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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this pertit lay be subject to "deed restrictions" wbicb lay be lOre restrictive than City
<br />regulations. !be undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSEP 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 lisdeJeanor 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 Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurthertOre, if the Otlner bas bired 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 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 aay be an indication that he is not properly licensed and is not entitled to pertitting 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 - HOIIeOWIler's Protection
<br />Guide" pt'epared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />'owner", I certify that I have obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />"owner" prior to COIleDCl!leIlt.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, 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 pertit and that all work will be perforJed to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDIeDtal agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />· Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />· Southwest Florida Water Managelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater !reatJent, Septic Tanks
<br />· US EnvirODlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "An or "A,etc.", it is understood that a drainage plan
<br />addressing a 'cOIpensating volUle" 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 sball 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 frOl 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 COIIeIlced within Sil IOnths of issuance, or if work authorised by the pertit is
<br />suspended or abandoned for a period of Sil IODtbs after the tile the work is cOllenced. One 90 day eItension of tile, lay be
<br />allowed for the perlit with fee charge of $15.00. The eItension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each sillOnth period, or the project will be considered abandoned.
<br />WARMING TO OO'ER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMBNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVKMKN1'S TO YOUR
<br />PROPERTY. IF YOU INTBlfD TO OBTAIM FlKAMCING, COMSUL! WITH YOUR LBlfDER OR AM AnORMEY BEFORE RECORDIMG YOUR MOTICE OF
<br />COMMBMCBMENf. JOBS UMDER $2,500 1M VALUE 00 NOT NEED TO RECORD AMD POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />STATE OF FLORIDA
<br />COllM1'Y OF
<br />The foregoing ins~rument was acknowledged
<br />before me thi,f'tP(/'f4 ' 19.:t..!L by
<br />
<br />PEp...50/f/fJ /... LY If nJo w IV
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />ta~~~_
<br />(Signature)
<br />
<br />(Nam~ Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this .sEPT Pf ' 19..!lL by
<br />
<br />PEItSOttlF/-4.LY KIf}OWtV
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />ta~~~-
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />#'o",V,+
<br />W^ DONNA M SINCLAIR
<br />* * My Commission CC382818
<br />01' Expires Jun. 14, 1Qg8
<br />~~ Of F\.a~~"
<br />
<br />D~"'Y "lb..
<br />"'6~~
<br />*oI'lllifll~ *
<br />
<br />4", a< ,,-o"'~
<br />
<br />DONNA M SINClAIR
<br />My Commiesion CC382818
<br />Expires Jun. 14,1Qg8
<br />
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