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<br />. CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perJit lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for COIpliance 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 lisdeaeanor 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 DepartJent, (813)
<br />788-6611.
<br />
<br />FurtheClOre, 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 tbey 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 perJitting 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 - HOIeOlDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is sOleone other tban 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 coaaencelent.
<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 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 perforaed to aeet 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 otber goveI1llental 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 EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />* Southwest Florida Water Managelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Bnqineers - Seawalls, Docks, Navigable Waterways
<br />* DepartJent of Health & Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />* US BnviroDlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone HA" or "A,etc.", it is understood that a drainage plan
<br />addressing a "coapensating volUleH 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. Bvery perJit issued sball becOle invalid
<br />unless the work authorized by such perlit is co-.mced 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 COlleJlced. one 90 day extension of tile, laY be
<br />allowed for the perJit with fee charge of $15.00. The 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 />WARNING TO OWNBR: YOUR FAILURB TO RECORD A NOTICE OF COHHBHCEHBIII MAY RESULT IH YOUR PAYIHG TlIICH FOR IHPROVBMDIS TO YOUR
<br />PROPBRTY. IF YOU IIITBND TO OBTAIN FINANCIHG, CONSULT WITH YOUR LENDER OR AN ATTORIIBY BBFORB RBCORDIHG YOUR IIOTICH OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IH VALUE DO NOT NBBD TO RECORD AND POST A "HOTICE OF COHHBNCBHEIII".
<br />
<br />
<br />~/~'
<br />SIGIIIT . CO OR
<br />
<br />L~ - ~1A 6:1~
<br />SIGNAr~ OWNER OR AGBIII
<br />
<br />
<br />STATE OF FLOR~
<br />COUNTY OF ('7J{'O
<br />The foregoing in~rument was acknowledged
<br />before me thisj'o S(f7k>7A~-/' 19~ by
<br />
<br />l ,'~/4 )/~d I3r-UC1' bAu,'s,
<br />who is perSOnall~known to me or who has
<br />produced ~ t' r ..so rva. { v ){0o v,h)
<br />as identification who 'did/did not
<br />ake o~
<br />
<br />
<br />(Signat J
<br />~CJ v f) (>-'Nd'f7LL
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Si~atuJ"J!) ,\./ // L
<br />~,ifhy v /'~~cFe L
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />,"'1"""
<br />~~~.' ~~_ "OFFICIAL SEAL"
<br />ff:.r'2i~l Timothy D. Penf:lell
<br />"~~ii My Commission Expires 3/14/97
<br />'~~,?'r.,~~~,,,,$' Commission ICC 265838
<br />
<br />~\\"'""Ir.
<br />$~~"~'~ "OFFICIAL SEAL"
<br />i:i 1:. Timothy D. PenJjell
<br />\~'" ,;,? My Commission Expires 3/14/97
<br />~~gr.I~~""" Commission ICC 265838
<br />
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