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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 udeed restrictions" whieb lay he lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they .ay 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 lisdeieanor 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 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 Sectionsu 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 is not entitled to perlitting privileges in the
<br />City of Zephyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<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 NFlorida's Construction Lien Law - Hoaeowner's Protection
<br />Guide" p~epared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />NownerU, 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 couencl!Ient.
<br />
<br />E. CONTRACTOR'S/OWNER'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 developlent.
<br />
<br />Application is hereby lade to obtain a perait 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 perforJed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, dnd land development regulations in tC~ jurisdi~tion. 1 also
<br />certify that I understand that the regulations of other goverDIental agencies lay 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 li.ited to:
<br />* Depar~ent of Environlental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Hanagl!lent District - Wells, Cypress Bayheads, Wetland Areas, Altering ~ateIcourses
<br />t my Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rehabilitative Services, Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />* US EnviroDlental Protection Agency - Asbestos abatement
<br />I also certify that, if f111 aaterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "cOIpensating volUle" will be suhlitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A per.it issued shall be construed to be a license to procn~d 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 perait prevent the Building Official frCl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall becOle invalid
<br />unless tbe work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six IOntha after the tile the work is coaenced. One 90 day extension of tile, laY 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 IOnth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMHENCKKHNT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVKKHNTS TO YOUR
<br />PROPERTY. IF YOU IlI'lHlfD TO OBTAIN FlHAHCING, CONSULT WITH WUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />~, ER 12,500 IN VALIll! 00 IIIlI' NERD to IlECOIlD AID y':1: ~
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<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing inst ent was acknowledged
<br />before me this (p dJ;r-- , 19!2.L by
<br />
<br />
<br />STAT~ OF FLORInA 0
<br />COUNTY Oil 1f .~
<br />The foregoing instrument was aCknowledged
<br />before me this V / ~, -19 9.7 . . by
<br />
<br />r;;. J( ~ ' f(A.~.~
<br />has who is personally kno~~~or who has
<br />produced _ produced
<br />as identification and who did/~not) as identification and who did~t
<br />
<br />take an!P' ~ake :J!!1'~~-
<br />
<br />(Signat (Signature) ~
<br />
<br />(Name Typed, Printed or StallPed) (Name Typed, printe~tillllped)
<br />NOTARY PUBLIC :\,,~y "114. NOTARY PUBLIC *., 10 BOEIBIEJBURKE
<br />+~ :6. ~10 909BIE J 8U"I(. * My OommiMlon 00543871
<br />*.* ......,. ",'t Ikllpirea Mar. :11.2000
<br />My Commlnion oo5<lS8~f r, ,..
<br />..... ... Expires Mar. 31, 2000 ., OF ,\.11"
<br />.,~~ OF f\.II~~
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