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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. the undersigned assUles responsibility for cOlpliance 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 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 lisdeteanor 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 Zephyrbills Building Deparblent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, 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 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 lay be an indication that he is not properly licensed and is not entitled to perlitting 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 - HoteoWDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOleone otber than the
<br />"owner", I certify that I bave obtained a copy of the above described docutent and prOlise in good faith to deliver it to the
<br />"owner" prior to cOllencl!lent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
<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 perlit and that all work will be perforted to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governtental 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 li.ited to:
<br />A Deparblent of Environtental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />A Southwest Florida Water Managetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· Departlent of Health & Rehabilitative Services, Environtental Health Unit - Wells, Wastewater Treablent, Septic Tanks
<br />A US EnviroDlental Protection Agency - Asbestos abatetent
<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 "cOlpeDsating volute" will be subtitted whicb 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 tbe 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 sball becOle invalid
<br />unless the work authorized by such perlit is cOlIBnced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tite the work is cOlleDced. One 90 day extension of tite, laY be
<br />allowed for the perlit 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 IOnth period, or the project will be considered abandoned.
<br />WARIING TO ONlfER: YOUR FAILURB TO RECORD A NOTICE OF COMMENCEHEIf MAY RESULT III YOUR PAYING TWICE FOR IMPROVEMmS TO YOUR
<br />PROPERTY. IF YOU IlfElfD TO OMAIN FIHAMCIHG, COHSULT WITH YOUR LElfDER OR AM AnORREY BEFORE RECORDIHG YOUR HOfICE OF
<br />IlIIlIJICIIUl JOIlS 01 12,500 IN YAWl 00 IIOr IIlIlD YO RE(l)IlIl AID POST :~ OF ClIlIIEIICmIIT'.
<br />
<br />,~I)~J< --e
<br />
<br />SIGHATURE: COlfRACTOR
<br />
<br />
<br />STATE OF FWRIDA f}
<br />COUlfY OF [flSc 0
<br />The foregoing instrument was acknowledged
<br />before me this q-}b , 19~ by
<br />
<br />PA fYl 0 fl' e./ ~
<br />o 1.S persona known to me or who has
<br />produce
<br />as identification and who did/did not
<br />take an oa~ A/ d tnd;... ,1
<br />
<br />(Signature '
<br />-Seel!v Ii mal/reS -:rf2,
<br />(Name Typed, Prinfed or Stamped)
<br />NOTARY PUBLIC
<br />NOTARY PUBLIC S'rATE CF FLORIDA
<br />MY CQllMISSIotI EXP. JULY 14,1995
<br />BONDED THRU GENERAL INS. UNO.
<br />
<br />STATE OF FLORIDi3
<br />coum OF YTSc 0
<br />The foregoing instrument was acknowledged
<br />before me this 9-/6 , 191L by
<br />
<br />
<br />
<br />icl.s
<br />ho 1.S personall known to me or who has
<br />pro uce
<br />as identification and who did/did not
<br />take an oath"h /J'
<br />. /K 4l1d-J.. ~
<br />(Signature) __ /
<br />....) c IU v /j PlC//I (t"S.::r.c'.
<br />(Name.Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />NOTARY PUBLIC STATE OF FLORIDA
<br />MY r'Ol't4ISSION EXP. JULY 14,1995
<br />OOI'I~ED THRU GENERAL INS. UNO.
<br />
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