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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peflit lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. !be undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSEP 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 lisdeleanor 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 />Furthermore, 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 wbir.~ tbe}' will be respunsible, 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 - Homeowner's Protection
<br />Guide" p{epared by the Florida Departlent 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 docUllent and pl'Olise in good faith to deliver it to the
<br />"owner" prior to couenceJent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVI'f
<br />I certify that all the inforlation 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 cOllenced prior to issuance of a perlit and that all work will be perfofled to _eet 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 govefnlental 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 />t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t AflY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater rreatJent, Septic Tanks
<br />* US EnviroDlental Protection Agency - Asbestos abatelent
<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 "cOlpensating 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 procf;~d 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. Every pertit issued shall becOle invalid
<br />unless the work authorized by such perlit is cOllenced within six JOnths 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 cOllenced. One 90 day extension of tile, JaY be
<br />allowed for the peflit 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 ro RECORD A NOrICE OF COMMENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU IMTEllD TO OBTAIN FIMAMCIHG, CONSULT WITH YOUR LENDER OR AM ArTORMEY BEFORE RECORDING YOUR NOTICE OF
<br />COHHENCKKEH'f. $2,500 IN VALUE DO NOr NEED TO RECORD AND POST" OF COMKENCEHBMT".
<br />
<br />
<br />
<br />STATE OF FLORIDA P I ('
<br />COUNTY OF '/)~ l 0
<br />The foregoing instrument was acknowledged
<br />before me this /J20tJ .1'\ , 19..!/.J;L by
<br />
<br />STATE OF FLORIDA P
<br />COUNTY OF 'J1 S C 0
<br />The foregoing instrument was ac~owledged
<br />before me this NOcJ 9.~ 19!1L by
<br />
<br />who is personally known to me r who has
<br />produce
<br />as identification and who did/did not
<br />take an ~ '-'JyJ. ~ _
<br />
<br />(Signature)
<br />
<br />
<br />or who has
<br />
<br />and who did/did not
<br />
<br />(Signature)
<br />
<br />or Stamped)
<br />
<br />(Name Typed, Printed
<br />NOTARY PUBLIC
<br />r.,rJtY P*.
<br />~n"'"
<br />*ifI*
<br />
<br />'?tItQfA.tI"
<br />
<br />or Stamped)
<br />
<br />(Nam~ Typed, Printed
<br />NOTARY PUBLIC rJtv I'tI.
<br />..0' . ~
<br />....nf'
<br />* \~ 1'f" ~
<br />,,(..... i
<br />"'1IFfl.O~o'
<br />
<br />DONNAMSINCLAIR
<br />MyCO~CC38261"
<br />~xpires Jun. 14.1988
<br />
<br />OQNttAM SINCLAIH
<br />My CorrrmlNion CC38261 Ii
<br />Expires Jun. 14. 1998
<br />
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