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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit lay be subject to udeed restrictions II 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 lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirements 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 Sectionsu 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 be 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
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<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided witb a copy of 'Florida's Construction Lien Law - HOIeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone other tban the
<br />uowner", I certify that I have obtained a copy of the above described docUlent and prolise in good faith to deliver it to the
<br />uowner" prior to couencement.
<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 compliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a permit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a permit and that all work will be perf oIled to leet standards of all laws
<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 governmental 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. Sucb agencies include but are not limited to:
<br />* Department of Environmental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater Treataent
<br />* Southwest Florida Water Kanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* DepartJent of Health << Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treataent, Septic Tanks
<br />* US Environmental Protection Agency - Asbestos abatement
<br />I also certify that, if fill laterial is to be used in Flood Zone "A' or "A,etc.lI, it is understood that a drainage plan
<br />addressing a IIcolpensating volUle" will be submitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to permit issuance.
<br />
<br />A per.it issued sball 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 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 commenced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six .onths after the tile the work is couenced. One 90 day l!ltension of tiae, lay be
<br />allowed for the perlit 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 lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT KAY RESULT IN YOUR PAYING TWICE FOR LHPROVEKEHTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, COHSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A IINOTICE OF COKKHNCKKENTII.
<br />
<br />
<br />~~~A.,k,.dJi
<br />81 rURE: OWHER 0 AGENT
<br />
<br />~~k 6f)JtJJ.~. .!(2
<br />SI RE: CONTRACTOR
<br />
<br />STATE OF FLO,RIDA 1)
<br />COUNTY OF ~
<br />The foregoing instrument was acknowledged
<br />before me this "1-...A... ~ , 19~ by
<br />
<br />J4II\-e,T 6 Jt2L.k w c.-U"
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take~ath.
<br />Gl' .(Jfl~
<br />(Sign tJ.!.re) .. .
<br />~CM-'G..' A. Il' l is~ "
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />..
<br />,~.rII'''''6.l' BARBARA A. ALLISON
<br />'l'P'" ','.l 'c Notary Public. Stote of Florida
<br />fI,/,' "
<br />~~~A My Comm. Exp. 0'::;.26.98
<br />,,_ Comm, No. CC ~52940
<br />
<br />~'\a __ ~"",.",..___ ...~
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF r 11.4~ 0
<br />The foregoing instrument was acknowledged
<br />before me this 1-.AJ.. ~ ,19 'if by
<br />
<br />~ ~ n ..... I ,L3 1€.(..,1<c.u c.. L "-
<br />who is p rsonally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />takeano~ ?~
<br />
<br />(Signat).l,re)
<br />~r~ A. 'A IlisOt"\
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC -" .- ,. .. " ,...... ..
<br />
<br />,.r",,6.l'
<br />/,l 'c
<br />';~
<br />&~
<br />
<br />--
<br />BARBARA A. ALLISON "
<br />Notary Public, State of Florrd.
<br />My Comm. Exp. 03-26-98
<br />Comm. No. CC j58940
<br />r
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