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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands tbat this perlit lay be subject to "deed restrictions" wbicb lay be lOre restrictive tban 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 bas 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 wbat licensing
<br />requirelents aay 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 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 wisbes 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 - HOJeowner's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />"owner", I certify tbat I bave obtained a copy of the above described docUJent and prOlise in good faith to deliver it to the
<br />"owner" prior to cOllencelent.
<br />
<br />E. CONTRACTOR1'S/OWNER1S AFFIDAVIT
<br />I certify that all tbe inforaation in this application is accurate and that all work will be done in cOlpliance witb 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 perlit and that all work will be perfolled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />crrtify that I understand that tbe regulations of other goverDIental agencies lay apply to the intended work, and that it is
<br />IY responsi~ility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />I DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />t Soutbwest Florida Water HanageJeDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />I DepartJent of Health , Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />I US EnviroDlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "An or "A, etc. ", it is understood that a drainage plan
<br />addressing a .cOlpensating volUJe. will be sub.itted wbich 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 frOJ 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 cOllBOced within sil IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of sillOntbs after the tile the work is couenced. One 90 day eztension of tile, lilY be
<br />allowed for the per~it with fee charge of $15.00. The eztension 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 COHHENCEHBHT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEHBIfTS TO YOUR
<br />PROPERTY. IF YOU IIfTEMD TO OBTAIN FIIWlCING, CONSULT WITH YOUR LEHDER OR AN ATTORNEY BEFORE RECORDIIIG YOUR HOfICE OF
<br />COMHENCEHBNT. JOBS UNDER $2,500 IN VALUE DO HOT HEBD TO RECORD AIID POST A "NOTICE OF COHHBNCHHBNT".
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />q~ Y\I\.. <}S~
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATK OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATK OF F~IDA
<br />COUNTY OF PoS ~
<br />The foregoing instrument was acknowledged
<br />before me this 9~f', 19~ by
<br />
<br />'l2u.sse/1 nL /3rOW7A-.-
<br />who is personally known to me or who h~
<br />produced ~B&SO-733-Sd-3-') ~O
<br />as identification and who did/did not
<br />
<br />~
<br />. , .r-
<br />(Sign re)
<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 />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />!t;'~':l'J'::~~~ ... JAMIE L. MtIftPHY........
<br />-<e-~....r'.,6' . I .4iIfm
<br />t.:4;. :;~ r,.V ,.OOM.MISS~ ,~
<br />~. :~E ,'XPfRES .\j!riI27. 1999
<br />~'1.~.", ~~ Bonded Thru NolaIy PublIc t.hIllIMII8II
<br />'1IH"
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