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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peIlit lay be subject to "deed restrictions" which lay be lOre restrictive 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 has 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 lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requiretents tay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
<br />188-6611.
<br />
<br />FurtherlOre, if the owner has bired 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 wort. 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 - Hoteowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant is sOleone 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 cOllencetent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all tbe infoIlation in tbis application is accurate and that all work will be done in cOlpliance with all
<br />appliCable laws regulating construction, zoning, and land developtent.
<br />
<br />Application is hereby tade 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 peIlit and that all work will be perforJed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developteDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDIeDtal agencies laY apply to the intended work, and that it is
<br />If responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />· Departlent of Environtental Regulation - Cypress Bayheads, Netland Areas and EnviroDJentally Sensitive Lands,
<br />Nater/Nastewater !reatlent
<br />t Southwest Florida Nater Hanagetent District - NeIls, Cypress Bayheads, Netland Areas, Altering Natercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Naterways
<br />t Departlent of Health & Rehabilitative Services, Invirontental Health Unit - NeIls, Nastewater 'reattent, Septic ranks
<br />· US EnvirODlental 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 voluteU will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance.
<br />
<br />A perlit issued sball 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 sball 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 perJit issued shall beCOle invalid
<br />unless the work authorized by such perlit is COIIenced 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 tite the work is c~ced. One 90 day extension of tite, laY be
<br />allowed for the perJit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each sixlOnth period, or the project will be considered abandoned.
<br />NARlfING 'l'O OOER: YOUR FAILURE '0 RECORD A NOTICE OF COHMINCEHllfT HAY RESULT IN YOUR PAYING !NICE FOR IMPROVIIIEO'S TO YOUR
<br />PROPERTY. IF YOU IlfTlHD '0 OBfAIN FI~AHCING, CONSULT NITH YOUR LENDER OR AM AT'l'ORIfIY BBFORE RECORDING YOUR NO'lICI OF
<br />COMHINCEHIlfT. JOBS UHDER $2,500 IN VALUE DO NOT NEED 1'0 RECORD AND POS! A "NOTICE OF C CEHBlfT" .
<br />
<br />~;lf:;r
<br />SIGN RB: OR llG
<br />
<br />
<br />SIGNATURB:
<br />
<br />S'A!E OF FLORIDA ~
<br />COUlfTY OF t"'"A- ~ eo
<br />The foregoing instrument was ~knowledged
<br />before me this q III , 19~ by
<br />
<br />~<D~ \HALS~
<br />who is p sonallykno to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />take an oa'th'~t ~ /
<br />
<br />(Signature)
<br />
<br />STA!E OF FLORIDA
<br />coum OF '-PAS<!..O
<br />The foregoing ins~rument was acknowledged
<br />before me this -II , 19~ by
<br />
<br />~O~I:~ ~~o'bb J~
<br />who is p~rsonally known to me or who has
<br />produced
<br />as identification
<br />take an 0
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />
<br />ROBERT G. EHRMAN. JR:
<br />Notary Public. State of Flonda
<br />My Comm. Exp. May 5. 2000
<br />Comm. No. CC 552888
<br />
<br />
<br />ROBERT G. EHRMAN. JR.
<br />Notary Public. State of F10rlde
<br />My Comm. Exp. Mey 5.2000
<br />Comm. No. CC 552888
<br />
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