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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. Tbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas hired a contractor or contractors to undertake wort, 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 lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireJents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (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, e.re responsible for the work. If the contractor wishes you to sign
<br />as contractor that Jay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zepbyrhills.
<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 _ Haaeowner's Protection
<br />Guide" p~epared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />.owner", I certify that I have obtained a copy of tht! \Wove described docUlent and prOlise in good faith to deliver it to the
<br />10wDer" prior to coaenCeJent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforJation 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 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 perforJed 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 goverDIental 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 li.ited to:
<br />t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />* Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArJY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />t US EnvirODJental Protection Agency - Asbestos abateJent
<br />I also certify that, if fHI laterial is to be used in Flood Zone "A" or "A,etc. ", it is understood that a drainage plan
<br />addressing a "cOlpensating volUle" will be subJitted 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 per~it 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 cOllenced 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 couenced. One 90 day extension of tile, Jay be
<br />allowed for the perJit 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 six IOnth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COWoiENCEHENT MAY RESULT IN YOUR PAYING TWICE FOR IHPROVRHEMTS TO YOUR
<br />PROPERTY. IF YOU I1ft'EHD TO OBTAIN FIMAMCING, CONSlir.T WITH YOUR LEMDER OR AN ATTORMKY BEFORE RECORDING YOUR NOTICE OF
<br />COKHENCEHEN'l. JOBS UNDER $2,500 1M VALUE DO NOT NEED TO RECORD AND POST A tlNOTI KHENCRHENT" .
<br />
<br />
<br />~~~~
<br />SIGNATURE: OIiMER OR AGE1ft' .
<br />
<br />
<br />STATE OF FLORIDA
<br />COmy OF P f+,S....c 0
<br />The foregOing instrument was acknowledged
<br />before me this JI) 0 v ~ 'I , 19.!/.iL by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF P /l~ ( 0
<br />The foregoing instrument was acknowledged
<br />before me this NCV ~~f 19~ by
<br />
<br />~~~~~~i;'~~~'~~y or who has
<br />produced --
<br />as identification and who did/did not
<br />
<br />~:h~. ~~AA'
<br />(Signature)
<br />
<br />c;; is p~OnallY ._~~~~ or who has
<br />produced
<br />as identification and who did/did not
<br />take ~:h. . L.Ie'
<br />LA. ~ . t!LA
<br />(Signature)
<br />
<br />(Nam~ Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />",.,., ,.~
<br />" ti to DONNA M SINCLAIR
<br />* '1i:ii1r * My Commission CC382619
<br />~ , Expires Jun, 14, 1998
<br />"'~~ OF A-lfli'-~'"
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUB~"'.,
<br />".~~
<br />it DONNA M SINCLAIR
<br />* * My Commission CC382618
<br />~ ..4>'" ExpiresJun,14,1998
<br />~ OF A-1J'l'"
<br />
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