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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 restrictions" which .ay be lOre restrictive than City
<br />regulations. The undersigned aSSU8es responsibility for co.pliance with any applicable deed restrictions.
<br />
<br />B~ UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired.a contractor or contractors to undertake wort, 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 ., be
<br />cited for a lisde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents .ay apply (or the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />188-6611.
<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 for the work. If tbe contractor wisbes you to sign
<br />as contractor tbat lay be an indication that he is not properly licensed and Is not entitled to per.itting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPAC'f FEES AND U'1'ILI'fY CONNECTION FEES ,,1
<br />
<br />D. CONSTRUCTION LIEN LftW (ClffiPTER 713, FLORIDA STATUTES I 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 />Guide" prepared by the Florida Deparllent of Agriculture and ConSU8er Affairs. If the applicant i8 SOIeone other than the
<br />"owner", I certify that I have obtained a copy of the above described docu.ent and prolise in good faith to deliver it to the
<br />"owner" prior to co..enCelent.
<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 per.it to do work and instailation as indicated. I certiff 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, loning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDlenlal agencies lay apply to the intended wort, and that it is
<br />.y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not lilited to:
<br />· Deparllent of BnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treallent
<br />· Southwest Florida Waler Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· Deparllent of Health 'Rehabilitative Services, BnviroDlental Health Unit - Wells, Wastewater rreallent, Septic fanks
<br />· US EnviroDleDtal Protection Agency - Asbestos abatelent
<br />I also certify that, if fiiI laterial is to bu used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "co.pensating volOle" 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 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 per.it issued ahall becoie invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eatension of tile, IaJ be
<br />allowed for the perlit 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 I9nth period, or the project will be considered abandoned.
<br />WARKlNG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHRNCKHENT HAY RESULT IN YOUR PAYING flUCE FOR IHPROY_It'S TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCIHG, CONSULT WITH YOUR LENDER OR AN ATTORRKY BEFORR RECORDING YOUR HarICK OP
<br />COHHENCKHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHHRlfCEHHHl'''.
<br />
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<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
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<br />=------
<br />
<br />
<br />K
<br />
<br />
<br />. I
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDlh
<br />COUNTY OF r A- 5 C tJ
<br />The foregOing instrument was acknowledged
<br />before me this ~ '7'ffl.. , 1I.,Qo~ I by
<br />
<br />t<.ober-t (I. A Is+o~
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did~
<br />an 0 tI
<br />
<br />STATE OF FLORIDA R
<br />COUNTY OF 11 S ( 0
<br />The foregOing instrument
<br />before me thiS4JfC. Ql
<br />
<br />-:LN L Sklrtf
<br />who is personally known
<br />produced
<br />s 'dentif"c t'
<br />an h.
<br />
<br />was aCknowledged
<br />, ~;)OO( by
<br />
<br />
<br />to me or who has
<br />
<br />
<br />o~' ~t\. Martha M Rogers
<br />;t ~ . My Commission CC986909
<br />1;];.1 Expires Dece~ber 10,2004
<br />
<br />jJee~()
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />~ ~ Mary K Henderson
<br />;.t::-; *My Commission CC705964
<br />,~~ Expires February 6, 2002
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