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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it.ay be subject to "deed restricti~ns" which lay be lore restrictive than City
<br />regulations, The undersigned assu.es responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRaGTOR RESPONSIBILITIES
<br />If the owner has hired a contractor Dr contractors to undertake ~ork, they lay be required to be licensed in accordance with
<br />state and local regulations. If' ttt~tll1rtritctor is nQ\ 1 icensed 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 Khat licensing
<br />requirelents lay 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 Is) 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 c~~tractor, 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 />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS Af'o1ENDED)
<br />I certify that I, the applicant, have been provided with a copy of .Florida's Construction Lien Law - HOleowner's Protection
<br />Guide. prepared by the Florida Depart.ent-of Agriculture and Consuler 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 cOllenceaent,
<br />
<br />E. CONTRACTOR'S/OWNER'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 developlent,
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated,' I certify that no work Dr
<br />installation has cOlaenced prior to issuance uf a perlit and that all work will be perfotled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and lar.d developlent 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 AuSt take to be in co.pliance, Such agencies include but are not lilited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable WaterwaY5
<br />f Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Proiec~iun ~ijen~y - ~~he~tns abat~lent
<br />I also certify that, if fill laterial is to be used in Flood Zong "A" or "A,eic,., it is understood that a drainage plan
<br />addressing a "colpensating voluae" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it 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 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 perlit issued shall becole invalid
<br />unless the work authorized by such perlit is cOllenced within six lonths of issuance" or if work authorized by the perlit is
<br />suspended Dr abandoned for a period of six lonths after the tile the work is cOI.enced, One 90 day extension of tile, lay be
<br />allowed for the perait 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 lonth per:~d, or the project will be considered abandoned,
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CDftKENCEKENT, JOBS UNDER $2,500 IN VALUE DO NOT KEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT",
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<br />
<br />~ hM.---
<br />SIGN TURE: CONTR~TOR .
<br />
<br />Ort- . /
<br />
<br />SI&NATURE, OYNER ~~
<br />
<br />p~
<br />
<br />
<br />If/as acknc.wledged
<br />19-.:lL by
<br />
<br />er
<br />who is personal has
<br />produced
<br />as identification and who did/did not
<br />-4t'_~A -}
<br />take f?:~ X U/D-WYL/
<br />(Signature)
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />befc.re me this .5-.:2 '1 ,19.:LL by
<br />
<br />Ii 0 b ' 1-1 () fJ fl e Y"
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />-
<br />
<br />tann oath.x J ~
<br />
<br />(Sign~
<br />
<br />(Name Typed, Printed or Stamped)
<br />
<br />NOT ARY PUBL I C Official Seal ~
<br />AMY L. SWANN
<br />Notary Public. State of Florida
<br />My comm. expires Oct. 6. 1999
<br />Comm. No. CC 149883
<br />
<br />(Name Typed, Pr~ ~ ~~NSt
<br />
<br />NOTARY PUB ry Public, State 01 Florida
<br />My comm. expires Oct. 6, 1999
<br />comm. No. CC 149883
<br />
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