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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this perlit lay be subject to "deed restrictions" wbich JaY 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 bas bired 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 li-censed as required by, law, both the- owner and contractor JaY be
<br />cited for a lisdeleanor violation under state lal. If the owner or intended contractor are uncertain as to what licensing
<br />reguireJeDts JaY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, 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 which they lill 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 JaY 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 UTILI~ CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided lith a copy of "Florida's Construction Lien Law - lIoIeoImer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is SOJeORe other than the
<br />"owner", I certify that I have obtained a copy of the above described dOCUJent and prOllise in gooa faith to deliver it to the
<br />"owner" prior to COlleDCl!leDt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIlation in this application is accurate and that all work will be done in cOJpliance with all
<br />applicable laws regulating construction, loning, and land developleDt.
<br />
<br />Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation bas COIIeDCed prior to issuance of a petlit and that all work will be perfoIJed to Jeet standards of all law8
<br />regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveI1lleDtal agencies laY apply to the intenc1ed IIOrk, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in COJpliance. Such agencies include but are Rot lilited to:
<br />t Departlent of EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and BnviroDleDtally Sensitive Lands,
<br />Water/Wastewater !reatJent
<br />t Southwest Florida Water HanageJeDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, lavigable Waterways
<br />t DepartJent of Health & Rebabilitative Services, BnvirODJeDtal Health Unit - Wells, Wastewater rreatJent, Septic ranks
<br />t US EnvirODleDtal Protection Agency - Asbestos abateJent
<br />I also certify that, if fill Jaterial is to be used in Flood ZOne "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a 'cOJpenSating VolUle" will be subJitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance. .
<br />
<br />A perlit iSBued shall be construed to be a license to proceed with the IIOrk and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a peIlit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery perlit issued shall becoIe invalid
<br />unless tbe work authoriled by such perlit is COIIeDced within sil IOnths of issuance, or if work authoriled by the perlit is
<br />suspended or abandoned for a period of sil JOnths after the till! the work is cu.enced. One 90 day atension of tile, Jay be
<br />allowed for the peIlit with fee cbarge of $15.00. 'l'he atension shall 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 />WARIIING TO OIOIBR: YOUR PAILURI TO RECORD A 10rICE OF C<IIMENCBIIIIlI MAY RESUL! IN YOUR PAYING nICE FOR IHPROVIIIDtS TO YOUR
<br />PROPER'fY. IF YOU III1'BIID !O ODIUM FIlWIClltG, CONSUL! WITH YoUR LBIIDBR OR AI AnomY BBFORE RBCORDIJfG YOUR MICE OF
<br />COHMIHCBHBIfI. JOBS OlDER $2,500 1M VALUE DO HOT HBID TO RECORD ARD POST A 'HOTICE OF C(JIIJ(CBIIIIlI'.
<br />
<br />~#~
<br />
<br />~~~~
<br />
<br />STATE OF FLORI~ . '
<br />coum OF --t1fSW
<br />The foregoing instrument was acknowledged
<br />before me this D~' (nTh. , 19~ by
<br />
<br />f OJ.); 1'I1l/l~/V
<br />who is rsonall known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take~ Q,'~
<br />(~
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC ~~.. JAMES A. STONE
<br />Notary Public, State of Florida
<br />My comm, expires May 16, 1995
<br />CC110274
<br />
<br />STATE OF FLO~
<br />COUR'lI OF 5(!..D
<br />The foregoing instrument was acknowledged
<br />before me this hee. lorn" 19~ by
<br />
<br />(f\Ar2..tic lYl-otJbA MP,v
<br />wbo is pe onally known to m~ or wbo bas
<br />produced
<br />as identification and wbo did/did not
<br />
<br />~Q.~~
<br />Sig ature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC .
<br />~.., JAMES A. STONE
<br />Notary Public, State 01 Florida
<br />My comm. p,(",ir,M' '1 G: i %~j
<br />
<br />
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