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<br />. CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE Of .DEED RESTRICTIONS
<br />The undersigned understands that this pertit lay be subject to .deed restrictions. which lay be lOre restrictive than 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, 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 lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, 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 peraitting 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. HOIeOWner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuter Affairs. If the applicant is scmeone other tban the
<br />.owner", I certify that I bave obtained a copy of the above described doc\llent and pr<mise in good faith to deliver it to the
<br />"owner" prior to cOIlellCetent.
<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 bas COIIenced prior to issuance of a perlit and that all work will be perfoIJed 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 goveIDIeDtal agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not lilited to:
<br />t Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Havigable Waterways
<br />t Departlent of Health & Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treablent, Septic Tanks
<br />t 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 .c<mpensating volute" 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 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 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 perait issued shall beCOle invalid
<br />unless the work authorized by such pertit is COlIBnced within six IOnths of issuance, or if work authorized by the pertit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is c~ced. One 90 day eltension of tOe, laY be
<br />allowed for the peI'l).t with fee charge of $15.00. The eltension 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 />IIARlfING TO OWlfER: YOUR FAILURE TO RECORD A HOTICE OF COMMEHCEHEIft' HAY RESULT IN YOUR PAYlHG DICE FOR IHPROVIMItft'S TO YOUR
<br />PROPERTY. IF YOU IIft'EIfD TO OBTAIH FIHAHCIHG, COHSULT WITH YOUR LBIfDER OR AM ATroRHEY BEFORE RECORDIHG YOUR HO'J'ICE OF
<br />COMMEHC J BS UNDER $2,500 IH VALUE DO HO'J' HEED TO RECORD AIfD POST A "NO'J'ICE OF C~IMItft'H.
<br />
<br />/~ L~ ~
<br />
<br />E: OWIfER OR AGE1ft' -----z.--.----- S. --- - OR
<br />
<br />
<br />STATE OF FLORIDA /)
<br />COUDY OF ~ C-b
<br />The foregoing instrument was acknowledged
<br />before me this J)lf / , 19 ~ by
<br />
<br />~~ tU~~
<br />who is <personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oat
<br />
<br />STATE OF FLORIDA ~
<br />coum OF A.A/ GQ
<br />The foregoing i~trument was aCknowledged
<br />befor-e me this ~ / , 19 ~ by
<br />
<br />7~~~
<br />
<br />who is personally known to me or who has
<br />produced ~
<br />as identification and who did/did not
<br />
<br />take an ?t4~~~o
<br />
<br />(Signatur ~ '~ /
<br />~ 1 ~~O
<br />(Name Typed, Printe or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed,
<br />NOTARY
<br />
<br />
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<br />
<br />! !$.~~~~"~'o;. Mar~ A. B~-;;;- ,
<br />r/'~to! N""" P\Jbl., State pi _
<br />~:~. .~~l My camm. expires AprU 3, 1999
<br />'~~~.,~ Comm. I CC091752
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