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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. Tbe 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 />requiretents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
<br />188-6611.
<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 peIlitting 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 - HOJeowner's Protection
<br />Guide" prepared 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 the above described docUlent and prOlise in good faith to deliver it to the
<br />"owner" prior to cOlleDcl!.lent.
<br />
<br />E. CONTRACTOR'SIOWER'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 perf oIled to teet 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 goveIDIental 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 liJited to:
<br />t Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />t Southwest Florida Water Managelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rebabilitative Services, EnvirODlental Health Unit - Wells, Vastewater Treablent, Septic Tanks
<br />t US EnviroDlental Protection Agency - Asbestos abateJent
<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 uCOlpensating volUle" will be sublitted which is prapared 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 frCl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued shall becOJe invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the petlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOIIenced. One 90 day eltension of tile, lilY be
<br />allowed for the peIlit 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 />NARJHNG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING fIIICE FOR IMPROVEMIlft'S TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LINDER OR AN AnORBBY BEFORE RECORDING YOUR 10TICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NO! HElD 1'0 RECORD AND POST A "NO!ICE OF COMMBIfCBMEJl!N.
<br />
<br />:h~tJ~
<br />SIGNATURE: M!R OR AGE
<br />
<br />d~.....~
<br />SIGNATURE: CONTRA~
<br />
<br />STATE OF FLORIDA ~
<br />COU~YOF r~
<br />The foregoing instrument was acknowledged
<br />before me this . . ., 19 >p by
<br />
<br />/@-I~
<br />w 0 is personal
<br />protluced.
<br />as identification and who .-./did not
<br />take an~~~ .~~~
<br />(Signature)
<br />
<br />'(Nam~ Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />STATB OF FLORIDA ~
<br />COUNTY OF \~
<br />The foregoing ins~ent was acknowledged
<br />be~fore me this /~ ~.., 19~ by
<br />
<br />~ /' ~~'-----_.-
<br />-: is personall~ own to -me or who ~t) ...
<br />
<br />as identification and whoel8/did not
<br />
<br />take an rJ~. 4~A/l-
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />l\tIlIYP~
<br />-1P~ DONNA M SINCLAIR
<br />* Ii * My Commission CC382619
<br />Expires Jun. 14, 1998
<br />...... il'
<br />"~~'A.O~f!i
<br />
<br /><lS'tIlIY P~
<br />.~ UONNA M SINClAIR
<br />* * My Commlnlon 0C382I18
<br />Expires Jun. 14,1998
<br />".~ il'
<br />~ OF A.O~~
<br />
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