted 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 perait prevent the Building Official frOt thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued shall beCOle invalid
<br />unless the work authorized by such perait is COIIenced within six IOnths 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 c~enced. One 90 day extension of tite, laY be
<br />allowed for the perllit 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 IOnth period, or the project will be considered abandoned.
<br />WARMING TO OWlfER: YOUR FAILURE TO RECORD A NOTICE OF COMHKHCEHElft' MAY RESULT IN YOUR PAYING !WICE FOR IMPROVIIImS TO YOUR
<br />PROPERfY. IF YOU Ilft'EHD TO OBrAIN FINANCING, CONSULT IIITH YOUR LIHDER OR AM AnORm BEFORE RECORDIMG YOUR MO'IICE OF
<br />COHHENCEHBH'l'. JOBS UHDER $2,500 1M VALUE DO MOT lfEED fO RECORD AID POST A "NOTICE OF COMHEMCEIIElft'u.
<br />
<br />y~~C .e;,_
<br />SIGNATURE: OWIfER OR AGENT'
<br />
<br />~~
<br />. SIGNATURE: ClOR
<br />
<br />--....
<br />
<br />STATE OF FLORIDA
<br />COUH'l'Y OF -V o...'5.CO
<br />The foregoing instrument was aCknowledged
<br />before me this :J\)f\Q.. L\ , 19~ by
<br />
<br />STATE OF FLORIDA
<br />coum OF YU'SC..D
<br />The foregOing instrumep} was aCknowledged
<br />before me this ~u~ I , 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 o~th.~^_~_ __
<br />.~~
<br />(Si~!ture). .
<br />I Tl~r ~ ~eu-t \ 'N'\O-nn
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />~~
<br />
<br />(SiS!l~ture),
<br />, '( \o....r- C-\ ~t I N10-..r)"
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />to"V '11#
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<br />;t OF f\1l>~
<br />
<br />MARCI REUTIMANN
<br />My Comm;s"ion CC524416
<br />Exp;res Feb. 23. 2000
<br />
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<br />
<br />~;t OF f\1l>~
<br />
<br />MARCt REUTIMANN
<br />My Commission CC524416
<br />Expires Feb. 23. 2000
<br />
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