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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. ~OTICE OF DEED RESTRICTIONS
<br />'file uncfenigned understands that this peniit lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for cOlpliance wilh any appli~able deed restrictions. -
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRAtTOR 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 tbe 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 tbe 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 tbis application for which tbey will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating 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 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, FLOIUDA STATUTES, AS AMENDED)
<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 DepartJent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />"~~er", 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. ~ONTRACTOR'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 />
<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 perlit and that all work will be perforled 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 goverDIental agencies lay apply to the intended work, 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 />. DepartJent of EnviroOlental Regulation - Cypress Bayheads, Wetland Areas and EnviroOlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />. Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />. ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />. Departlent of Health' Rehabilitative Services, EnviroOlental Health Unit - Wells, Vastewater Treatlent, Septic Tants
<br />. US EnviroOlental Protection Agency - Asbestos abalelenl
<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 .coapensating volUle. will be sublitted whicb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued sball be construed to be a license to proceed witb 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 tbereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Rvery perlit issued shall becole invalid
<br />unless tbe work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authoriled by the perlit is
<br />suspended or abandoned for a period of six IOnths after tbe tile the work is cOllenced. One 90 day extension of tile, laY 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 IOnth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICK OF COKHKNCKHENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LHNDRR OR AN ATTORNEY BEFORE RECORDING Y R NOTICE OF
<br />COKHENCKHENT. JOBS UNDER $2,500 IN VALUE T NEED TO RECORD AND POST A "NOTICE OF COKHENCEKENT".
<br />
<br />
<br />
<br />not
<br />
<br />STATE OF FLORIDA p"
<br />COUNTY OF 0 \ K
<br />The foregoing instryment was acknowledged
<br />before me this II ~'7 , CJI!K2;;L by
<br />
<br />fl~r ~~
<br />who is '~sOhallY -~?.!'~o me or who has
<br />produced
<br />
<br />~:k~~n ~,:1Z~d not
<br />(Signa~A ~~-oc;or
<br />
<br />(Name Typed, Printed or S~)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORID D
<br />COUIlY OF ' r 0 \ \<
<br />The foregoing ins~lument was aculowledged
<br />before me this ~1, ~D2 by
<br />
<br />.~-J~
<br />to me or who has
<br />
<br />
<br />who is
<br />produced
<br />as identification and who did/did
<br />
<br />take~L0-It
<br />
<br />(Signa~ "~
<br />' " AJA L. t+
<br />(Name Typed, Printed or St~ped)
<br />NOTARY PUBLIC
<br />
<br />~y ~ Tina L Duffy
<br />!'~ . My ColTll'lli$SiOn 00104509
<br />
<br />'~.I E~pires Ju~ 27 2006
<br />
<br />, "!olo.. rlll8 L Duffy
<br />!~~ My CornrniIIlOR 00104D
<br />~ Of ':I expug. June 'Z1 200lS
<br />
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