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<br />CONDITIONS OF PERMIT AFFIDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br />'l'he undersigned understands that this pemlt lilY be subject to -deed restrictions- which lilY be lOre restrictive than City <br />regulations. !be undersigned assUIeB responsibility for CCIIpliance with any applicable deed restrictions. <br /> <br />B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br />If the owner has hired a contractor or contractors to undertate wort, they tay 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 0IIJler and contractor lilY be <br />cited for a lisd_anar violation under state law. If the owner or intended contractor are uncertain as to what liclDsing <br />requir8lents lily apply for the intended wort, they are advised to contact the City of Zepbyrbills Building IJepartlent, (813) <br />788-6611. <br /> <br />FurtheIlOre, if the owner has bired a contractor or contractors, he is advised to have 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 "isbes you to sign <br />as contractor that lily be an indication that he is not properly licensed and is not entitled to peIJi~ting 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 -Plorida's Construction Lien Law - lbIeow.ner's Protection <br />Guide" prepared by the Florida Departlent of Agriculture and ConsllleI' Affairs. If the applicant is 8OI8OIle other than the <br />-ownerR, 1 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 COIIeDC8leDt. <br /> <br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT <br />I certify that all the infollation in this application is accurate and that all wort "ill be done in COIpliance with all <br />applicable laws regulating construction, Joning, and land developlent. <br /> <br />Application is hereby lade to obtain a perlit to do IIOrt and installation as indicated. I certify that no wort or <br />installation has co.enced prior to issuance of a perlit and that all wort will be perfoIJed to .et standards of all laws <br />regulating construction, City codes, Joning regulations, and land developleDt regulations in the jurisdiction. I also <br />certify that I understand that the regulations of other gOYeIDl8Dtal agencies lilY apply to the intended IIOrt, and that it is <br />IY responsibility to identify wbat actions I lust tate to be in COIpliance. Such agencies include but are not lillted to: <br />t Departlent of BnvirODllDtal Regulation - Cypress Bayheads, lIetland Areas and BnviroDIIDtally Sensitive Lands, <br />lIater/lfastewater 'l'reatleDt <br />t Southwest Florida Nater Hanagl!lll!llt District - lIells, Cypress Bayheac1s, lIetland Areas, Altering Watercourses <br />t AllY Corps of Engineers - Seawalls, Docks, lIavigable lIatenays <br />t DepartleDt of Health' Rebabilitative Services, BnvirODllDtal Health Unit - lIells, lIastewater 'l'reatleDt, Septic 'l'ants <br />t US BnvirODleDtal Protection Agency - Asbestos abat8lellt <br />I also certify that, if fill Iilterial is to be used in Flood Zone -A- or -A,etc.-, it is understood that a drainage plan <br />addressing a -COIpIDsating vol_- will be sublitted which is prepared by a professional engineer registered in the State of <br />Florida prior to peIlit issuance. <br /> <br />A peIlit issued shall be construed to be a license to proceed with the IIOrt and not as authority to violate, CIIlC81alter, or <br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frill thereafter <br />requiring a correction of errors in plans, construction, or violations of any code. Ivery peIJit iuued shall becCIIe invalid <br />unless the IIOrt authoriled by such peIlit is co.enced within sillODths of issuance, or if wort authoriJed by the perlit is <br />suspended or abandoned for a period of sil IODths after the tile the IIOrt is co.enced. One gO day utension of tile, lilY be <br />allowed for the perlit "ith fee charge of '15.00. !he utension shall be requested in writing to the Building Official. An <br />approved inspection lUSt be logged during each sil IODth period, or the project "ill be considered abandoned. <br />"WIRG '1'0 (MIR: YOUR FAILURI '1'0 RBCORD A 1I0'l'lCE OF C<IIIIDCBIIIH'1' MlY RBSUL'I' III YOUR PAYlIIG !IIICE FOR DIPROVIIIBII'I'S '1'0 YOUR <br />PROPBR'I'Y. IF YOU III'1'BIfD '1'0 OB'l'AIII FIIfAlfCIIIG, COIISUL'I' 1I1'I'B YOUR LBIfDBR OR All A'I"I'ORDY BlFORB RICORDIIIG YOUR IO'I'ICB OF <br />aJDfBIICIHIII'1'. JOBS UlDBR '2,500 IN VALUI DO 110'1' IfBBD '1'0 RBCORD AIfD POS'I' A -RO'I'ICB OF WlIIDCIIIBII'I'-. <br /> <br />, - 4 ~ ~ <br />/ ~ -/ / J '_ --..-....., . <br />SIGmUBWf~~~ SI~~~ - <br /> <br />S'I'A'I'B OP FLO~ <br />coum OF ~,:, t! 0 <br />The foregoing jD~~~t was acknowledged <br />before me thi&>€~~ I 19.1!L by <br /> <br />O/I~ fa If.~ Loue-rf <br />who is personaltz known.. to me or who has <br />produced k Lr v- <br />as identification and who did/did not <br /> <br />ta~~th:y:J~dI---'"'' <br />(S;'!l'~~8. _I -if <br />UIA L. a{l~ e <br />(NUt!. ed, priZted or Stamped) <br />NOTARY PUBLIC "'~-:;'~~:::;;:. JUDY 0 P'''''''- <br />~-"il' .,,~- . N,fUI;' I <br />....... :.i WN COMMISSION I CC381458 EXPIRES <br />~" : j May 31.1998 <br />"'~R:.~~' .~ IONOED THRU TAllY fAIN I~NCf.INC, <br /> <br />S'I'A'I'B OF FLORI/~ <br />COUII'1'Y OF /--#d~~ <br />The foregoing instrument was a~~ledged <br />before me this ~ .;)-J( , 19 ~~ by <br /> <br />(f) h'o I ~ If, /--v J (] 77- <br />who is per!onalJy known. to me or who has <br />produced j'::L /J/2 ~ c.- <br />as identification and who did/did not <br />~_9!tth. //~ '7 <br />-, ~.., ..(Lt7 cd. <br />( ~atureP /?:z j / <br />J/..<~O cf94l <br />(Nue ed, Printed or Stamped) <br />NOTARY PUBLIC II ~~:.:. JUDY o. PADGETT <br />:~.i MY COMMISSION' CC369458 EXPIRES <br />.: . May 31, 1998 <br />lOlIlEIl1lRllllOl' fAIN tNllUlWtCI!.lNC, <br /> <br />