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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned undetstands that this peIlit lay be subject to Ideed restrictions" wbich JaY be lOre restrictive than City
<br />regulations~ Tbe '~dersigned assUles responsibility for coapliance with any applicable deed restrictions.
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<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 lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireJents .ay apply for 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 />UContractor 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 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 Zepbyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of IFlorida's Construction Lien Law - HOJeOWner's Protection
<br />Guide" prepared by tbe Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is SOleone other than the
<br />lowner", I certify that I have obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the
<br />II owner II prior to couenceJent.
<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, loning, and land developaent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a peIlit and that all work will be perf oIled 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 other govern.ental agencies JaY apply to the intended work, and that it is
<br />my responsibility to identify what actions I lust take 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 />Water/Wastewater Treat.ent
<br />. Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />. ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />. Departlent of Health & Rehabilitative Services, BnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US EnvironJental Protection Agency - Asbestos abateJent
<br />I also certify that, if fill laterial is to be used in Flood Zone "AU 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 permit issuance.
<br />
<br />A peIlit 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 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 pecJit issued shall becOle invalid
<br />unless the work authorized by such perlit is cOJJenced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tie the work is coaenceo. One 90 day extension of tie, JaY be
<br />allowed for the peIlit 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 IOnth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURB TO RECORD A NOTICE OF COMMENCBHKNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVBHBNlS TO YOUR
<br />PROPERTY. IF YOU IIl'J'END TO OBTAIN FIHANCING, CONSULT WITH YOUR LENDER OR IN AnORHBY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />~~ ~
<br />- S GNATURE: OWKE OR AGENT STURE: C CTOR
<br />
<br />STATE OF FLO~
<br />coum OF \ JC\... ~ L D
<br />The foregoing inst~ent was acknowledged
<br />before me this <4- J.J- b , 193R by
<br />
<br />~ ~~X)
<br />who is Bonally kno to me or who has
<br />produced -
<br />as identification and who di~d no~
<br />~e an oath. \r----..'\r ~ ,..,,,_
<br />_~~\;l~ ,~""~\J\
<br />(Si ature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />....~M:t,.,_ JUNE M. HERNDON
<br />i~W~':~~ MY COMMISSION' cc 590009
<br />~ }.~ EXPIRES: Febru8IY 1. 2001
<br />.., "l Bonded TIlRI NolIIY PUblIC \)ld8lWIhIrI
<br />, "
<br />
<br />STATE OF FLOR~
<br />COUNTY OF ~ Ck.S L(::)
<br />The foregoing i~~~rument was a~wledged
<br />before me this ~ l b , 19..:::1Q.... by
<br />
<br />~\'-(>-s-\~ ~~()o\~
<br />;~~~gnaH~e or who has
<br />
<br />as identification and who did/did not
<br />~ke an o~l:!..r--..._~, _'\. _
<br />-~'-~~~~~~
<br />(S ature)
<br />
<br />(Name Typed, P ........... . DON
<br />NOTARY PUBLIC f(Qr ~~ MY COMMISSION' cc 590009
<br />~ : i EXPIRES: February 1. 2001
<br />"" "1Iond8d TIlRI NolIIY PublIc IJndelWlII8nI
<br />
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