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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this penlit lay be subject to "deed restrictions" which lay be lOre restrictive than'City
<br />regulations, The undersigned assWles 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 lisdeleanor 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 DepartJent, (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 !s 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 ~AW (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 doclllent and pro.ise in good faith to deliver it to the
<br />"owner" prior to couencl!lent.
<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 develop.ent,
<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 perforJed to aeet 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 governmental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in coapliance, Such agencies include but are not liaited to:
<br />t Department of Environmental Regulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />t Southwest Florida Water Manageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health << Rehabilitative Services, Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US Environaental Protection Agency - Asbestos abateaent
<br />I also certify that, if fill laterial is to be used in Flood Zone "An or "A,etc,", it is understooL that a drainage plan
<br />addressing a .cOlpensating volWle" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to pertit. 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 perlit issued shall becOle invalid
<br />unless the work authorized by such perait is cOllenced within six aonths of issuance, or if work authorized by the perait is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllencEd, One 90 day extension of tile, JaY be
<br />allowed for the perait 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 lonth 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 INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CO}lM~;' _ _ _
<br />
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<br />C . . .' .....-...' .-...:~~,"- -.::::------- ~"r:.L:.-.-' ..- - /
<br />SIGNM'URE':~:aR:'AGEHT - S~GNJ\TU~~: CONTRlICTOR--
<br />
<br />STATE OF FWRIDA !?
<br />COUK'l'Y OF f/ ,-If S' CO
<br />The foregoing in~~w.s ,~wledged
<br />before me this . , 19 . by
<br />
<br />STATE OF FLORIDA /~
<br />COUNTY OF P" #3' CO
<br />The foregoing instr~ent was acknowledged
<br />before me this c.t; 'rf- ' 19.-2.,L 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 oat~if ~
<br />
<br />(Signature)
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/ not
<br />take an oath. ~~ t.,~.. ~
<br />-cJ.( ~9
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />KEITH CORREIA
<br />MY COMMISSION' CC ~1418
<br />EXPIRES: May 13. 1999
<br />Bonded 11lIII NoIIIY PubIc lJnclIIWI\IlIII
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />.li\V~" KEITH CORREIA
<br />!~ .:.~~ MY COMMISSION' CC 451418
<br />,:~l EXPIRES: May 13. 1999
<br />::l IIondIId Thnl NolIIy Publ1c lJnderwIttIrI
<br />
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