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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'l'he undersigned understands that this penit laY be subject to 'deed restrictiOl18' Ihieb laY be lOre restrictive than City
<br />regulations. rbe undersigned asSUle& responsibility for CCIIpliance lith any applicable deed restrictiODB.
<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 regulatIoll8. If the contractor is not licensed as required by lal, both the 0IIDeI and contractor .y be
<br />cited for a lisdeJeaDOr violation under state lal. If the mmer or intended contractor are uncertain as to lbat licensing
<br />reguirl!lellts laY apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />'Contractor SeCtIODB' of this application for Ihich they lill be responsible. If you, as the owner sign as the contractor,
<br />you are indicatinq that you, rather than the contractor, are respoll8ible for the work. If the contractor wiahes you to sign
<br />as contractor that laY be an indication that he is not properly licensed and is not entitled to peraitting privileges in the
<br />City of Z8phyrhills.
<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 lith a copy of 'Plorida's Construction Lien Law - lkIIeoImer's Protection
<br />Guide' prepared by the Plorida Departlent of Agriculture and ConsUIeI Affairs. If the applicant is 8OIl!ODe other than the
<br />'owner', I certify that I have obtained a copy of the above described docUIent and prD.lise in good faith to deliver it to the
<br />'owner' prior to COlllll1Cl!Ient.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIliltion in this application is .accurate and that all IIOrk will be done in COIPliance with all
<br />applicable laws regulating construction, loning, and land develo~ent.
<br />
<br />Application is hereby lide to obtain a peIlit to do IIOrk and installation as indicated. I certify that no work or
<br />installation has ~ced prior to iuuance of a penit and that all work will be perf OIled to Jeet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDll8l1tal agencies lilY apply to the intended work, and that it is
<br />If responsibility to identify what actions I lust take to be in COIPliance. Such agencies include but are not lilited to:
<br />t Departlent of EnviroDlelltal Requlation- Cypress Bayheada, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water /IIastewater rreauent
<br />t Southwest Florida Water Ilanagl!ll8Dt District - Wells, Cypress Baybeac1s, Wetland Areas, Altering Watercourses
<br />t AllY Corps of Engineers - Seawalls, Docks, lavigable Waterways
<br />t Deparuent of Health i Rehabilitative Services, EnvlIODlental Health Unit - Wells, Wastewater rreaUent, Septic ranks
<br />t US EnvirODleDtal Protection Agency - Asbestos abatl!ll!Dt
<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 'COIPeD8ating VOlUie' will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance. . .
<br />
<br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall iuuance of a penit prevent the Building Official fIQI thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. EVl!IJ pemit iuued shall becoIe invalid
<br />unless the IIOrk authoriled by such petlit is COII8Jlced within sillOllths of issuance, or if work authoriJed by the penit is
<br />suspended or abandoned for a period of sillODths after the tile the work is co.enced. ODe 90 day atensicm of tile, lay be
<br />allowed for the penit with fee charge of $15.00. rhe atension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sillODth PeriOd, or the project will be considered abandoned.
<br />WARNING 10 ODER: YOOR FAILURE 10 RECORD A RorlCE OF C(llllDCIIIIIff MAY RESUL! II YOUR PAYIIG niCE FOR lIIPROVIIIII'I'S 10 YOUR
<br />PROPER'I'Y. IF YOU mmm ro OBrm 'PllIDCllG':COISUL! wlra mm LEJIDIR OR II AnomY BIPORE RECORDING YOOR JOrICE OF
<br />COOIEICEIIEII!. . JOBS OlDER '2,500 II VALUE DO lor IEED 10 RECORD AID POS! I 'lorlCE OF aJIIlDCEIID'I'l.
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<br />
<br />SI .
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<br />
<br />UA!EOFFWRI~ I?
<br />coum OF r If> c:(J
<br />The foregoing instrument was acknowledged
<br />before me this 1/ ")-y , 19~by
<br />
<br />SII!E OF FLORIDA _I?
<br />coom OF / Jl-S U
<br />The foregoing iDst~eqt was acknowledged
<br />before lie this I/')-f , 19 9s- by
<br />{( .
<br />
<br />(Signature) .
<br />Notary Public Pa5CO Co. FL
<br />(Rame .Typ" 0lIIiIi.... blPlrst._~a ~t}t}5
<br />ROTARY PUBLIC
<br />
<br />
<br />wbo is personally known to me or who has
<br />produced
<br />as identificatioCiZn".,2K,d WhO, id/did not
<br />take an oath. . // ~
<br />l' _' d:
<br />(Signatural '
<br />""N"otary Public Pa5co Co. FL
<br />(Rue &QJpmMifil4dlr~r\fB1JW.)
<br />ROTARY PUBLIC
<br />
<br />wbo is personally known to me or who bas
<br />produced
<br />as identification and
<br />take an oath..
<br />
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