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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'fhe undersigned understands tbat this pel'lit lay be subject to .deed restrictions. wbieb lay be lOre restrictive than City
<br />regulations. !be undersigned assDles responsibility for COIpliance 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />reguirelents laY apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner bas hired a contractor or contractors, he is advised to have tbe contractor(s) sign portions of the
<br />IIContractor Sections. of this application for lIhich they will be responsible. If you, as the OlDer 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 be is not properly licensed and is not entitled to perlitting 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 1, the applicant, bave been provided with a copy of .Florida's Construction Lien Law - BoIeoIoer's Protection
<br />Guide" prepared by the Florida Deparblent of Agriculture and ConsUIeC Affairs. If the applicant is sOleODe other than the
<br />.000er", I certify that I bave obtained a copy of the above described docUleRt and prOlise in good faith to deliver it to the
<br />"owner II prior to couenCl!lellt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all lork will be done in COIpliance with all
<br />applicable laws regulating construction, zoning, and land developleDt.
<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 bas c~ced prior to issuance of a perlit and tbat all worl will be perfoned to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developleRt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDlental agencies laY apply to the intended worl, and that it is
<br />Iy responsibility to identify what actions I lust take to be in cOlpliance. Sueb agencies include but are not lilited to:
<br />A Deparblent of EnviroDleRtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water/Wastewater 'freablent
<br />t Southwest Florida Water ManageleDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, lIavigable Waterways
<br />t Departlent of Health & Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater rreatlent, Septic rants
<br />t US EnvirODleDtal Protection Agency - Asbestos abat8lent
<br />I also certify that, if fill laterial is to be used in Flood ZOne IIA. or IIA,etc.., it is understood that a drainage plan
<br />addressing a .cOlpeDsating volDle. will be sublitted wbieb 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 lith tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of tbe 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. Ivery perlit issued sball beCOle invalid
<br />unless the 1I0rl authorized by such perlit is COII8Jlced lithin six IOnths of issuance, or if wort authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the 1I0rl is co.enced. One 90 day utension of tile, lily be
<br />allowed for the perlit with fee ebarge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each six IODth period, or the project will be considered abandoned.
<br />WARRING TO OWIIIR: YOOR FAILURB TO RlCORD A NOTICI OF COMHBNCBIIBIff MAY RlSULT IN YOUR PAYING !IIICB FOR IMPROVBIIBIfIS ro YOUR
<br />PROPIRTY. IF YOO IIft'IND TO OBTAIN FlIfAXCIHG, COIISULr WITH YOUR LBlfDIR OR All AnORIfBY BlFORI RlCORDING YOUR IIOTICI OF
<br />COHHENCEMIIft'. JOBS UIIDIR $2,500 III VALUI 00 1I0T 11110 TO RlCORD AIfD POST A 'NOIICI OF C(JIMBNCBllBlflII.
<br />
<br />
<br />~'\\~
<br />
<br />~IIArURE: OWNIR OR AGINT
<br />----.
<br />
<br />'y ~~ 2s~~~
<br />SIGNATURE: COIITRAC'fOR
<br />
<br />m Q\ t4 \...
<br />
<br />STATE OF FLORIDA n
<br />COUNTY OF --I:.1::j ~c-O
<br />The foregoing iqstrument was a_ckpowledged
<br />before me this n=-c.. 5 , 19.:i.::h by
<br />
<br />~-)Arnl 'lR- H ~1l2A~"\ \<-
<br />who is personally known to me or who has
<br />pl<.~d1leed
<br />as identification and who ~id not
<br />~ an oath~ ~
<br />
<br />(Signa
<br />
<br />STATE OF FLORIDA P
<br />coom OF ftE; a.o
<br />The foregoing ins~~ent was ac~dWledged
<br />before me this 6~ ci~ 19 4- by
<br />
<br />7eN ?lc~C:tle
<br />who is personally known to me or who has'
<br />
<br />
<br />
<br />1.2.
<br />(Name Typed, Printed or
<br />NOTARy'PUBLIC
<br />
<br />ritAY '~ MARJORIE E SHRIVER
<br />* * My Commission CC315866
<br />Expire. Sep, 14,1~7
<br />Bonded by ANB
<br />~..~ 800-852-5878
<br />
<br />"~,nUll"~ DAUA M .....,,, A
<br />...~ij\~.~~ I'VV\ . QII;Id.ft
<br />!.i'Ji.\:: MY COMMISSION' CC301855 EXPIRES
<br />""~':J.: July 14 1997
<br />"~r.;;;F\,.'(.~ 80NDED THRU TROV FAne tNSlJIWlCf,ltI:.
<br />Ii,..."
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