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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pellit lay be subject to "deed restrictions" wbich laY be lOre restrictive than City
<br />regulations. rhe undersigned assUles 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 regulatioDs. If the contractor is not licensed as required by law, both the owner and contractor la' 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 con~ct. the City of Zephyrhills Building Departlent, (813)
<br />788-6611.. . . ,.
<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. 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 - HOIeOMDer's Protection
<br />Guide" prepared by the Florida Departtent of Agriculture and ConsUler Affairs. If the applicant is so.eone other than the
<br />"owner", I certify that I have obtained a copy of the above described docUlent and prOllise in good faith to deliver it to the
<br />"owner" prior to cOllenCl!lent.
<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 cOlleDced prior to issuance of a perlit and that all work will be perfolled 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 goverDlental agencies laY apply to the intended wort, 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 />t Departtent of EnvirODlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treattent
<br />t Soutbwest Florida Water Hanagl!lent District - WellS, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rehabilitative Services, Environaental Health Unit - Wells, Wastewater Treatlent, Septic ranks
<br />· US Invironaental Protection Agency - Asbestos abatl!lent .
<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 .co.pensating 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 tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of tbe technical codes, nor shall issuance of a perlit prevent the Building Official frOll thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pellit issued shall beCOle invalid
<br />unless the .work authorized by such perlit is cOllenced within slllOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of slllOnths after the tile the work is couenced. One 90 day eJtension of tile, lay be
<br />allowed. for tbe 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 sil IOnth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURB TO RBCORD A NOTICE OF COHHENCBHENT HAY RESULT IN YOUR PAYING niCE FOR IHPROmtmS TO YOUR
<br />PROPERTY. IF YOU IMTEND TO OBTAIN FIIlAlfCING, CONSULT WITH YOUR LENDER OR All AnOmy BEFORE RECORDIMG YOUR MOTICE OF
<br />COMMENCEMBNT. JOBS UNDER $2,500 IN VALUE DO NOT NEED '1'0 RECORD AND POST A "NOTICE OF COHHDCBHEJft'II.
<br />
<br />~/a- ~G r
<br />URE: OWNER OR AGENT
<br />
<br />v 1.Lliii' ~::~
<br />SIGNA'I'U : C Nl'RAC'lOR
<br />
<br />STAIB OP PWIIIIl! .~
<br />COUNTY OF ... c.>
<br />The foregoing i~ent was acknowledged
<br />before me this ~ ~ , 19 <1.' by
<br />
<br />\~-J {n~,,- L ~ p~
<br />who is personall n to me or who has
<br />produced
<br />as identificat10n an who did/did not
<br />take ao oa~~.
<br />
<br />(Signature)
<br />
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF .. o...-~c:...
<br />The foregoing iCStrument was a~knowledged
<br />before me this j~9. , 19~ by
<br />
<br />\. A )~~ ~~-Ue/f;-W
<br />who is per~y ~wn tocme or who has
<br />produced '--- \:..r--
<br />as identification and who did/did not
<br />take ~. ~_..
<br />
<br />(Signature)
<br />
<br />(Name
<br />NOTARY
<br />
<br />
<br />pea ~ Ill: itillllpad)
<br />. cNA TT
<br />PUBUC, STATE OF FLORIDt '
<br />MYCOMM. EXP, FEB. 8. 199~ .
<br />COMM. # CC 437695
<br />
<br />(Name Typed,
<br />NOTARY PUSLI
<br />
<br />,-,
<br />rint TT
<br />NOTARY PUBLIC, STATE OF F~ORI~',
<br />MYCOMM. EXP. FEB 8 199'
<br />COMM # CC 4:r:".,
<br />........-,---..-..-
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