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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A~ NOTICE OF DEED RESTRICTIONS
<br />fhe undersigned understands that this pemit JaY be subject to Ideed restrictions I which Jay be lOre restrictive than City
<br />regulations. fhe undersigned asSUle& responsibility for co.pliance 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 IfOrt, 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 mmer and contractor laY be
<br />cited for a lisdeJeaDOr violation under state law. If the mmer or intended contractor are uncertain as to what licensing
<br />requirl!lents .y apply for the intended IfOrt, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />788-6611. .
<br />
<br />Furthel'lOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />IContractor Sections I of this application for which they will be responsible. If you, as the mmer sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the IfOrk. 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 pertitting privileges in the
<br />City of Zepbyrhills.
<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 IFlorida's Construction Lien Law - HOIeOIDer's Protection
<br />Guidel prepared by the Florida DepartJent of Agriculture and COnsUler Affairs. If the applicant is SOleODe other than the
<br />Immerl, I certify that I bave obtained a copy of the above described docUlent and promse in good faith to deliver it to the
<br />Downer I prior to co.enCl!lellt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all IfOrk will be done in cDlpliance with all
<br />applicable laws regulating construction, loning, and land develolllent.
<br />
<br />Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no wort or
<br />installation bas ~cec1 prior to issuance of a pertit and that all wrt will be perfol'led to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developJll!Jlt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDleDtal agencies .y apply to the intended wrt, and that it is
<br />.y responsibility to identify what actions I lUst tate to be in co.pliance. Such agencies include but are not lllited to:
<br />t DepartJent of EnviIOllleDtal Regulation - Cypress Baybeads, Wetland Areas and EnvirollleJltally Sensitive Lands,
<br />Water/Wastewater freal:lent
<br />t Southwest Florida Water Hanagl!leDt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Amy Corps of Bnqineers - Seawalls, Docks, Navigable Vaterways
<br />t Departlent of Health & Rebabilitative Services, BnvirODleDtal Health Unit - VeIls, Vastewater freatlent, Septic !ants
<br />t US EnvlrODleDtal Protection Aqency - Asbestos abatl!lent
<br />I also certify that, if fIll laterial is to be used in Flood ZOne IAI or UA,etc.l, it is understood that a drainage plan
<br />addressing a IcOlpenSating vol.1 will be subtitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to pemit issuance.
<br />
<br />A pertit issued shall be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a pemit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall beCOle invalid
<br />unless the work authoriled by such pemit is COIIllDced within six IOnths of issuance, or if IfOrk authoriled by the pertit is
<br />suspended or abandoned for a period of six IOlltbs after the tile the wrt is co.enced. One 90 day eltension of tile, .y be
<br />allowed for the pertit with fee charge of $15.00. !be 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 />IIWING TO (JINER: YOUR FAILURE ro RECORD A NOTICE OF COHMIICEMm MAY RESULf IN YOUR PAYING !IlIa FOR IMPROVIMEN!S 1'0 YOUR
<br />PROPERlY. IF YOU ImND ro OUAII FIIAICING, COIfSULf VIm YOUR LBlfDER OR 1If AftORDY BEFORE RECORDING YOUR 1f0000ICE OF
<br />COMHBIfCBMBNl'. JOBS UNDER $2,500 IN VALUE 00 IfOT NEED !O RECORD AND POSf A -NOTICE OF COMMDCBIIENl'I.
<br />
<br />SI*sn
<br />
<br />
<br />SfAfE OF FLOR~
<br />COUIl'Y OF ..' ~
<br />The foregoing instrument was acknowledged
<br />before me this / - 6i 0 , 19 <f S by
<br />
<br />)(y;y,-(!Qj~
<br />who is personally known to me or who has
<br />produced ~.~ Ir~~...-
<br />as identification and ho d. /did not
<br />take ~/ (1
<br />
<br />(Signature). \
<br />13 E TT..:t:: r C, ;:so It tV S 0 ;</
<br />(Name. Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />04
<br />
<br />~w~.
<br />~:CO R
<br />
<br />/'
<br />SfA!E OF FLORID~ J
<br />coum OF ~i)
<br />The foregoing instrument was acknowledged
<br />before me this /- d-V , 1975 by
<br />
<br />%~ /)~
<br />who is pers~ally known to me or who has
<br />produced /--...v'i!.4-'"'"'-..... ~ A;.................-..~
<br />as identification and 0 did/did not
<br />take an oath., ~ L
<br />~ ~~ ,/"1 __
<br />(Signature). .
<br />/367 72: E C, ~ htuso ;J
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />"'\\\~~'~i:'I,,.
<br />l'f1-......~<A "OFFICIAL SEAL"
<br />g;(~\:~ Beftie C. Johnson
<br />;,.,.;,.~~j My Commission Expires 9/16/0(=
<br />~$0,~r.1;~~\\$' Commission #CC 228755 '
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<br />~ 0'" ..... <1'< ~ "OF
<br />g*."..~. ....C>~ F/C/AL S~ AL"
<br />- . ~*- B ft' C &.;;1"\
<br />~'!?~ f~; M e I~ . ,Johnson
<br />~';lg'~ v..of~~ y Comm's~lon EXpires 9/16/9f
<br />~'IIIIIII\\\\ CommiSSIon #CC 228755
<br />
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