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<br />_ CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'fbe undersigned understands that this pemit lilY be subject to Ddeed restrictions- wbich lily be lOre restrictive than City
<br />regulations. tbe undersigned assUJeS responsibility for capliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OImer has hired a contractor or contractors to undertake wort, 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 lilY be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents lilY apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if the owner bas hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />DContractor SectionsD 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 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 pertitting privileges in the
<br />City of Zephyrbills.
<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 DFlorida's Construction Lien Law - lkIIeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUlleI' Affairs. If the applicant is so.eone other than the
<br />Downer", I certify that I bave obtained a copy of the above described dOCUleDt and prolise in good faith to deliver it to the
<br />Downer a prior to COIIenceaent.
<br />
<br />E. CONTRACTOR' SlOWER'S AFFIDAVIT.,
<br />I certify that all the infortation in this application is accurate and that all work will be done in cOllpliance with all '
<br />applicable laws regulating construction, IOning, and land developent.
<br />
<br />Application is hereby Iilde to obtain a perait to do work and installation as indicated. I certify that no work or
<br />installation has CDIeIlced prior to issuance of a perlit and that all wort willbeperforaed to .et stanc1ardsef all laws
<br />regulating construction, City codes, loning regulations, and land developent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governtel1tal agencies'lIilJ apply to the intended work; and that it is
<br />IY responsibility to identify what actions I lust take to be in COIpliance. Such agencies include but are not IWted to: .
<br />I Departlent of EnvirOllleJltal Regulation - Cypress Bayheads, Wetland Areas and Envirouentally Sensitive Lands,
<br />Water /Wastewater treatlent
<br />I Soutbwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, ,Altering Watercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, Havigable Waterways' '. :;..
<br />I Departlent of Health i Rehabilitative Senices, EnvirODleDtal Health Unit - Wells, Wastewater treatlent, Septic tanks
<br />I US EnvirODleDtal Protection Agency - Asbestos abatelel1t .
<br />I also certify that, if fill taterial is to be used in Flood Zone DAa oCDA,etc. D, it is understood that a drainage plan'
<br />addressing a DCIIIPeD8ating voluteD will be sublitted which is prepared by a ptofeSsional engineer registered in the State of
<br />Florida prior to peIlit issuance.
<br />
<br />A perait issued shall be construed to he 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 pertit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code: Every pertit issued. shall becoIe .invalid
<br />unless the wort authorized by such perait is COIIllDced within sillOnths of issuance, or if work authorized by the perait .is
<br />suspended or abandoned for a period of Sil IODtha after the tile the work is CDleDced. One 90 day eltension of tile, IilJ be
<br />allowed for the perlit with fee charge of $15.00. the eltension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each sil IODth period, or the profect will be considered abandoned.
<br />WAlUfIlfG to OVIER: YOUR FAILURE TO RECORD A NOtICE OF CCIIHDCEIIDf HAY RE l' IN YOUR PAYING DICE FOR DIPROVIIIDTS to YOUR
<br />PROPERtY. IF YOU IIl'IIND fO OBfAIJI FIWCIIG, CONSULt WID YOUR LDD 0 Ammm RE RlCORDIHG YOUR HOfICE OF
<br />COHHENCEHBN'l. JOBS UNDER '2,500 IH VALUE DO lOt HEED 1'0 RECORD AID Sf D ICE OF CEIIDf'.
<br />
<br />~..~/~
<br />~: IIlIIII OR JGIII! I
<br />
<br />StAn: OF FLORI~
<br />coum OF 1- .-It''< c.o
<br />The foregoing instrument was acknowledged
<br />befo.:e me this J'1i~ .' 19~ by
<br />
<br />/:. j u)~O 01tt2..cIA
<br />who is personally known tome'or'wbobas
<br />prollueed Pi2.~'s G"h ~ ~N""'--"'--
<br />as identificat. .he tlidLdid not:_
<br />
<br />.' A.' il
<br />(Si a ~r~ \7:
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />WlBLBr 1 NEU.IR
<br />NC1tAJ.Y PUBUC,SJ'ATI OF Fl.OIJJiA
<br />,OONMIIION NO. .CC25Ift\
<br />WV~~;!I!I.:1S1
<br />
<br />
<br />StAn: OF FLORIDA
<br />coum OF PlNELlAS
<br />The foregoing instrument was acknowledged
<br />before me this Mav 27 , 19~ by
<br />
<br />William L. Couchenour
<br />who is(p~;;;llY knO~o me or who has
<br />produced
<br />as identification and who did/did not
<br />ta~k oath. ~ / /J A' ~,
<br />_J?~ ~/}/uL.(_
<br />( 19nature) ,
<br />Bonnie S. Carrel
<br />(Name Typed, Printed or St ed
<br />NOTARY PUBL ....w... BONNIE S, CARREL
<br />It-if.'.rs:t-~ CIJMMIS$K)N , CC 2el5lI64
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<br />.~I CIU""~' _WtI,
<br />.~ 80IllIId _lIMy NllIc \JIIdINIIIIlI
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