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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" 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 CON'l'RAC'l'On RESPONSIBILI'l'IES
<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 aay be
<br />cited Cor a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />reguirelents lay apply Cor 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 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 IMPACT FEES AND UTILITY CONNECTION FEES ~{
<br />
<br />D. CONSTRUC'l'ION LIEN L'f\W (CHAPTER 713, FLORIDA STA'rUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOIeOWDer's Protection
<br />Guid~" prepared by the Florida Departlent oC Agriculture and ConsUler Affairs. If the applicant is sOleDne 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 couencelent.
<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, loning, 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 work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perfofled to leet standards of all law8
<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 the intended wort, and that it is
<br />IY responsibility to identify what actions I lUSt take to be in cOlpliance. Such agencies include but are not liJited to:
<br />* Departlent of HnviroDlental Regulation - Cypress Bayheads, Wetland Areas and HnviroDlentally Sensitive Lands,
<br />. Water/Wastewater Treatlent
<br />* Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Havigable Waterways
<br />* Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater Treataent, Septic Tanks
<br />* US EnviroDlental 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 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 violate, cancel alter, or
<br />Bet aside any provisions of the technical codes, nor sball 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. Every perlit issued shall becOle invalid
<br />unless the work authorized by such perlit is cOllenced within sil IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of sil IOnths after the tile the work is cOllenced. One 90 day eltension of tile, JaY be
<br />allowed for the perlit with fee charge of '15.00. The eltension sball be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each six IOntb period, or the project will be considered abandoned.
<br />WARlfING TO OWHER: YOUR FAILURE TO RHCORO A NOTICE OF COHHBHCEHEHT HAY RBSULT IN YOUR PAYING TWICE FOR IHPROVBIIIIl'S TO YOUR
<br />PROPBRTY. IF YOU INTEHO TO OBTAIH FIHAHCIHG, COHSULT WITH YOUR LBHDBR OR AH ATTORIBY BBFORR RBCORDING YOUR NOTICE OF
<br />COHHBHCBKBHT. JO UNO 2,500 IH VALUB DO NEBD TO RBCORD AHD POST A "NOTICB OF COMMBHCEHEHTj'
<br />
<br />~;J l/kl-f:J
<br />' SIGHATURE: COHr O~
<br />
<br />
<br />DA
<br />COUNTY OF A~.J11Ir
<br />The foregoing instrument was acknowledged
<br />before me this ~~~, 19~ by
<br />
<br />
<br />who i~i :~~ri~ ~ ~h~ has
<br />
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />~-r~q~- -~~
<br />( ignature) ."
<br />
<br />(Name Typed, Printed or Stamped)
<br />
<br />NOTARY PUBLlf(<<~~~.<<<<<<<<<<<<<<<<<<<<<<<<<<<<(<<<<<<~<<<<i:
<br />> "~~~~:'~~'<~" Robert Druce MallSpeltker ' ,
<br />~S (r~"') :\ Notary Public, State of Florida ::
<br />~S \~~~~/ Commission No. CC 530694 : '
<br />>~ ...~~~..., My Commission Expires 4/20/00 ' :
<br />~ Bonded Through F1a. Notary Service & Bondilljl Co. :'
<br />> })))))))))))))))))))) )))))>>>))>>))>)))~>)))>))~
<br />
<br />, I
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF ~~
<br />The foregoing instrument. was acknowledged
<br />before me this ~~, 19 ?Yby
<br />
<br />.'
<br />
<br />who is P~~il; ~to ~-;-;;boh;s
<br />
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />tt:n4~~..b---- "2r.---~~
<br />( gnature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />
<br />NOTARY PUBLI C >~'((((~~~~~((((((((((((((((((((((((((((((((~(((((((:I'
<br />> .,,~~~~~,~~t:' Robcrt Bruce Mallspeak~r . :
<br />> ;' ..... A,":, ... Notary Public State ofFlonda '.
<br />~S i,,~'6.~j Commission No, CC 530694 : :
<br />? "~~~~~~Y My Commission Expires 4/20/00 : .
<br />>~ Bonded Through Fla. Notary Service & Bonding Co. .:
<br />~'>)))>>))))))))))>>)))>)))>>)>))))))))))>)))>)>)))>>
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