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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit 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 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 />requirements 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 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 !s not entitled to perlitting privileges in the
<br />City of Zephyrhills.
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<br />C, TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<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 _ HOIeowner's Protection
<br />Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is sOleone other than the
<br />'owner", I certify that I have obtained a copy of the above described document and prolise in good faith to deliver it to the
<br />"owner" prior to couencl!llent.
<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 compliance with all
<br />applicable laws regulating construction, zoning, and land developtent.
<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 per.it and that all work will be perforled to teet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development regulations in th~ jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I must take to be in compliance. Such agencies include but are not lilited to:
<br />* Department of Environmental Regulation - Cypress Bayheads, Wetland Areas and Envirolllentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health & Rehabilitative Services, Environmental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />* US Envirofilental Protection Agency - Asbestos abatement
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understoOC that a drainage plan
<br />addressing a .cQlpensating 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 permit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall becOle invalid
<br />unless the work authorized by such perlit is cOllenced within six months of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six months after the tile the work is cOllenced. One 90 day extension of tile, aay be
<br />allowed for the permit 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 .onth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COHHENCKHENT. JOBS m1DHR VALUB DO HO' HEBU '0 RECORD AND~. "HOT:::,:, ~~
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<br />-" ~
<br />
<br />: CONTRACTOR
<br />
<br />
<br />STATE OF FLORIDA ~
<br />COUH1Y OF rlf S Co
<br />The foregOing inst~ent was acknowledged
<br />before me this .:?f-J I , 19-ilby
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF /' ~S Co
<br />The foregOing inst~ent was acknowledged
<br />before me this 2f- f/ ,19-2:2. by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and W~~id/did not
<br />take an oath. ~,Lf' ~
<br />
<br />(Signature)
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath. ~~ ~
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC CORREIA
<br />.,........ KEITH 1416
<br />;'~;r.v.r~\ MY COMMISSION' CC 46 l
<br />i"tin EXPIRES: May 13, 1999 11 \
<br />~;", Ii Bonded T11Iu NolIIY PubIc lJnd8IWI\lll <l
<br />"r"Rr.",'"
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />---;::;..!/.rU..... KEITH CORREIA
<br />g"/J;,~r;~ MY COMMISSION' CC 461416
<br />'~"~'~~ EXPIRES: May 13, 1999
<br />'.~Rf.,\~~~_. Bonded TImI Notary PublIc UndeIWItteIl
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