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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS .
<br />Tbe undersigned understands that this pemit lilY be subject to 'deed restrictions' wbich lily be lOre restrictive than City
<br />regulations. !be undersigned asSIlleB responsibility for COIpliance 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 wort, they lilY 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 lilY be
<br />cited for a .isdell!allOr violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />reguireJeJlts lilY apply for the intended wort, they are advised to contact the City of Zepbyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />Furthel"lOre, if the owner has hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sections' of this application for which they will be responsible. If JOU, 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 lilY be an indication that he is not properly licensed and is not entitled to pmitting 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 'Florida's Construction Lien Law - BoIeoIner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUleI' Affairs. If the applicant is SOJeODe other than the
<br />'owner", I certify that I have obtained a copy of the above described docUIent and prOlise in good faith to deliver it to the
<br />"owner" prior to co.enCl!leDt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developleDt.
<br />
<br />Application is bereby lade to obtain a pmit to do work and installation as indicated. I certify that no wort or
<br />installation bas ~ced prior to issuance of a pmit and that all wort will be perfomed to Jeet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDlleDtBl agenCies laY apply to the intended work, and that it is
<br />If responsibility to identify wbat actions I lUst take to be in COIpliance. Such agencies include but are not U..ited to:
<br />t Departlent of InvirOl1llelltal Regulation - Cypress Baybeads, Wetland Areas and EnviroDJeDtally Sensitive Lands,
<br />Water /Wastewater 'I'reatlent
<br />I Southwest Florida Water HanageJeJlt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />I AIIY Corps of Inqineers - Seawalls, Docks, Navigable Waterways
<br />I DepartJent of Health' Rehabilitative Services, InviIODleDtal Health Unit - Wells, Wastewater 'I'reatlent, Septic 'I'ants
<br />I US BnviIODleDtal Protection Agency - Asbestos abateJeJlt
<br />I also certify that, if fill .aterial is to be used in Flood ZOne "A' or "A,etc.", it is understood that a drainage plan
<br />addressing a 'COJpeDSating volUle' will be sublittec1which is prepared by a professional engineer registered in the State of
<br />Florida prior to pemit issuance.
<br />
<br />A per.it issued sball be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a pemit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pmit issued shall beCOll! invalid
<br />unless the work authorized by such pemit is COIIeDCed within sillODtbs of issuance, or if wort authoriled by the pemit is
<br />suspended or abandoned for a period of sillODtbs after the tile the wort is Cc.eDced. one 90 day eltension of tile, lilY be
<br />allOlfed for the pemit with fee charge of $15.00. Tbe eltension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sillODth period, or the project will be considered abandoned.
<br />WAlUIING '1'0 0IfIER: YOUR FIILURI '1'0 RECORD 1 DICE OF WIMERCIIIIH MAY RESULT 1M YOUR PIYIMG filCE FOR IMPROVEHBI'I'S '1'0 YOUR
<br />PROPBR'I'Y. IF YOU IIl'I'IIID '1'0 OB'l'AIN FlIlANCIMG, COISUL'I' II'I'H YOUR LlllDIR OR D AnoRIBY BBFORE RECORDIMG YOUR IfO'I'ICI OF
<br />~ _12,500 II VALDlIlllIOl RID 10 IlIIlBlD lID POlliA '1IIlIIClIlP ~, >.
<br />
<br />
<br />~~~ QA?4/ ~~
<br />
<br />SIGII'I'URI: ODBR ~ SIGII'I'URI: R .>
<br />
<br />~~ O~F FLORIDA ,~-o ~ 0
<br />
<br />The foregoing instrument was acknpwledged
<br />before me this_J.arl ~~, 19!1::t by
<br />
<br />R-rl~ nWG-t00
<br />who is pers ally known to me or who has
<br />produced F2-, ~;e, L I CJ .
<br />as identification and who di~ n~
<br />ta an oath.
<br />. 1
<br />(Signa e)
<br />HR t.'> e I ~ E., ~ H ,vt.:-"fl...
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />,.o~+ MARJORIE e SHRIVER
<br />II My Oomml..1on OC31 1588.
<br />* * Explr.,Sep.14,1087
<br />Bonded by ANa
<br />~Of~ 800-852-5878
<br />
<br />
<br />STAYB OF FLORIDA /)
<br />COOIl'I'Y OF t-A v (! 0
<br />The foregoing instrument was aC~~ledged
<br />before me this.... ).cl,-.!' ,~4, 19 by
<br />
<br />IC . C 60 te A.J ~ ,-rz:;::-
<br />who is personally known to me or who has
<br />produced Ft-, .b~, ;(./ c..... .
<br />as identification and who didinId no~
<br />
<br />~7r o~th. - ~ ~^. A.J
<br />
<br />. ~~~ '/huli
<br />(Signatu) _
<br />HA~'-' ,€ IC&::.-, ~ fl.te I v€tL
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />+'iI'^-'
<br />
<br />*11*
<br />
<br />~1t Of....-;-
<br />
<br />MARJORIE E SHRIVER
<br />My Commission CC315866
<br />Expires Sep. 14. 1997
<br />Bonded by ANB
<br />800-852-5878
<br />
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