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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />J 'A~' NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. the undersigned assUles responsibility for cOlpliance 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 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 I~sdeleanor violation under state law. If the owner or intended contractor are uncertain as to what 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(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 the cont{actor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled [0 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 AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - Hoaeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agricultur~ 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 couencellent.
<br />
<br />E. CONTRACTOR'SjOWNER'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 />
<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 COIIencedo prior to issuance of a perlit and that all work will be perforaed to leet standards of all laws
<br />regulating construction, CitYocodes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governaental agencies JaY apply to the intended wort, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />t Departlent of Environaental Regulation - Cypresso.Baybeads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Nastewater treatJent
<br />t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rehabilitative Services, EnviIODIental Health Unit - Wells, Wastewater treatJent, Septic Tanks
<br />t US Environaental Protection Agency - Asbestos ahatelent
<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 volUle" 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 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 frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall hecOJe invalid
<br />unless the work authoriled by such perlit is couenced within six IOnths of issuance, or if work authoriled by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day extension of tile, JaY 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 in ection lust be logged during eacb six IOnth period, or the roject will be considered abandoned.
<br />WARNING TO NER: YOUR FAIL TO RECORD A NOTICE OF COHHENCEMBNT MAY R SULf IN YOUR P G 'fIIICH FOR IHPROVIMBHTS to YOUR
<br />PROPERTY. YO INTEN to BTA' N FINANCING, COKSULt WITH YOUR LINDER AI A ORBEY FO RECORDIKG YOUR NO'rICH OF
<br />COHKENCEHB J UK R ,50 IN VALUE DO KOT HEED TO RECORD AID POS A "N I OF I
<br />
<br />
<br />
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<br />who is~SOnallY
<br />produc
<br />as identificat. n
<br />take an oath
<br />
<br />who i~sonally ~ to me or who has
<br />produce~_
<br />as identification and h
<br />take a '
<br />
<br />
<br />to me or who has
<br />
<br />(Signatu
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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<br />Dbi)l HALeY.. .,
<br />BLlC Sf ATE OF ;1.0,11),\
<br />J\NOTARYPUMlSSIO.N NO. :[)DO~./6917 .
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<br />i MY COMMl551CN E~ 0
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<br />! COMMISSION NO:DD076911
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