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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 Bdeed restrictions" which laY be mre restrictive than City
<br />regulations. 'fhe undersigned assUles responsibility for coapliance with any applicable"deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas 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 wbat licensing
<br />requirl!lents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtheraore, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />.Contractor SectionsB 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 Zepbyrbills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CIlAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - HOIIl!OWJler's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuaer Affairs. If the applicant is sOJIeOne other than the
<br />Bownerll, I certify that I have obtained a copy of the above described docUllent and prOlise in good faith to deliver it to the
<br />"owner" prior to cOlleIlceaent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developllent.
<br />
<br />Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOIIeDced prior to issuance of a petlit and that all work will be perforaed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governaental agencies aay 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 lilited to:
<br />t Departlent of Environaental Regulation - Cypress Baybeads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater 'freatlent
<br />t Southwest Florida Water Hanageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, lavigable Waterways
<br />t DepartJent of Health & Rebabilitative Services, Environaental Health Unit - Wells, Wastewater 'freatlent, Septic 'fanks
<br />t US Environaental Protection Agency - Asbestos abateaent
<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 volllle" will be subJitted whicb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit 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 sball issuance of a perlit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball beCOJe invalid
<br />unless the work authorized by such perlit is COIIe11ced within sil mnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six mnths after the tile the work is ~ced. One 90 day utension of tile, lilY be
<br />allowed for the perlit with fee charge of $15.00. 'fbe extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each sillODth period, or the project will be considered abandoned.
<br />WARMING 'f0 OWRER: YOUR FAILURE 'f0 RECORD A IOfICE OF COIIHDCEIIDf HAY RESUL'f IR YOUR PAYIIG 'filICE FOR IMPROVEIIENt'S 'f0 YOUR
<br />PROPERfY. IF YOO IN'fEIfD TO OB'fAIR FIWCIIG, COMSUL'f WI'fH YOUR LEllDER OR AM AnORDY BlFORE RECORDIHG YOUR HOfICE OF
<br />COHMEMCEMERT. JOBS OMDER $2,500 II VALUE 00 IOf REED '1'0 RECORD AJfD POS'f A lIlOfICE OF COMIlElfCEMEN'f".
<br />
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<br />SIGIfAfURE: OWIfIR OR AGBN'f
<br />
<br />~~
<br />
<br />SIGlA'fURB: CON'fRAC'fOR
<br />
<br />STA'fE OF FLORIDA
<br />COUN'fY OF
<br />The foregoing instrument was acknowledged
<br />before me this f\{{U.L..l;)i;L , 194.(t)' by
<br />
<br />P\.f\JAM
<br />
<br />STATE OF FLORIDA R
<br />COUN'fY OF ~
<br />The foregoing instrument was acknowledged
<br />before me this F't"\t.(l.\'l.-I:I , 19~ by
<br />
<br />~d who dtd~)
<br />V /1./
<br />\<E\J\" \~~ ~
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />who is
<br />produce
<br />as identification
<br />take an oath.
<br />
<br />
<br />
<br />(Signature)
<br />
<br />Q.. (\ ~
<br />who . to me or who has
<br />produce -.
<br />as identification and who diJ!@id not ~
<br />take an oath. l/A- ~,.
<br />
<br />(Signature) l~"^-. l<swsc
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />~f~HY i'i.,---OFF1'ciAlNOrAHY SEAL
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<br />.>':' ..'" "','~.~ tH'lUSE
<br />
<br />- ':t} COMMIS~~,I(,,,,j 'JUMBFn
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