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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />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. rhe undersigned assUles responsibility for co.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake work, they .ay 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 lIiIy be
<br />cited for a .isde.eanor 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 />Further.ore, if the owner has bired a contractor or contractors, be is advised to have tbe contractor(s) sign portions of the
<br />"Contractor Sections" of this 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 contractor, are responsible for the work. If the contractor wisbes you to sign
<br />as contractor tbat 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 U'rILITY CONNECTION FEES l"
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<br />D. CONSTRUCTION LIEN LftW (ClmPTER 713, FLORIDA STATUTES I AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien taw - HoIeowner's Protection
<br />Guide" prepared by the Florida Deparllent of Agriculture and ConsUler Affairs. If the applicant is sOl8ODe other than the
<br />"owner", I certify that I have obtained a copy of the above described docUlent and pro.ise 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 infor.ation in tbis application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, laning, and land developlent.
<br />1
<br />
<br />Application is hereby .ade to obtain a per.it to do work and instailation as indicated. I certify that DO worl or
<br />installation bas cOllenced prior to issuance of a perlit and that all work will be perf oIled to l8et standards of all IllS
<br />regulating construction, City codes, loning regulations, and land developleJlt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of otber governtental agencies .ay apply to tbe intended work, 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 11lited to:
<br />· Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroRl8Otally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />· Soutbwest Florida Water Hanag8lent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Bngineers - Seawalls, Docks, Havigable Waterways
<br />· Departlent of Health & Rehabilitative Services, HnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />· US EnviroDleDtal Protection Agency - Asbestos abate.ent
<br />I also certify tbat, if fill .aterial is to be used in Flood Zone "AW or "A,etc.", it is understood that a drainage plan
<br />addressing a "cOlpensating volUle" will be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it. issuance.
<br />
<br />- A per.it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />Bet aside any provisions of tbe tecbnical codes, nor sball is~u~nce of a per.it prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery per.it issued &ball beCDIB invalid
<br />unless tbe work authorized by sucb perlit is cOllenced within sil IOntbs of issuance, or if work authoriled by the petlit is
<br />suspended or abandoned for a period of sillOnths after the tile the work is COll8nced. One 90 day 81t808ion of tiE, lIiIy be
<br />allowed for the per.it with fee charge of $15.00. The 81tension shall be requested in writing to the Building Official. An
<br />approved inspection .ust be logged during each sill IOnth period, or the project will be considered abandoned.
<br />WARlfING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COIIIIKHCKMKNT HAY RlSULT IH YOUR PAYING TWICE FOR IHPROVIIIBIl'S TO YOOR
<br />PROPERTY. IF YOU IUHHD TO OBTAIH FIHANCING, CONSULT WITH YOUR LEHDER OR AN ArTORRBY BBFORI RECORDING YOUR IIO'lICE OF
<br />COHHEHCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NIED TO RECORD ARD POST A "NOTICH OF COHHBHCKMKHr".
<br />
<br />JJ /1~ ;{L~^<
<br />SI HArURI!: 011II R RAGEN
<br />
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<br />\ SIGNATURE:. OHrRACTOR
<br />
<br />: I
<br />
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<br />
<br />STATK OF FLORIDA n
<br />COUUY OF r 14.5 C 0
<br />The foregoing instrument was acknowledged
<br />before me this PI:(.I:;/~€R..I'-, .. 7allby
<br />
<br />SrzvcE A. IfSBEL-
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA 1>
<br />COUHTY OF ~S (.. v
<br />The foregoing ~nstrument was acknowledged
<br />before me this[tUIVI(]lrL {L, "--a:;vZ. by
<br />
<br />C;tZt>C BEri/J ;,[
<br />who is per onally known to me or wbo bas
<br />produced -fZ OPo-/ L'"' IVoW ~
<br />as identification and who di d
<br />take an oatb. ~. 1/ ( f2jj..&
<br />
<br />(Signature)1? _ H'l ,/) . ~
<br />J2Jl", IC{- tL. It ~8€ L
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />has
<br />
<br />(Signature)
<br />
<br />~A.~
<br />
<br />~ a\.. '3ru~ A AIbeI
<br />. ~ . \~v.....lmmilllon 00116710
<br />~Of~ Expllllli June 22. 2006
<br />
<br />~a\. Bruce A AsbeI
<br />.~; MyCommluionDD116710
<br />\;", ~",. Expires June 22. 2006
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