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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A~ NOTICE OF DEED RESTRICTIONS
<br />The undenigned understands that this perlit lay be subject to "deed restrictions" whicb lay be lOre restrictive than City
<br />regulations. the undersigned assUles responsibility for cOlpliance with any applitable 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />reguirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Deparllent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has 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 i~dicating that you, rather than the contr~ctor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that lay be an indication that be is not properly licensed and is not entitled to per.itting privileges in the
<br />City of ZephJrhil18.
<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, bave been provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and Consuler Affairs. If the applicant i8 sOleone other than the
<br />"~fIIer", 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 COllenCelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFID~VIT
<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, 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 or
<br />in8tallation bas cOllenced prior to issuance of a perlit and that all work will be perforled to .eet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govefDIental agencies lay apply to tbe intended work, and that it is
<br />.y responsibility to identify wbat actions I lust take to he in co.pliance. Such agencies include but are not lilited to:
<br />. DepartJent of Envirofilental Regulation - Cypress Bayheads, Wetland Areas and Envirofilentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />· Soutbwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· Arl, Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· Departlent of Health' Rehabilitative Services, InvjroDlental Health Unit - Wells, Wastewater Jreatlent, Septic Janks
<br />· US EnviroDlental Protection Agency - Asbestos abatelent
<br />I also certify tbat, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "cOJpensating volute" will be sublitted whicb is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it issuance.
<br />
<br />A perlit i8sued 8hall 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 per.it prevent the Building Official frOJ tbereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall be cOle 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 IOntha after the tile the work is cOllenced. One 90 day extension of tile, I8Y 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 .ust be logged during each six IOnth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKHENCE"BNT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LHNDER OR AN ATTORNEY BEFORE RECORDING YOUR OIICH OF
<br />COKHENCRHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKHENCBHENT".
<br />
<br />
<br />
<br />STATE OF FLORIDA "
<br />COUNTY OF _Po \ ~
<br />The foregoing in~~ument was acknowledged
<br />before me this --1.1.f27 , ~90.:L by
<br />
<br />who iB =~~o\i~ who bas
<br />
<br />produced
<br />as identific~tion and who did/did not
<br />
<br />take~ ~~
<br />(Sign~A.L. . ~r
<br />(Name Typed, Printed or Stam)ed)
<br />NOTARY PUBLIC
<br />
<br />StATE OF FLORIDA f<
<br />COIIMIY OF 0 I K
<br />The foregoing in rument
<br />before me this/I c27-#:
<br />
<br />
<br />was acknowledged
<br />, MO.:L by
<br />
<br />who i
<br />produc
<br />as identification and who did/did not
<br />tak~ / [)Jl11,1_
<br />(Signature) ~ D~
<br />
<br />(Nam;t;['te:, i.in ted U ~~tamped)
<br />NOTARY PUBLIC
<br />
<br />~ ~ Tina L Duffy
<br />!J . My Commission DD1G4509
<br />'\']:..1 Expires ~une 27 2006
<br />
<br />i'~' 't\. Tina L Duffy
<br />. -J . My CommlssIon 00104501
<br />'\']:..1 Expires June TI 200IJ
<br />
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<br />
<br />-.
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