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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to Ddeed restrictions" wbich lay be lOre restrictive than City
<br />regulations. rhe undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tbe owner bas bired 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 />reguireJents laY apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />188-6611.
<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 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 - HOJeOIDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is aeone other than the
<br />"owner", I certify that I have obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />"owner" prior to cOllenceJent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the infoIlation 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 has cOllenced prior to issuance of a perlit and that all work will be perforled 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 goveIDIeDtal agenCies lay apply to the intended wort, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />* DepartJent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />WaterfWastewater TreatJent
<br />* Southwest Florida Water HanageJeDt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* DepartJent of Health & Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater rreatlent, Septic ranks
<br />* US EnvirODlental Protection Agency - Asbestos abateJent
<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 sublitted which is prepared by a professional engineer registered in the State of
<br />Florida p'rior 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 />reguiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall beCOle invalid
<br />unless the work authorized by such perlit is cOlleDced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOntbs after the tile the wort is c~ced. One 90 day extension of tile, lilY 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 IOnth period, or the project will be considered abandoned.
<br />WARNING 1'0 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMHENCIHENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVIIIEn'S TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIH FINANCING, COHSULT WITH YOUR LBNDER OR AN AnoRlfEY BEFORE RBCORDIHG YOUR HOTICE OF
<br />COHHBHCIHENT. JOBS UlfDBR $2,500 IN VALUE DO HOT NEBD TO RECORD AND POST A "NOfICB OF COMHENCIHEII!".
<br />
<br />
<br />A, Jr~ ;1h~h'JI~
<br />
<br />AIGNArURE: OOER OR AGENT SIGHAT~OR
<br />
<br />STATE OF FLORID~
<br />COUNTY OF I o....S c.. 0
<br />The foregoing instrument was acknowledged
<br />before me this t4a v.St 11, 19~ by
<br />
<br />to ob \ 6J..~
<br />who is personally known to m or who has
<br />pro uce
<br />as identification
<br />take ath.
<br />
<br />
<br />STArE OF FLOR~A
<br />coum OF ~~ ( ()
<br />The foregoing instrument w~s acknowledged
<br />before me this A .. I ~, 19 ~ by
<br />c<J v~1"
<br />C A.o...'C' I ~ P oc) I <L
<br />~o is personally known t~or who has
<br />produced
<br />as identification id not
<br />take an oa.tp.
<br />
<br />
<br />(SigIJature)
<br />'D e.y'\ ~ Q.. '"Zf . H ,. nor" c. A.5.
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />\::) ~'" fo... ~. H. ('n '(f ~c..k.s
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br /><:>'\~e.." DENEE J HINRICHS
<br />"'w co My Cornminion CC449109
<br />* * Expirei' Mar. 28, 199Q
<br />-:. ,. Bonded by HAl
<br />-r ~
<br />,.~ Of f\.ll~ 800-422.1555
<br />
<br /><:>'\~e.." DENEE J HINRICHS
<br />'" C' My Commlsllion CC449109
<br />* ~ * Expirei' Mar. 28, 199Q
<br />-:.~ ~'" Bonded by HAl
<br />-r,., Of f\.ll~ 800-422.1556
<br />
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