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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 Ideed restrictions" which lay be lOre restrictive than City
<br />regulations. Tbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tbe owner has bired a contractor or contractors to undertake work, they lay be required to be license~ 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 />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (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 tban 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, bave been provided with a copy of "Florida's Construction Lien Law - Hoaeowner's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />lowner", I certify that I bave obtained a copy of the above described docUlent and prolise in good faith to deliver it to the
<br />"owner" prior to coltencelent.
<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 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 cOIIenced prior to issuance of a perlit and that all work will be perforaed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify tbat I understand that the regulations of other governtental agencies tay apply to tbe intended work, and tbat it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />* DepartJent of Environaental Regulation - Cypress Baybeads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Kavigable Waterways
<br />* DepartJent of Healtb & Rehabilitative Services, Environaental Health Unit - Wells, Wastewater 'I'reatJent, Septic 'I'anks
<br />t US Environaental Protection Agency - Asbestos abateaent
<br />I also certify tbat, 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 volUleH will be subtitted 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 perait issued sball becOle invalid
<br />unless the work authorized by such perlit is coltenced within Sil IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of Sil IOnths after tbe tile the work is cOllenced. One 90 day extension of tite, JaY be
<br />allowed for the pe~it 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 ail IOnth period, or the project will be considered abandoD~d.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEKT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMEH'l'S TO YOUR
<br />PROPERTY. IF YOU IHTEKD TO OBTAIK FINANCING, COKSULT WITH YOUR LEKDER OR AN ATTORKEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO KOT NEED '1'0 RECORD AND POST A II NOT ICE OF COMMENCEMENT".
<br />
<br />
<br />~p1A fJ1. gJ{~
<br />
<br />SIGNATURE: OWKER OR AGEH'l' SIGNATURE: COH'l'RACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />before me this 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 oath.
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF ----Ft:LSQD
<br />The foregoing instrument was acknowledged
<br />before me thisdl ot ~. , 19~ by
<br />
<br />R.u-sse./l rn. ~VGlLJ...:)~
<br />who is personally known to me or who has
<br />produced FL-J,)L~BloSO.:r33~5a-371- D
<br />as identification and who did/did not
<br />
<br />1~~eJ~L
<br />Ie- L. ~~h~
<br />(Name Typed, Printed or S amp d)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />,""'~:t."'t" JAMIE L. MURPHY
<br />l~ ~t.>\ MY COM"'ts..'lION 11 CC 466180
<br />EXPIRES. Ap"! 27,1999
<br />BondId TllnI NotaIy NlIIc t.hIIIwdIIInI
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