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<br />, CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peoit lay be subject to "deed restrictions" which JaY be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake work, they JaY 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 JaY be
<br />cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requir8lents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtherJOre, if the owner has 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'tbe 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 Zepbyrhills.
<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 - HOIeOIDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is s_one other than the
<br />-owner", I certify that I have obtained a copy of the above described docUJent and prOlise in good faith to deliver it to the
<br />"owner" prior to cOllencl!l8nt.
<br />
<br />E. CONTRACTOR'SjOWNER'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 has cOllenced prior to issuance of a peoit and that all work will be perforaed to Ieet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDIental agencies aay apply to the intended work, and that it is
<br />IY responsibility to identify what 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 Treatlent
<br />* Southwest Florida Water Manag8lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health & Rehabilitative Services, EnvirODJental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />* US EnviroDlental Protection Agency - Asbestos abat8lent
<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 "cOlpeDsating volllle" 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 perlit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peoit issued shall becOJe invalid
<br />unless the work authorized by such peoit is COIIeDced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is co.enced. One 90 day extension of tiR, aay be
<br />allowed for the peoit 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 />WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMBIlT MAY RESULT IN YOUR PAYING TWICE FOR IMPJIOVEMEIlTS TO YOUR
<br />PROPERTY. IF YOU IIlTEIID TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AM AftORJlEY BEFORE RECORDING YOUR MOTICE OF
<br />C1HIEIIC T. Jill UIDER 12',500 VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CO~iCEMB/.
<br />
<br />a;t. U Jl(vr
<br />
<br />SIGMATURE: COIlTRACTOR
<br />
<br />
<br />(Signature)
<br />
<br />
<br />STATE OF FLORIDA
<br />COUIlTY OF Va J l v
<br />The foregoing instrument was acknowledged
<br />before me this ,,/J4;/!iJ , 19~ by
<br />
<br />~~' t fi);lrr1A)
<br />who is persona ly known to'me or who has
<br />produced AJIt
<br />as identification d wbo did/did nul
<br />take an oath.
<br />
<br />STATE OF FLORIDA
<br />COUllTY OF ~ ClS l u
<br />The foregoing instrument was acknowledged
<br />before me, 7his ~, 19~ by
<br />
<br />V 13M ('(. /. y'yl; J to YJ
<br />who is personally-known to me or who has
<br />produced N Ar
<br />as identificatio ;and-who did/did flol
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />OUV1A A. LOVEtT ...
<br />I~Go Notary PuQlic State of FlOrida
<br />:; , ~ My comm, expIres July 28).2000
<br />z g"" C:;mm. No. CC5129111
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~.. OUV1A A. Loven
<br />...~ Go", Notary Pll~lic. State of Flonda
<br />~ ~ My comm. expires July 28, 2000
<br />Comm, No. CC572916
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