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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'fhe undersigned understands that this perait lay be subject to Ideed restrictions I which lily be lOre restrictive than Cify
<br />regulations. Ihe undersigned asSUJes responsibility for COIpliance 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 Ifork, they JaY be required to be Hcensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lilY be
<br />cited for a lisd_anor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />IContractor Sections I of this application for wbich they Ifill be responsible. If you, as the owner sign as the cootractor,
<br />you are indicating that you, rather than the contractor, are responsible for the Ifort. 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 peraitting 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 IFlorida's Construction Lien Law - HlIIl!OWDer's Protection
<br />Guidel prepared by the Florida Departlent of Agriculture and ConsUJeI Affairs. If the applicant is SOJeOne other than the
<br />lownerl, I certify that I have obtained a copy of the above described docUJent and prOlise in good faith to deliver it to the
<br />lownerl prior to couencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforliltion in this application is accurate and that all wort will be done in COIpliance with all
<br />applicable laws regulating construction, Joning, and land developllent.
<br />
<br />Application is hereby lade to obtain a perlit ,to do work and installation as indicated. I certify that DO work or
<br />in,tallation haa cmlenced prior to iSsuance of a perait and that all work will be perfoaed to _et ataDdarda of all laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govl!IllIental agenCies JaY 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 Departlent of HnviroDlental Regulation - Cypress Bayheads, Netland Areas and HnviroDlentally Sensitive Lands,
<br />Nater/Nastewater 'freatJent
<br />t Southwest Florida Nater Hanagl!lent District - Nells, Cypress BayheaeJa, Netland Areas, Altering Ifatercourses
<br />t Iray Corps of Engineers - Seawalls, Docks, Havigable lIaterways .
<br />t DepartJent of Health & Rehabilitative Services, BnvirODlental Health Unit - lIells, lIastewater 'freatlent, Septic 'fants
<br />t US BnvirODJental Protection Agency - Asbestos abateJent
<br />I also certify that, if flll laterial is to be used in Flood Zone IAI or IA,etc.l, it is understood that a drainage plan
<br />addressing a ICOlpensating volUJel will be subJitted whieb 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 peIlit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans,. construction, or violations of any code. Every perJit issued shall heCOle invalid
<br />unless the wort authoriled by such perlit is cOllenced within six IOnths of issuance, or if wori authorised by the peIlit is
<br />suspended or abandoned for a periOd of six IOnths after the tile the wori is cOllenced. One 90 day eltension of tiae, .y 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 sillOnth period, or the project will be considered abandoned.
<br />IIAMING TO OIIHBR: YOUR FAILURB TO RECORD A HOTICE OF COHHBHCHHBHI HAY RESULT IH YOUR PAYIHG rwla FOR IHPROVBHmS 'fa YOUR
<br />PROPERlY. IF YOU IHTBHD TO OBraIH FlHAJlCIHG, COHSULT VIra YOUR LBJlDER OR AX ATrORlEY BBFORE RECORDIHG YOUR HOTICH OF
<br />COHKHKCBHBHT. JOBS UHDER $2,500 IH VALUE DO HOT HEED '1'0 RECORD AHD POST A 'HOTICH OF COHHEHCBHBHT'.
<br />
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<br />SIGJlAr~ 0IiIIR 0
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<br />SIGpPDRE: con
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<br />STArK OF FLORIDA
<br />coum OF I-Ir, L"\'Rrll cP"-H
<br />The foregoing instrument was acknowledged
<br />before me this 2.1 Tuu{. , 19...9.::L by .
<br />
<br />o-~~.
<br />who is personal 1 to me or who has
<br />pro uce
<br />as identification and who did/did not
<br />take.~,~at~, ~' AI" -
<br />LVf2~./ _ ttYJlKJ
<br />(Sj,9nature)
<br />
<br />(N~~ei~~ed' or Stamped)
<br />NO'1'ARY PUBLIC
<br />
<br />S'fA'fB OF FLORIDA
<br />C~ OF 117; U <, P, oe-oc. )<Yf/.
<br />The foregoing instrument was acknowledged
<br />before me this 2- '7 ..:JUJ.-K , 19 9--) by
<br />
<br />ifCI<~ M-k~( .~
<br />is ersonall kno to ~e or who has,
<br />produced
<br />as identification and who did/did not
<br />
<br />;;r1E:h?l~m;(p -
<br />(~:~r~~ .
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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<br />bAvrD,R6~
<br />Cot1lMATE OF FlClRll>>. ~_"a
<br />COM El(pJRES~ UAIlCN.Z7, 2lIIO
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