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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peait lay be subJect to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. fhe undersigned assUles responsibility for cOlpliance ~ith any applicable deed restrictions.
<br />
<br />B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has 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 lisdBleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirBlents 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 bas bired 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 - HOJeowner's Protection
<br />GuideD p{epared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is saleone other than the
<br />Downer", I certify that I have obtained a copy of the above described docUlent and prolise in good faith to deliver it to the
<br />Downer" prior to COIIBDCBlent.
<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 bas cOllenced prior to issuance of a perlit and that all work will be perfoaed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, dDd land developlent regulations in the jurisdi~tion. r also
<br />certify that I understand that the regulations of ether govelIllental agencies lay apply to the intended wort I and that it is
<br />IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />* DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />* $~uthwest Florida Water ManagBlent District - Wells, Cypress Bav.heads, ~etland Areas, Altering Watercourses
<br />* ^rlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />* US EnviroDlental Protection Agency - Asbestos abatBlent
<br />I also certify that, if filllaterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a DCOlpensating volUle" will be subJitted whicb 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;ad 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 frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pBIlit issued sball becOIe 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 IOntbs after the tile the work is cOllenced. One 90 day extension of tile, Jay be
<br />allowed for the peait with fee charge of $15.00. The extension sball be requested in writing to the Building Official. An
<br />approved inspection lust be logged during eacb six IOnth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU IMTKHD TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ArTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT HEED 1.'0 RECORD AND POST A "NOTICE OF COKHENCEKENT".
<br />
<br />
<br />~~ ~~._~
<br />ATURB:1lIfIftlR OR AGE SIGNATURE: CONTRACTO
<br />
<br />STATE OF FLORIDA ~
<br />COmy OF --..C....~
<br />The foregOing instrument was acknowledged
<br />before me this I :::>-0 , 19~ by
<br />
<br />who is personally known to me or who has
<br />pro u
<br />as identification and who did/did not
<br />take an oa~. ~:A ~
<br />'-111. ~
<br />(Signature)
<br />
<br />(Nam~ Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~^'
<br />*M':*
<br />
<br />"'~~I1f'p.(ftIo'l;'"
<br />
<br />DONNA M SINCLAIR
<br />My Commission CC382618
<br />Expires Jun. 14,1998
<br />
<br />STATE OF FLORIDA ~
<br />COUNfY OF r----'~_
<br />The foregoing inSjrument was aC~lowledged
<br />before me this _( ~ , 19 97 by
<br />
<br />who is p'ersonally kno~~gor who 'has
<br />pro uce --.--
<br />as identification and who did/did not
<br />~oath. ~.
<br />~~,
<br />(Signature) -
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC .,tAY,.,..
<br />fi ~ DONNA M SINClAIR
<br />* ]iii:ijf * My Commission CC382018
<br />~, Expit_Jun.14,1998
<br />'\~tJ,p.dt'
<br />
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