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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 'deed restrictions" which lay be lOre restrictive tban City
<br />regulations. The undersigned assutes 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, botb the owner and contractor tay be
<br />cited for a lisdeteanor 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 />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. ~ONSTRUCTION LIEN LAW (ClffiPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HDleowner's Protection
<br />Guide" prepared by the Florida DepartJent of Agricultur~ and Consuter Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described docutent and prolise in good faith to deliver it to the
<br />"owner" prior to couence.ent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVI'r
<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 has cOllenced prior to issuance of a perlit and that all work will be perf oIled 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 governtental agencies lay 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 lilited to:
<br />· Departlent of Envirolllental Regulation - Cypress Bayheads, Wetland Areas and Envirolllentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />· Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· Departlent of Health & Rehabilitative Services, Envirolllental Health Unit - NeIls, Nastewater Treatlent, Septic Tanks
<br />· US Envirolllental 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 Dcolpensating volUle" will be sublitted 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 perlit issued shall beCOle invalid
<br />unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day extension of tile, lay 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 IOntb period, or the project will be considered abandoned.
<br />NARNING TO ONNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEMENT HAY RESULT IN YOUR PAYING !NICE FOR IMPROVEHElfTS TO YOUR
<br />PROPERTY. IF YOU IlfTEND TO OBTAIH FINANCING, CONSULT NITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COHHENCIHHNT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICI OF COHHINCHMENT".
<br />
<br />Y?~ 0vtW~
<br />SIGNATURE: OWNIR OR AGINT
<br />
<br />STATE OF FLORIDA /J
<br />COUNTY OF ~~
<br />The foregoing 'instrument was acknowledged
<br />before me this )?-~L? , 19j7~ by
<br />/"
<br />J '/ ~
<br />o\oP. t:dA~~?7/~
<br />who is perso~lly known to me or who has
<br />produced a ~?c:"C U2....-- h-r' L?--?~ >
<br />as identification and who did/did not
<br />ta~L~ath.
<br />~~4~itJ.)h. M//L/'Cr/
<br />(SIgnature)
<br />/f/1 /-;;;rr //,-:p ~ . b'f' P wp,.--
<br />(Name Typed, ~ ted ~~~R
<br />NOTARY PUBLI~!'~'l:;~ MY COMMISSION' CC317615 EXPIRES
<br />~"~'lI~ September 26. 1997
<br />e /J-J- -I ;~~/~~Di?~FAJ~INS~'I~-
<br />
<br />L ~, c/71cp~./
<br />SIGNATURE: CONTRACTOR'
<br />
<br />STATE OF FLORIDA~
<br />COUNTY OF -- ~ -<.)
<br />The foregoing instrument was aC~OWledged
<br />before me this $;FOT Iv , 190 by
<br />
<br />~e:t.J~!i--~ 771~ /:(EU
<br />who i v~rson~__J'. wn".1to me or who has
<br />produced
<br />as ident'fication and
<br />take n oa h. ,/1~~
<br />(- -
<br />(~tur ) ~
<br />:;6v3"BIE ~ u)EY~l1t-/b
<br />(Name Typed, Printed or Stamped)
<br />NOTARY P~~<; Bobble S, Swetlend
<br />!*f :*E r.w COMMISSION * CC534927 EXPIRE::
<br />~i-......ty FebruaJy 22. 2000
<br />. "fir. ,r,i..' IlONDEO TIiRU TROY FAIN INSURANCI:, .He
<br />
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