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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'l'be undersigned understands that this penit laY be subject to 'deed restrictions" wbich laY be lOre restrictive than City
<br />regulations. !he undersigned asSUles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake IIOrt, 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 lisdelleanor violation under state law. If the mmer or intended contractor are uncertain as to wbat licensing
<br />reguireaents lilY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if the owner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />DContractor Sections' of this application for wbich 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 wort. If the contractor wisbes you to sign
<br />as contractor that lilY be an indication that be is not properly licensed and is not entitled to peraitting 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, bave been provided with a copy of 'Florida's Construction Lien Law - HoIeolmer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is SOIeOI1e other than the
<br />Downer", I certify that I have obtained a copy of the above described dOCUlleDt and prOlise in good faith to deliver it to the
<br />"owner" prior to co.enceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all wort will be done in coapliance with all
<br />applicable 1m regulatinq construction, loning, and land develo~t.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no wort or
<br />installation bas COIIenced prior to issuance of a perli t and that all lIOrt will be perfol'lecl to leet standards of all 1m
<br />regulating construction, City codes, loning regulations, and land developlel1t regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveruental agencies lilY apply to the intended lIOrt, and that it is
<br />IY responsibility to identify wbat actions I lUst tate to be in COIpliance. Such agencies include but are not lilited to:
<br />t Departlent of EnvirOllllelltal Regulation - Cypress Bayheads, Wetland Areas and Bnvirol\leDtally Sensitive Lands,
<br />Mater/Mastewater 'l'reatlent
<br />t Southwest Florida Water Hanageaent District - Mells, Cypress Bayheads, MetIand Areas, Altering Watercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, Xavigable Waterways
<br />t Departlent of Health' Rehabilitative Services, BnvirODleDtal Health Unit - Mells, Mastewater 'l'reatlent, Septic 'l'ants
<br />t US BnvirODlelltal Protection Agency - Asbestos abateaent
<br />I also certify that, if fill IiIterial is to be used in Flood Zone DAD or DA,etc.D, it is understood that a drainage plan
<br />addressing a 'COJpeJlSating voluteD will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to penit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the lIOrt and not as authority to violate, cancel alter, Ii.
<br />set aside any provisions of the technical codes, nor shall issuance of a penit prevent the Building Official fIOl tbereaf~ ~
<br />reguirinq a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOle invalid
<br />unless the IIOrt authorized hy such penit is COll8llced within sillODths of issuance, or if lIOrt authorized by the penit is
<br />suspended or abandoned for a period of sil mnths after the tiJle the lIOrt is ~ced. One 90 day extension of tile, laY be
<br />allowed for the penit with fee charge of $15.00. 'l'he extension shall be requested in writing to the Buildinq Official. An
<br />approved inspection lUSt be logged during each sillOnth period, or the project will be considered abandoned.
<br />IIARMING 'l'O 0IfKBR: YOUR FAILURE '1'0 RECORD A XO'I'ICE OF C(JlMlJlCBIIEII'I' MAY RlSUL'I' IN YOUR PAYING !IIICE FOR IMPROVBHBI!S fO YOUR
<br />PROPBR'I'Y. IF YOU III'I'BKD 'l'O OB'l'AIX FlKAKCIXG, COISUL'I' 1I1'I'H YOUR LDDBR OR lK AnomY UFORI RICORDIXG YOUR IIO'I'ICE OF
<br />aJUlDCEMBlI'I'. JOBS UKDIR $2,500 IX VALUI DO NO'I' NEED fO RECORD lKD POS'I' A "NO'I'ICI OF C(JIIBKCIMD'I".
<br />
<br />~"6Y1~
<br />S 'fURl: OOIR OR lGBK'I'
<br />
<br />
<br />ft
<br />(!!g:qature) A
<br />Y /f-r-[l-/,/t!-Iff tL V 11
<br />(Name Typed, Printed or Stamp
<br />NOTARY PUBLIC
<br />"C ...~l'-lire State o! Florida
<br />~olffi u IE~" Sept. 3, 1594
<br />My. comm. y
<br />
<br />~Z~
<br />SIGKl'I'URB: COK'I'RAC'I'OR
<br />
<br />S'I'A'I'B OF FLORIDA/.')
<br />coum OF fT a xI~
<br />The foregoing instrument was acknowledged
<br />before me this :Lci~t , 19~ by
<br />
<br />(;012.00,0 -r;() ~ ~ ;tVt
<br />who is personally known to me or who has
<br />produced ~L. L.t:. fS/6 -,292, Y"7- 703
<br />a . t. ication and who did id not
<br />ate atb. C
<br />
<br />(S~ature) J' -r 1
<br />r.-1Tt!...j C 1111 ,,-/ _:Z:.R v J1}l
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />:Notary Public. State of Florida
<br />lItX CArom. fxp Sept. 3. 1994
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