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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 II which lay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICE:NSED 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 lisdeaeanor 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 />786-6611.
<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 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, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of IIFlorida's Construction Lien Law - HOleowner's Protection
<br />Guidell prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />lIownerll, I certify that I have obtained a copy of the above described docUlent and prolise in good faith to deliver it to the
<br />lIownerll prior to cOJUencelent.
<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, 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 />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, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governJental agencies lay apply to the intended work, and that it is
<br />.y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />* Departlent of Envirofilental Regulation - Cypress Bayheads, Wetland Areas and Envirofilentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />* Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* DepartJent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />* US EnviroDlental Protection Agency - Asbestos abatelent
<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 ucolpensating volUlell 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 peflit issued shall becOle invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized 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 tiae, 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 KOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IHPROVKMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LBNDER OR AM ATTORNEY BEFORB RECORDING YOUR CE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NEED TO RECORD AND POST A uKOTICE OF COMMENCEMENT".
<br />
<br />
<br />
<br />STATE OF F~A
<br />COUNTY OF 0 I K
<br />The foregoing instrument was acknowledged
<br />b~ore me t~iS l/if-,~.~90" by
<br />
<br />
<br />who 1 ersonally known 0 me or who has
<br />produce
<br />as identification and who did/did not
<br />
<br />ta~ /~
<br />(Signature)
<br />
<br />STATE OF FLORI~
<br />COUNTY OF ~ , K
<br />The foregoing instrument was acknowledged
<br />before me this ~,qQo<l_ by
<br />
<br />,g~ fL-~lJrkr
<br />who i rsonall~_~~o me or who has
<br />produced
<br />as identification an~id not
<br />take an~~J~
<br />
<br />(Signature) 4
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY :~<;-ina L Duffy
<br />;.~; My Commission 00104509
<br />..., ",..." Exptres June 27 2006
<br />
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI~..t'\. Tina L Du~
<br />! ~ . My Commi$&lon 00104509
<br />'\'1;.'1 Expirea June 27 2000
<br />
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