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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. ,NOTICE OF DEED RESTRICTIONS
<br />The undersigned under~tands that this perlit lay be subject to .deed restrictions. which aay be aore restrictive than City
<br />regulations. fhe 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 aay be
<br />cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtheraore, 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 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 - H08l!OWIler's Protection
<br />Guide" prepared by the Florida Departtent of Agriculture and Consuaer Affairs. If the applicant is sOlleOne other than the
<br />.owner", I certify that I have obtained a copy of the above described docuaent and proaise in good faith to deliver it to the
<br />"owner" prior to cOlleDceaent.
<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 coapliance with all
<br />applicable laws regulating construction, zoning, and land develo~ent.
<br />
<br />Application is hereby aade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has COIIenced prior to issuance of a perlit and that all work will be perforaed to aeet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governaental agenCies aay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liaited to:
<br />· Departlent of Knvironaental Regulation - Cypress Bayheads, Vetland Areas and Environaentally Sensitive Lands,
<br />Water/Vastewater Treatlent
<br />· Southwest Florida Water Hanageaent District - VeIls, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departtent of Health & Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater freatJent, Septic Tanks
<br />· OS EnvirODlental Protection Agency - Asbestos abateaent
<br />I also certify that, if fill aaterial is to be used in Flood ZOne "AI or "A,etc.", it is understood that a drainage plan
<br />addressing a .cQlPBDsating volDle" will be subaitted 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 froa 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 CQIIBDced within six aonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tiae the work is coaenced. 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 aonth period, or the project will be considered abandoned.
<br />WARHING TO OWNER: YOUR FAILURE TO RECORD A NOrICE OF C<lDlBNCEMBNf HAY RESULT IN YOUR PAYING WICE FOR IHPRDVEHEITS TO YOUR
<br />PROPERTY. IF YOU INfBHD TO OBTAIN FINANCING, CONSULT WIm YOUR LBHDER OR AN AftORNEY BEFORE RECORDING YOUR IIO'UCE OF
<br />COHHENClHENf. JOBS UIf ,500 III VALUE DO NOT NEED 1'0 RECORD AND POST A "NOTICE OF IICEMBIf" .
<br />
<br />
<br />
<br />SIGN~:
<br />
<br />srATK OF FLORIDA
<br />coum OF VA-5C 0
<br />The foregoing instrum~t was acknowledged
<br />before me this c!:27 tI.ay, 19~ by
<br />
<br />STATE OF FLORIDA "u
<br />COUIffY OF :s CD
<br />The foregoing instrument was acknowledged
<br />before me this .:27 kj , 19 7'~ by
<br />
<br />who is personally known to me or who has
<br />produced :PO()()-Qa"-';;l.-3:U- 0
<br />as identification and who did/did not
<br />take ~~~ c. Ak~
<br />(Signature) 1-/ 1-
<br />1~4-:!.fI(lee'1. A ~ . en fC-
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />who is personally known to me or who has
<br />produced '1>000- <1'3' -':;2-3;l.t --c)
<br />as identification and who did/did no~
<br />take an~~ a,,~
<br />
<br />(SignaturE7v If / 4 I I. L
<br />t<..aTTl eel\. . ne-11 ~
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />KATHLEEN A. HENK
<br />Notary Public. Slate of Florida
<br />My Comm Expires July 5. 1998
<br />No. CC 376761
<br />Bonded Thru Wffldal Nlltary ~l'rIrla
<br />
<br />KATHLEEN A. HENK
<br />Notary Pubiic, Slate of Florida
<br />My Comm, Expires July 5. 1998
<br />No. CC 376761
<br />Bonded Thru WI! Ids\ Notary >)HlJi rt
<br />
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