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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perJit lay be subject to "deed restrictions" which laY be lOre restrictive than City
<br />regulations. The 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 regu~ations. If the contractor is not licensed as required by law, both the owner and contractor laY be
<br />cited for a lisdeaeanor 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 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 perJitting 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 - HOIeOWDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOlleone other than the
<br />"owner", I certify that I have obtained a copy of the above described docuaent and prOllise in good faith to deliver it to the
<br />"owner" prior to cOllenceaent.
<br />
<br />E. CONTRACTOR'SjOWNER'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 perJit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perJit and that all work will be perf oIled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in th~ jurisdiction. I also
<br />certify that I understand that the regulations of other goveI1llental agencies laY apply to the intended work, and that it is
<br />If responsibility to identify what actions I lUst take to be in cOlpliance. Such agencies include but are not lilited to:
<br />* Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health & Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater rreatlent, Septic ranks
<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 "cOlpeDsating 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 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 frOll 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 perJit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllellced. One 90 day extension of tile, laY 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 />WARMING TO OWNER: YOUR FAILURE TO RECORD A NorICE OF COMMEKCEHBNT MAY RESULT IN YOUR PAYING fWICE FOR IMPROVEHENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBrAIN FINANCING, CONSULT WITH YOUR LEtIDER OR All AnOmY BEFORE RECORDING YOUR NorICE OF
<br />COMMENCEMENT. JOBS UlfDER $2 00 IN VALUE 00 Nor NEED TO RECORD AlfD posr A "NorICE OF COMMENCEMENT".
<br />
<br />
<br />~J!!lr~~~c
<br />SIGNATURE: CONrRAC'lO
<br />
<br />STArE OF FLORI~
<br />COUNTY OF ~
<br />The foregoing instrument was acknowledged
<br />before me this / -:;;L , 19~ by
<br />
<br />STATE OF FLORIDA r-;)
<br />COUmOF y~
<br />The foregoing instrument was acknowledged
<br />before me this ) -.::2. , 19 9;7 by
<br />
<br />who is p~SO~allY~own to me or who has
<br />produced 'J...uJ..e-""<lf:. -~ fJ...3S3-66o -/1 -3'8'~o
<br />as identification and who did/did not
<br />take an oath. '-f1 () fJ1 ~
<br />
<br />(Signature) A/~ ~ /
<br />c!l- h C \c' . I'J 0 ci-'
<br />(Name Typed, Printed er Stied 7
<br />NOTARY PUBLIC
<br />
<br />who is ~ona~own to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oatb~ a JJ1".".4
<br />
<br />(Signature) y ~A J1 J'
<br />A~Vtc...v {)o y
<br />(Name Typed, Printed/or Stamped) /
<br />NOTARY PUBLIC
<br />
<br />l$}~"""~~ Nancy A. Moody
<br />:*: :*i MY COf.MSSION * CC534806 EXPIRES
<br />~"li. . . ~ February 21. 2OllO
<br />-'<;~ . 80NIlED 1IfIU TIlO'( FAIN INSURANCE. INC.
<br />
<br />",'\';A~'lr~~1. Nancy A. Moody
<br />f.1'\"'is.~~ MY COMMISSION' CC534806 EXPIRES
<br />~.~~: February 21.2001I
<br />"'1,~'",'~' BONDED l1iR\l TI\O'( FAIN 1NSUIWlCE.1~.
<br />',Rf.,n<
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