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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOT-ICE OF DEED RESTRICTIONS ~
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restri~tive than City
<br />regulations. 'be undersigned assutes 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 lisdeteanor violation under state law. If the olDer 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 Zephyrhills Building Departtent, (813)
<br />188-6611.
<br />
<br />FurtherlOre, if the owner bas hired a contractor or contractors, he is advised to have tbe 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 - HDIIe01IJIer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and Consuter Affairs. If the applicant is sOIeone other than the
<br />'owner", I certify that I bave obtained a copy of the above described docutent and prOlise in good faith to deliver it to the
<br />"owner" prior to couencetent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all tbe 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 perforJed to teet 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 tay apply to the intended wort, and that it is
<br />If responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />· Departlent of Environtental Regulation - Cypress Bayheads, Netland Areas and EnviroDlentally Sensitive Lands,
<br />Nater/Nastewater Treatlent
<br />· Southwest Florida Nater Hanagetent District - NeIls, Cypress Bayheads, Netland Areas, Altering Natercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Naterways
<br />· Departlent of Health & Rehabilitative Services, InvirODlental Health Unit - NeIls, Nastewater Treatlent, Septic 'anks
<br />t US Invirontental Protection Agency - Asbestos abatetent
<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 subtitted wbich 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 frOl 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 cOllenced 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 tile the work is cOlleDced. One 90 day extension of tile, lilY be
<br />allowed for the perlit with fee cbarge of $15.00. Tbe extension sball 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 />NAMING TO OWNER: YOUR FAILURE !O RECORD A NOTICE OF COMHINCEHllfT HAY RESULT IN YOUR PAYING !NICE FOR IHPROVIMDI'S TO YOUR
<br />PROPERTY. IF YOU IlfTEND TO OBTAIN FINANCING, CONSULT NITH YOUR LENDER OR AM AnORNEY BEFORE RECORDING YOUR NOflCE OF
<br />COMHINCEHEN! . JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMHINCEHllfT".
<br />
<br />
<br />~. Dr ~. ~~ ~
<br />
<br />SIGNATURE: DmRO'If1GElfT SIGNATURE: cJ~
<br />
<br />STATE OF FLORIDA) '",D \\
<br />COUlfTY OF t\ I ''--\ ~
<br />The foregoing instrument was acknowledged
<br />before me this 13P QUf] lJSr, 1951JtL by
<br />~cl~_~2
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/~
<br />t~ran oath. ---(Yy~
<br />Mrm.
<br />( l.gna u.. r~l {
<br />~~ VY \. yVkl?\J\ -(
<br />(Nam Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~~~~ ELYSE M MCGUIRE
<br />*.* My Con..1iNion CC421008
<br />expn. New. 16,1998
<br />",1: ..~ Bonded by HAl
<br />"ItDfflP'" 800-422-1566
<br />
<br />STA!E OF FLORIDA .
<br />COUmOF 7~
<br />The foregoing instrument was acknowledged
<br />before me thisaq~~.!-, 1~ by
<br />
<br />WR- I"!E. ;t~
<br />who is ersona y 0 to me or who has
<br />produce
<br />as identification and "ho did/did ~
<br />take an oa~.~~GJ\~ODQo
<br />
<br />(Signature) "~"W\,\"
<br />r-ej A. ..e.eJ-e.-~' H~ ....
<br />(Name Typed, Printed or St .~O Iip..~~",
<br />NOTARY PUBLIC !li. .... .... ~
<br />: : My Comm. Expires ; ~
<br />, . , ,
<br />~ : De<:. 4,1999 : ~
<br />~ '. No. CC515093: :
<br />" d\ ". ." ~ :
<br />" ~",/!uB\..\9.'~<>:
<br />", -71'/2' ........ o~._-
<br />'t, OF f\": _-
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