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<br />CONDITIONS OF PERM!'l' AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perllit lay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assUlles responsibility for cOllpliance 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 lay be
<br />cited for a lisdelleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirellents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Deparl:llent, (813)
<br />788-6611. I ,
<br />
<br />Furthefllore, if the owner has hired a cuntractor 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 Olfner 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 contraclor 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 IMPAC'l' FEES AND U'I'ILI'l'Y CONNECTION FEES
<br />
<br />D. ~ONS'I'RUC'I'ION LIEN LAW (CHAPTER 713, FLORIDA S'l'A'rU'I'ES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection
<br />Guide" prepared by the Florida Departllent of Agriculture, and Consuler Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />"owner" prior to CODencellent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforllation in this application is accurate and that all work will be done in compliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a permit to do work and installation as indicated. I certify that no work or
<br />installation has cOlmenced prior to issuance of a permit and that all work will be perfoued to Deet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is
<br />IIY responsiQility to identify what actions I lust take to be in compliance. Such agencies include but are not Hlited to:
<br />* Department of Envirollllental Regulation - Cypress Bayheads, Wetland Areas and Envirollllentally Sensitive Lands,
<br />Water/Wastewater TreatNent
<br />* Southwest Florida Water Management District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArllY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* DepartJent of Health & Rehabilitative Services, Envirollilental lIealth Unit - Wells, Wastewater TrealJlent, Septic Tanks
<br />* ~~nvironllental Pro~~~!Q.!!-~genci' - Asbestos abatement
<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 "compensating volWle" will be submitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perllit 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 pertit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peClit issued shall becole invalid
<br />unless the work authorized by such perllit is cODenced within six months of issuance, or if work authorized by the penit is
<br />suspended or abandoned for a period of six lIonths after the tile the work is couenced. One 90 day extension of tile, lay be
<br />allowed for the per~it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection Dust be logged during each six lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITII YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />~~~I ~VlI~ -SiGKM
<br />
<br />STATE OF FLOllIDA -4
<br />COUNTY OF ~~~~
<br />The foregoing instrument was acknowledged
<br />before me this ~j?, 19 J~ by
<br />
<br />7 ).I61111?~ E .:?it ~,J
<br />who is personally known to me ~tHLba&
<br />produced
<br />ac; i ggntHication and who EH:tJ./did not
<br />take an ?1JJJ.ziYO
<br />
<br />(Signat~t-""
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF .;;)E41/"v'#e
<br />The foregoing ins:~ent was ac~n9wledged
<br />before me this 9_~_,_, 19~_ by
<br />
<br />t!#/l~;/.ff J) -7?0AE
<br />who is personally known to me
<br />produCed ________________ ___
<br />a.& -3.tlonU'ficatioft-- and who dtd-/ id not
<br />n
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />~~.. CHll,RLcS 0 POOLE
<br />~ r.h Commle.ion CC346l107
<br />* * E~;>ir.. Feb. 14, 1lXl8
<br />~ II- 8<'nded by HAl
<br />?f~Of"''''~ aOO-.4~.165es
<br />
<br />~,~~'("
<br />.. t' DEBBIE 9AOOI<IiNa'-QUQIol
<br />* * My Comml8elOn 00:13aM'
<br />"'.. ~.. Expires Nolo' 28.1997
<br />""OF F~O"~
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