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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 Ideed restrictions" which lay be lOre restrictive than City
<br />regulations. fhe 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 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 lisdeleanor 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 Departlent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />IContractor Sections I 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 CONNECTIO~ 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 - HOIeowner's Protection
<br />Guide" p{epared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />lowner", 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 cOlIBDceJent.
<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 development.
<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 perJit and that all work will be perforJed to leet standards of all law8
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govemlental agencies lay apply to the intended work, and that it is
<br />my responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liJited to:
<br />· Department of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />· Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />* US EnviroDlental Protection Agency - Asbestos abateJent
<br />I also certify that, if fill laterial is to be used in Flood Zone "AI or "A, etc. ", it is understood that a drainage plan
<br />addressing a .cOlpensating volUle" 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 permit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall becOle 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 sixlOnths after the tile the work is coaenced. One 90 day extension of tile, JaY be
<br />allowed for the perJit 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 COHHElfCBHBNT HAY RESUL'I' Ilf YOUR PAYING 'l'WlCE FOR IHPROVEMBlfTS TO YOUR
<br />PROPER'I'Y. IF YOU INTBlID TO OBTAIN FlKAlfCIHG, COlfSUL'l WITH YOUR LBlIDER OR AN AnORlfEY BEFORE RECORDIlfG YOUR lfOTICK OF
<br />COHHEHCEHEHf. SUNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTI OHHElfCBHBNT".
<br />
<br />
<br />~
<br />
<br />S'I'A'I'E OF FLORIDA ~
<br />COomOF ,~
<br />The foregOi~ftrum~was aCknowledged
<br />before me ttf~~ ' 19~ by
<br />
<br />~~Ol"V'- D V\A~
<br />who is personal~own to me or who Rae
<br />predu~t:d
<br />as identification and who did~
<br />take an oath.
<br />
<br />
<br />(Nam~ yped, Printed
<br />NOTARY PUBLIC
<br />
<br />~..~T "114
<br />+~ .& '-'to
<br />*4jI*
<br />'" ~
<br />~ ~
<br />I"~ OF f,lI~
<br />
<br />BOBBIE J BURKE
<br />My Commlnion CC543871
<br />Expire. Mar. 31. 2000
<br />
<br />
<br />~
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />--
<br />
<br />S'I'ATE OF FLORIDA fl
<br />coum OF .. ~
<br />The foregoing ,t~:ument was acknowledged
<br />before me thiSCf:)) ~~ , 19:Lz.. by
<br />
<br />~ tJ ( '",- W. Vh~_
<br />who is personall~ ~wn to me OprWhD has
<br />produced
<br />as identification and who d~t
<br />take an o~th.
<br />
<br />(Slqo~d Lf ";-F>, -:?{~ ~
<br />
<br />(Name TYP~or ~tamped)
<br />NOTARY PUBLJ.G "1I4(
<br />~~~
<br />
<br />~if(~
<br />
<br />,.~ OF fl.\)
<br />
<br />BOBBIE J BURKE
<br />My Commission CC543871
<br />Expires Mar. 31. 2000
<br />
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