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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A~ NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned as sOles 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 lisdemeanor 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 />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 tbis application for wbicb they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than tbe contractor, are responsible for the work. If the contractor wisbes 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 witb a copy of "Florida's Construction Lien Law - HOIeowner's Protection
<br />Guide" prepared by the Florida DepartJent of Agricultur~ 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 prolise in good faith to deliver it to the
<br />"owner" prior to coaenCelent,
<br />
<br />E. CONTRACTOR' SjOWNER' S AFFIDAVI'l'
<br />I certify that all the inforlation in tbis 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 has cOllenced prior to issuance of a perlit and that all work will be perfofled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in tbe jurisdiction. I also
<br />certify that I understand that the regulations of other govefDIental agencies lay apply to the intended wort, and that it is
<br />IY responsi~ility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not Ii.ited to:
<br />* DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Southwest Florida Water Management District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<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 "colpensating 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 tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of tbe technical codes, nor shall issuance of a perlit 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 perlit is cOllenced within six lonths of issuance, or if wort authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day extension of tile, laY be
<br />allowed for the perlit 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 />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEMHNl MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY, IF YOU INT TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORREY BEF RECORDING YOUR NOTICI OF
<br />COKHENCEKENT, J ER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE NCEMENT".
<br />
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATE OF FLORIDA~
<br />COUNTY OF lY l'L.i/-LJ
<br />The foregoing instrument was acknowledged
<br />before me this IlPf{ '1 , 19.2L by
<br />
<br />
<br />who {: ~:.~~~ ~n c;.p~or who has
<br />
<br />produced
<br />as identification and who di~ nojt)
<br />
<br />ta~~~ oJ? (;:/Z:~,j
<br />
<br />~ture) / 4 "-.,
<br />_uIQ/17?'8JE ~.. I1)FT/v4IUJJ
<br />(Name Typed, Printed 0 Stamped)
<br />NOTARY PUBLIC
<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
<br />
<br />"'~~" Bobble S. SWetland
<br />!..'1 ''''f~ MY COMMISSION 1/ CC534927 EXPIR~
<br />= '~~ FeblIIary 22, 2000
<br />~: BONDED TllRU TROY FAIN INSURANCE. INC
<br />"
<br />
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