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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />. A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it .ay be subject to "deed restrictions" which lay be lOre restrictive tban City
<br />regulations. The undersigned assUles responsibility for co.pliance 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 .ay be
<br />cited for a lisde.eanor 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 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 Bign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work.' If the contractor wiahes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to per.itting priVileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ii
<br />
<br />D. CONSTRUC'fION LIEN L'.AW (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 - BoIeO.ner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOI8ODe other tban the
<br />"owner", I certify that I have obtained a copy of the above described docUlent and prOlise in good faith to deliver~t brthe
<br />"owner" prior to co.enCelent. .
<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 dODe in COIpliance with all
<br />applicable laws regulating construction, laning, and land de~e~o~ent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that DO work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perfoIJed to leet standards of all 1118
<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 otber governlental agencies laY apply to tbe 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 />· Departlent of EnviroRlental Regulation - Cypress Bayheads, Wetland Areas and BnviroRlentally Sensitive Lands,
<br />Water/Wastewater Treatlent .
<br />· Southwest Florida Water Hanagelent District - Wells, Cypress B~yheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawa}ls, Docks, Navigable Waterways .
<br />· DepartJent of Healtb & Rehabilitative Services, EnvirORlentalHealth Unit - Wells, Wastewater 'reatJent, Septic !ants
<br />· US EnviroRleRtal Protection Agency - Asbestos abatear.nt
<br />I also certify that, if fill laterial is to be used in Flood Zone NA" 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 tbe work and not as authority to ,Iolate, caocel alter, or
<br />set aside any provisions of the technical codes, nor shall is~u~ce of a perlit prevent the Building Official frUl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Everj.perlit issued shall beCDIB invalid
<br />unless the work authorized by such perlit is cOllenced within Sil IOnths of issuance, or if work authoriled by the perlit is
<br />suspended or abandoned for a period of Sil IOntha after the tile the work is cOllenced. One 90 day eatension of tile, IIJ be
<br />allowed for the perlit with fee charge of $15.00. The eltension shall be requested in writing to the Building Official. In
<br />approved inspection lUst be logged during each Sil IOnth period, or the project will be considered abandoned.
<br />WAMING TO OIfNER: YOUR FAILURE TO RBCORD A NOTICE OF COtIItENCEllENT HAY RESULT IN YOUR PAYING 'DICE FOR IMPROVIlIIIIIS TO YOUR
<br />PROPBRTY. IP YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR A ATTORNEY BEFORE RECORDING YOUR 1I0000ICE OF
<br />COHHBNCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RBCORD AND POST NOTICE OF NCiIIINT"..
<br />
<br />~ >.4~~
<br />IGNATURE: OIIIIER OR AGBNT
<br />
<br />
<br />. I
<br />
<br />STATE OF FLORIDA ()/I/
<br />COUNTY OF ft'l:K2c. 0
<br />The foregoing ~strument was acknowledged
<br />before ..e tbie \,)r A "J,~ ' 1~ by
<br />
<br />S~~\e,\o 1\'c~n{)1C
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath. ~; I ). Il IJ ' _
<br />~ 1) ') fVr)&-A. ...~.~' lA.../ ~~
<br />(~j~nCJ() ~. .lA)'1 Lll~
<br />
<br />~ame Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA R C/) J I - (f;\}ifE P
<br />COUNTY OF d6 i(J1Y7 t: t I cl(
<br />The foregoin~ ins~~ent was aCknowledged
<br />before me th1.s /0 -d.3 , 1932- by
<br />:]i fY\. :6a e Fl ~ lJ
<br />who is personally known to me or who bas
<br />produced
<br />as identification and who did/did not
<br />m an oath. d. I. \A..~
<br />. C4/y\ d 6.. ~ UJ
<br />!KJ~~Cfa! L. fA),) ll:.s
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />WANDA L. WILLIS
<br />CIlmm, No. CC 684937
<br />My Comm, Exp. Oot. 1,2001
<br />Bonded thru Pichard Ins. Agcy.
<br />
<br />
<br />WANDA L. WILLIS
<br />-lmm. No. CC 684937
<br />'IY' Comm. Exp- Oot. I. 2001
<br />Bo~ded thru pichard Ins. Agcy.
<br />
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