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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'fbe undersigned understands that this peEWit 8ilY be subject to wdeed restrictionsw wbich 8ilY be lOre restrictive than City
<br />regulations. 'fbe undersigned assUlt!s responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED, CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bu' bired a contractor or contractors to undertake lIOrt, they lay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as reguired by law, both the O1mer and contractor laY be
<br />cited for a lisdl!ll!anor violation under state IaN. If the mmer or intended contractor are uncertain as to wbat licensing
<br />reguirl!llents 8Y 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 OIner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />wContractor Sectionsw of this application for "bich they lIill be responsible. If you, as the owner 8ign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the IIOrt. If the contractor wishes JOII 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 Zepbyrbills.
<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, bave been provided lIith a copy of wFlorida's Construction Lien Law - HOIl!OIIDer'8 Protection
<br />Guidew prepared by the Florida Departlent of Agriculture and ConsUIH!I Affairs. If the applicant is sOIeOIle other than the
<br />wOIIIIerw, I certify that I have obtained a copy of the above described dOCUlent and prOlise in good faith to deliver it to the
<br />wownerw prior to COIIBDCl!llent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all lIOrt lIill be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do "ork and installation as indicated. I certify that no lIOIt or
<br />installation has ~ced prior to issuance of a peEWit and that allllOrt "ill be perfoIJed to lleet standards of all laws
<br />regulating construction, City codes, loning regulations, and land deve10plent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govl!IDleDtal agencies JaY apply to the intendeclllOrk, and that it is
<br />IY responsibility to identify wbat actions I lust tate to be in coapliance. Such agencies include but are not luited to:
<br />I Departlent of EnviroDJeDtal Regulation - Cypress B8ybeads, Vetland Areas and BnviroDlentally Sensitive Lands,
<br />Vater/Vast8later Treatlent
<br />I Southwest Florida Vater Hanageaent District - Wells, Cypress Baybeads, Vetland Areas, Altering Watercourses
<br />I ArlY Corps of Engineers - Seawalls, Docks, Navigable Vatenays
<br />I Departlent of Health i Rebabilitative Services, EnvirODJeDtal Health Unit - VeIls, Vastewater Treatlent, Septic Tanks
<br />I US EnvirODlental Protection Igency - Asbestos abatl!lleDt
<br />I also certify that, if fill laterial is to be used in 'Flood Zone WAW or wl,etc.w, it is understood that a drainage plan
<br />addressing a wCOIpensating vol.w will be sublitted "hich is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance.
<br />
<br />A per.it issued shall be construed to be a license to proceed with the lIOrt 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. Every perlit issued shall hecme invalid
<br />unless the wort authoriled by such peIlit is COIIBDced within sil IOnths of issuance, or if wort authoriled by the peIlit is
<br />. suspended or abandoned for a period of sil IOnths after the tiIIe the wort is coaenced. One 90 day eztension of tiE, laY be
<br />allowed for the peEWit "ith fee charge of $15.00. the eztension shall be requested in "riting to the Building Official. An
<br />approved inspection lUSt be logged during each sillOnth period, or the project will be considered abandoned.
<br />WARMING 'fa 0IRf1R: YOUR FIILURB to RlCORD I HO'fICH OF COtMDCBIIm lilY RESULT IN YOUR PlYING DICE FOR IHPROVIIIDtS 'fa YOUR
<br />PROPIRfY. IF YOU IJlJBID 'fa OD'llIN FIIWICING, CONSUL'f Ium YOUR LllfDIR OR 1M InORIfIY BEFORE RECORDING YOUR NOTICH OF
<br />~. :S,7 12,500 II YlLUlIlO lInED 1'0 RJmID IIIl ~ ~ 0'. ..'
<br />
<br />
<br />'-m~Kd.d;rl:NU/(A- ~,-! pAL
<br />SIGlAtURB: OVRER OR AGBMI SIGIII'IURB: COJlJRACfOR
<br />
<br />StATE OF FLOR~
<br />count OF . <20
<br />The foregoing instrument was acknowledged
<br />before me this 1-,::J- , 1995- by .
<br />
<br />MlcJtdeLY.CDrrelQ .
<br />who is'---p~rsQ!!i!P.Y ~Qwn_1:~_~~_ or who has
<br />produced
<br />as identification who did/did not
<br />ta an ath ./'
<br />t- /'~
<br />(S gnat r). '
<br />, \. JJC>~ LIN~
<br />(Name 'fyped, rinted or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STIR OF FLOR~
<br />coum OF rlJS (!Q
<br />The foregoing instrument was aCknowledged
<br />before me this 1-1:J- , 19 9...5...... by
<br />K - frVfH?l(, L{)' ~ Lue-ff
<br />who is {)~r~~~l~~ to~~_ or who has
<br />produced
<br />as identification and did/did not
<br />take an
<br />
<br />
<br />
<br />~'J';'::!h" JUDY LINER
<br />iij).*:' .:~ Vi COMMISSION (I CC353358 EXPIRES
<br />i . . i MardI 6, 1998
<br />.. IONllEO 1HIlU TROY FAIN INSURANCE, INC.
<br />, .."
<br />
<br />.....'1lI".., "I.DY LINER
<br />~~"""l:.l~ ......
<br />E*: . ~;\ t.f'{ COMMISSION (I CC353358 EXPIRES
<br />~. : 'i '. Mari:hS.1998
<br />-..,llf.;;;......tJ iIbNoeo THRU TROY FAIN 1M5lJIWlCE, INC.
<br />'fI...it'!
<br />
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