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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned unders~ands that this perlit lay be subject to "deed restrictions" wbich 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 CONTlmCTOR 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents lay apply for the intended work, tlley are advised to contact the City of Zephyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the owner lIas hired a contractor or contractors, be 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, raUler than the contractor, are responsible for 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 />"
<br />~
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<br />D. CONSTRUCTION LIEN LnW (ClmPTER 713, FLORIDA STATUTES1 AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOJeowner's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture andConsUler Affairs. If the applicant is sOIeone other than the
<br />"owner", I certify that i I have obtained a copy of tbe above described docUlent and prolise in good faith to deliver it to the
<br />"owner" prior to cOllenceaent.
<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 worl or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perfofled to leet standards of all laws
<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 othergovelDlental agencies .ay apply to the intended work, and that it is
<br />.y responsibility to identify what actions I lust tale to be in cOlpliance. Such agencies include but are not lilited to:
<br />· Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />W Vater/Wastewater Treallent '
<br />· Southwest Florida Water Hanageaent District - VeIls, (ypress Bayheads, Vetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways .
<br />· De artJent of Health & Rehabilitative Services EnviroDlental Health Unit - Wells, Wastewater Treatlent, SepficTanks
<br />· US EnviroDlental Protection Agency - Asbestos abateaent
<br />I also certify that, if fIll .aterial is to be used in Flood Zone -A" or -A,ete.", it is understood that a drainage plan
<br />addressing a "co.pensating vol Ole" 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 />set aside any provisions of the technical codes, nor shall is~u~ce of a perlit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, >>r violations of any code. Every per.it issued shall becole invalid
<br />unless the work authorized by such perlit is cOllenced within six IOntha of issuance, or if wort authorized by the perlit is
<br />suspended or abandoned for a period of six lanths after the tile the worl is cOllenced. One 90 day eltension of tile, laY be
<br />allowed for the perlit with fee charge of $15.00. Tbe extension shall 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 />NARNING TO ONNER: YOUR FAILURE TO RECORD A NOTICE OF COKHBNCEKBNT KAY RESULT IN YOUR PAYING TWICE FOR IHPROVEHHMTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICK OF
<br />COKHENCEHRNT. JOBS UNDER' $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKKKNCRHKNr".
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<br />~ .j~L A/Ut4
<br />-sIGNATlIlW( 0 ER OR AGENT . SIGNATlld: CONTRACTOR
<br />
<br />STATR OF FLORIDA ~
<br />COUNTY OF n50G 0
<br />The foregoing instrument was A~Jlowledged
<br />before me thi~ \3 , 1~ by
<br />
<br />oS h A. rHUH\. \,t)~ d.t
<br />who is personally known to-me or who has
<br />produced ~~ & ^.^-t:::. ~~
<br />as identification an who id/did not
<br />take an oath. ~
<br />
<br />(Signature)
<br />
<br />.STATE OF FLORIDA
<br />COUNTY OF
<br />.The foregOing instrument
<br />before me this
<br />
<br />was aCknowledged
<br />, .19 by
<br />
<br />NOTARY
<br />
<br />
<br />'.17.,. trARBER
<br />Notary Pl!bDe, State Oi I
<br />My Cr" Exp. Feb. 3, 2UlF
<br />Cornm. No. ~ 522.567
<br />
<br />who is personally known to me or who has
<br />produced
<br />~=k~d::t~~an~ did/did Dot
<br />
<br />(Sign~~:~ -~-=~
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />J. D. GARBf:R
<br />Notary Public. Statt of F10rfda
<br />My Comm. Exp, FlIb. 3, 2000
<br />Comm. Nil OC 522667
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