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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit 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 lisdBleanor 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 Departlent, (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 responsihle 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 - HOIeowner's Protection
<br />Guide" prepared by the Florida Department 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 pro.ise in good faith to deliver it to the
<br />"owner" prior to couenceJent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the information in this application is accurate and that all ~ork will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land development,
<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 permit and that all work will be perf oIled to leet 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 goveInlental agencies may apply to the intended work, and that it is
<br />my responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not limited to:
<br />t Department of Environmental Regulation - Cypress Bayheads, Wetland Areas and Environmentally 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 Departlent of Health & Rehabilitative Services, Environmental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />t US EnvironJental 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 understooc that a drainage plan
<br />addressing a .cOlpensating volUle" will be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to permit, 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 permit is co..enced within six months of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced, One 90 day extension of tile, aay be
<br />allowed for the per.it with fee charge of $15,00, The extension shall be requested in writing to the Building Official, An
<br />approved inspection must be logged during each six lonth period, or the project will be considered abandoned,
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKHENCEMENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, COKSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />
<br />COHmC<KEHT~_~~-:L~ DO~ HEED TD RECORD AHD ~~.~
<br />
<br />
<br />C ,//" (H" ~_C~:==_H "') ~:E.::::~:::H_-'--'-- -
<br />SIGNATURE: OWMER OR AGENT SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA ;jJ
<br />COUNTY OF 1/ 4-- S- C-l)
<br />The foregoing ins~~;nt was acknowledged
<br />before me this --'f~' 19:11- by
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF r ,f-S'" c -c.J
<br />The foregoing insttument was acknowledged
<br />before me this . L/(/ .2- , 19.!l1- by
<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 />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath. ~./K ~--e..
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />"'''''' KEITH CORREIA 416
<br />~t-""',l'Si~\ MY COMMISSION' CC 461
<br />~*!~:*~ EXPIRES: May 13. 1999
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<br />~,Rftl~'
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUB . T r KEITH CORREIA
<br />/P;,a;' :v.'~\ MY COMMISSION' co 451416
<br />i*! :*~ EXPIRES: May 13. 1999
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