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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit .aay be subject to "d~ed restrictions" which lay be ~ore restrictive than Cit~
<br />regulations. The undersigned assumes responsibility for co.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPQNS;BILITIES
<br />If the ONner has hired a contractor or contractors to undertake work, they may 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 eay be
<br />cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />require.ents .ay apply for the intended work, they are advised to contact the City ofiephyrhills Building Depart.ent, (813)
<br />788-6611.
<br />
<br />Further.ore, 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 .ay be an indication that he is not properly licensed and is not entitled to peraitting privileges in the
<br />City of ZephyrhilIs.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTIONFEE$
<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 - Ho.eowner's Protection
<br />Guide" prepared by the Florida Department of Agriculture and Consuler Affairs. If the applicant is someone other than the
<br />"owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the
<br />"owner" prior to co.mence.ent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation in this application is accurate and that all work will be done in coapliance with all
<br />applicable laws regulating construction, zoning, and land development.
<br />
<br />Application is hereb~ aade,to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has co.tenced prior to issuance of a per.it and that all work will be performed to teet 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 governmental agencies may apply to the intended worK, and that it is
<br />.y r1rsponsibility to identify what actions I tust take to be in cOlpliance. Such agencies include but are not limited to:
<br />f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />f Southwest Florida Water KanaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Depart.ent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatment, Septic Tanks
<br />f US Environ.ental Protection AQencv - Asbestos abatement
<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 volume" Kill be subtitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to pertit 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 />set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official from thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such pertit is cOlmenced within six lonths of issuance, or if work authorized by the permit is
<br />suspended or abandoned for a period of six lonths after the tile the HorK is comlenced. ,One 90 day extension of tiMe, lay be
<br />allowed for the permit 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 lonth period, or the project wi I I be (c,nsidered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING THICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMKENCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND " OTICE OF COMMENCEMENT".
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />
<br />
<br />C~~
<br />
<br />was acknowledged
<br />, 192d- by
<br />
<br />STATE OF FLORIDA~
<br />COUNTY OF ~ ~CLD
<br />The foregoing instrument
<br />befDre me th i sDEe..{ ~T
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF ? A-s.<!-D
<br />The foregoing instrument
<br />before me this ~ ,
<br />
<br />vIas ackno\'Jledged
<br />, 19~ by
<br />
<br />who is personally kno.wn to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />take an oat~~,. i(~. . . Y
<br />
<br />( S' t ) ..." <.ry uu 1<.;, :sLaLe OT 0 u<i
<br />1 gna ure Robert Charles Ehrman, Jr.
<br />
<br />(Name Ty~Jd~U\ltt~I~~f~~"~~\~rp;Jr6
<br />NOTARY PUBLIC
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identificati6n and-who did/did nDt
<br />
<br />take an oat1i~'t~ $2
<br />
<br />(S i gna tLn-e) Notary Public, ~tate of FIOri a
<br />Robert Charles Ehrman, Jr.
<br />u ('''' rrusslDn I:.Xplre" t-I:!' it 2.7, 1996
<br /><Name TypeerY, '1""~rTTIeaN~"cc~~IJl~a)
<br />NOT ARY PUBL I C Comm. .
<br />
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