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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. ,NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" wllich lay be lOre restrictive than City
<br />regulations. The undersigned assWles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CON'l'RAC'l'On RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertale worl, they lay be required to be licensed in accordance Mith
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
<br />cited Cor a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to Mhat licensing
<br />require.ents lay apply Cor the intended worl, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner lias hired a contractor or contractors, lie is advised to have the contractor(s) sign portions of the
<br />.Contractor Sections. of this application Cor wllich they will be responsible. IC you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible Cor 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 IMPAC'f FEES AND U'l'ILI'fY CONNECTION FEES " ~
<br />
<br />D. CONSTRUC'l'ION LIEN L'l\W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy oC "Florida's Construction Lien Law _ HOIeOWDer's Protection
<br />Guide. prepared by the Florida Departlent of Agriculture and ConsUter Affairs. If the applicant is sOleone other than the
<br />.owner", 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 COllenCelent,
<br />
<br />E. CONTRACTOR' S/OWNER 's AFFIDAVI'l'
<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, laning, and land developlent.
<br />I
<br />
<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no worl or
<br />installation has cOIIenced prior to issuance of a perlit and that all Mork will be perfOlled to leet ltandards of all 1111
<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 governlental agencies laY apply to the intended worl, and that it is
<br />IY responsibility to identify what actions I lust tale to be in cOlpliance. Sucb agencies include but are not 11lited to:
<br />* Departlent of Environlental Regulation - Cypress Bayheads, Wetland Areas and Environlentally 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 - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health & Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treattent, Septic lanks
<br />t US Environlental Protection Agency - Asbestos abatelent
<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 volUte" 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 is~u~nce of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Iverl petllt Issued shall beCOle invalid
<br />unless the Mark authorized by such perlit is cOllenced within six IOntha of issuance, or if work authorized by the petlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eatension of tile, lil be
<br />allowed for the perlit with fee charge of $15.00. The eltension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each sil IOnth period, or the project will be considered abandoned.
<br />WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCHHBNT HAY RlSULT IN YOUR PAYING TWICE FOR IHPROVBIIBI'lS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORl RECORDIHG YOUR HOIlCE OF
<br />COHHENCHHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHMENCEHlNT".
<br />
<br />
<br />~~Q9W ~~~.~
<br />SIGNA E: OWNER R AGE SIGNA RE: RACT
<br />
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<br />
<br />STATE OF FLORIDA p" Y\ C r ......
<br />COUNTY OP ''-..l~
<br />The foregoing i~trument was a~wledged
<br />before me this 't--L-."{ , 19~ by
<br />
<br />.p (ULSrnJ A-C0v( k ,II ~
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />~~athA . ~.
<br />(S~i12~ It. ftSfJU,
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA PAS'
<br />COUNTY OF . C D
<br />The foregoing instrument was ac~~ledged
<br />before me this 1-- 2- 7 ,19 ~ by
<br />
<br />P I!JL~ () ,J ~u.__ '( k Af~
<br />who is personally known to me or who bas
<br />produced
<br />as identification and who did/did not
<br />tak1J~h. A . ~
<br />
<br />(SiZ5iC~~ A. A ~ f;t; t-
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
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