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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The ~ndersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulation~. The undersigned assu.es 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 reguired 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 />reguire.ents lay apply (or the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (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 wort. 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 />"
<br />~
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<br />D. CONSTRUC'l'ION LIEN L-nW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HoIeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is SOleODe other than the
<br />.owner", I certify that I have obtained a copy of the above described docuJent and prOlise in good faith to deliver~At to the
<br />"owner" prior to cOllence.ent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in tbis application is accurate and that all wort will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land de~~~oPlent.
<br />
<br />Application is hereby lade to obtain a perlit to do wort and instailation as indicated. I certify that no worl or
<br />installation has cOllenced prior to issuance of a perlit and that all wort will he perfoIled to Jeet standards of all lill
<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 goverDlental agencies lay apply to tbe 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 />· Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />· Southwest Florida Water Hanage.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalis, Docks, Navigable Waterways
<br />· Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater rreatlent, Septic rants
<br />· US EnviroDlental Protection Agency - Asbestos abateJent
<br />I also certify that, if fill laterial is to be used in Flood Zone -A" or "A,etc.", it is understood that a drainage plan
<br />addressing a .colpensating vo101e. will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit. issuance.
<br />
<br />. II perlit issued sball be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of tbe technical codes, nor shall is~u~ce of a perlit prevent the Building Official flOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Iver, perlit issued shall beCOle invalid
<br />unless the work authorized b, such perlit is cOIIenced within six IOnths of issuance, or if work authorized by the periit is
<br />suspended or abandoned for a period of six IOnths after the tile the wort is cOlleDced. One 90 da, 81tension of tile, 18' be
<br />allowed for tbe perlit with fee charge of $15.00. Tbe extension shall be requested in writing to the ding Of ial. An
<br />approved inspection lust be logged during each six IOntb period, or tbe project will be consid Id.
<br />WARNIIG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCBHENT HAY RBSULT I YOUR PAYING I IMP
<br />PROPERTY. IF' YOU INTEND TO OBTAIN FIHANCING, CONSULT WITH YOUR LEHDER OR TORlEY BEFO G Y
<br />COHHENCEHENT. JOBS UNDER $2,500 IN VALUE T TO RECORD AND POS OTICE OF C
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF . ({~ I)
<br />The foregOing inst ent was aCknowledged
<br />before me this 29 !S~~ , 19~ by
<br />/
<br />
<br />wbo i~i~alf'e';n ~~ or wbo bas
<br />
<br />produced
<br />as identification
<br />take an oath.
<br />
<br />
<br />STATE OF FLO A f /.
<br />COUNTY OF "H~ ~
<br />The f(Hegoinq illstr t was acknowledged
<br />before me this ~ 19~ by
<br />
<br />b'/t.1~ '"/) Jd/;/JstJ~
<br />Who is 11y known to me or who bas
<br />produced
<br />as identification
<br />take an oath.
<br />
<br />
<br />.' I
<br />
<br />
<br />(Signature)
<br />
<br />
<br />(Signature)
<br />
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC v~~ _ _ ~ ~ ~,
<br />""'''''''' OFFICIAL SEAL
<br />...<~&~~:'.;.,:::>.,. '/ARYLEN MAHONEY
<br />l.":' .~: \ Nolaly Public, Slate of Florida
<br />s.~ .:..1 My Commission expires
<br />, ~;....~.~ ~ 28, 1998 7
<br />I ~.::.;t.V Comm. NO.: CO 34894
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
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