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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pellit lay be subject to 'deed restrictions" which lay be lOre restrictive than City
<br />regulations. the undersigned assUles 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 lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireJents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent, (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 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 with a copy of "Florida's Construction Lien Law - HOIeownerls Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is se~eone 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 cOlII!nceJent.
<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 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 perf oIled to leet 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 goveIDIental 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 lilited to:
<br />t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />t Southwest Florida Water KanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health 5 Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treataent, Septic Tanks
<br />t US EnviroDlental Protection Agency - Asbestos abateJent
<br />I als!! certify that, if fill laterial is to be used in Flood Zone "AD or "A,etc.", it is understood that a drainage plan
<br />addressing a 'cOlpensating volllle" 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 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 pellit issued shall becOle invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work autborized by the perlit is
<br />suspended or abandoned for a period of six IOnths after tbe tile the work is cOllenced. One 90 day extension of tile, JaY be
<br />allowed for tbe perlit with fee charge of $15.00. Tbe extension sball be requested in writing to tbe 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 COHHENCHHHNT KAY RESULT IN YOUR PAYING TWICE FOR IHPROVHHHNTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUL! WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NorICE OF
<br />COHKENCHHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHKHNCHHENT".
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<br />SIGNATURE: ONHER OR AGENT
<br />
<br />~ m. <:3~
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />who is personally
<br />produced
<br />as identification
<br />take an oath.
<br />
<br />known to me or who has
<br />
<br />STATE OF FLQRIpA
<br />COUNTY OF. ~C1.5> Q})
<br />The foregoing instrument was acknowledged
<br />before me this~e-a(p , 19 q 7 by
<br />
<br />12-LA-s.~-e i 1m. 'BrOLDY\.-
<br />who is pe~onally known to m~ or who has
<br />produced Pl.{X;#:t1J.p5l)-733-5;). -,'?7/-D
<br />as identification and who did/did not
<br />
<br />~~
<br />( g ature) ~
<br />
<br />(Name Typed, Printed or Stamped)
<br />
<br />NOT ~IEL.MU~
<br />,~v COMMIS~'O~ II CC 466180
<br />_ EXPIRE:S :\pnl2J. 1999
<br />, Ilond8d Thru NolIIy NlIIc L/nd8lWIItBII
<br />
<br />
<br />and who did/did not
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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