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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />~A: NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perJit lay be subject to ndeed restrictions" which laY be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for coapliance 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 tbe contractor is not licensed as required by law, both the owner and contractor lay be
<br />cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents lay apply for the intended work, they are advised to contact tbe City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner bas hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for wbich 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 is not entitled to perJitting 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 - Hoaeowner's Protection
<br />Guiden prepared by the Florida Departlent of Agriculture and Consuaer Affairs. If the applicant is soaeone other than the
<br />"owner", I certify that I have obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the
<br />"owner" prior to cOllellceaent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
<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 perforaed to teet 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 governaental agenCies laY apply to the intended wort, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />t Departaent of Environaental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater Treataent .
<br />t Southwest Florida Water Manageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departaent of Health & Rehabilitative Services, Environaental Health Unit - Wells, Wastewater Treataent, 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 understood that a drainage plan
<br />addressing a .coapensating volute" will be subtitted 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 wort 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 froa thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall becoae invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perJit is
<br />suspended or abandoned for a period of six IOnths after the tite the work is cOllenced. One 90 day l!Itension of tile, aay 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 COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU IIfTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENC 1fT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 1'~OTICE OF COMMENCEMENT".
<br />
<br />1 YtIt JJ/!~
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />
<br />STATE OF FLORIDA
<br />7'\
<br />COUN'l'Y OF t"3~ ( l;>
<br />The foregoing instrument was acknowledged
<br />before me this ~, 19~ by
<br />
<br />V'3V\U.. t. YV)~l h Y)
<br />who is personally known to me or who has
<br />produced rJ t.pe-
<br />as identificatio ) and w o..8id:/did not
<br />take an oath.
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF PM to
<br />The foregoing instrument was acknowledged
<br />before me this !J4 J?Jl) , 19.1:1- by
<br />l' I
<br />VIj J1('e.. l fY),/ fu V)
<br />who is personally kn~ to me or who has
<br />produced ' ~
<br />as identification ,and w~ did/d' d not
<br />take an oath. /,
<br />
<br />(Signature)
<br />
<br />
<br />(Signature)
<br />
<br />
<br />(Name Typed, Pri
<br />NOTARY PUBLIC
<br />
<br />
<br />OU A A. [Ovm "
<br />Notary Pu~lic, State 01 Flonda
<br />My comm. expires July 28).2000
<br />Ccmm. No. CC57291\J
<br />
<br />(Name Typed, Prin
<br />NOTARY PUBLIC
<br />
<br />~~AG.
<br />'" ~
<br />o -
<br />% n
<br />
<br />.LOVf:Tl.
<br />Notary Pll~ic, :;tate ct Flori~~
<br />Mv comm expiros Ju!y' 23, 2uuO
<br />, ~:mm No CC512916
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