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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!he undersigned understands that this penit JaY be subject to 'deed restrictions' which JaY be lOre restrictive than City
<br />regulations. !be undersigned assUIeB responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas hired a contractor or contractors to undertake wort, they JaY be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by lill, both the owner and contractor JaY be
<br />cited for a lisd_anor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents JaY apply for the intended wort, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if the owner has bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />.Contractor Sections' of this application for wbieb they will 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 wort. If the contractor wishes you to sign
<br />as contractor that JaY be an indication that be is not properly licensed and is not entitled to peaitting privileges in the
<br />City of Zephyrhills.
<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 with a copy of 'Florida's COnstruction Lien Law - HOIeOWner's Protection
<br />Guide. prepared by the Florida Departlent of Agriculture and ConsUIeC Affairs. If the applicant is SOIeone other than the
<br />-OlIDeru, I certify that I bave obtained a copy of the above described docUleDt and prolise in good faith to deliver it to the
<br />.owner' prior to couenCl!lellt. -
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify tbat all the inforaation in this application is accurate and that all wort will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />
<br />Application is hereby Jade to obtain a perut to do work and installation as indicated. I certify that DO wort or
<br />installation bas ~ced prior to issuance of a perlit and that all wort will be perfoIJed to lleet standards of all lills
<br />regulating construction, City codes, loning regulations, and land developll!Jlt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDleDtal agencies JaY apply to the intended wort, and that it is
<br />IY responsibility to identify what actions I lust take to be in COIpliance. Sueb agencies include but are not It.ited to:
<br />* Departlent of Knvironaental Regulation - Cypress Baybeads, "etland Areas and KnviroDlentally Sensitive Lands,
<br />"ater ",astewater !real:lent
<br />* Southwest Florida "ater Hanag8lellt District - "ellS, Cypress Baybeads, "etland Areas, Altering "atercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable "aterways
<br />t Departlent of Health i Rehabilitative Services, EnvirODlental Health Unit - "ells, "astewater Treatlent, Septic Tanks
<br />* US Environaental Protection Agency - Asbestos abatelent
<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 lCOIpensating volue' will be sublitted wbich 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 issuance of a peait prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Kvery peait issued shall beCOl8 invalid
<br />unless the work authoriled by such penit is COII8Ilced within six IOnths of issuance, or if work authoriled by the penit is
<br />suspended or abandoned for a period of six IODths after the tiae the wort is co.enced. One 90 day utension of tile, JaY be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection aust be logged during each slllODth period, or the project will be considered abandoned.
<br />"WING TO OWNER: YOUR PAILURI TO RECORD A NOTICE OF altHBHCBHm HAY RESUL'1' IN YOUR PAYING fiICE FOR IHPROVEHBK!S TO YOUR
<br />PROPERTY. IF YOU IITBKD TO OBTAIN 'PUWlCIKG, CONSULT IIITH YOOK LBHDER OR AM Anomy BEFORE RECORDING YOUR NOTICE OF
<br />COKMENCEHBIIT. JOBS UNDER $2,500 IN VALUE DO NOT IfEID '1'0 RECORD AND POST A 'NOTICE OP COHHEKCEHBIIT'.
<br />
<br />
<br />f2!M-L' ~~~
<br />SIGNAtURE: OVKIR OR AGBJI'l SIGllATURE: COJItRA OR
<br />
<br />S'1'ATK OF FLORIDA ()
<br />COUH'l'Y OP (fJ .l. C 0
<br />The foregoing instrument was acknowledged
<br />before me this L-j- n , 19 &/ J by
<br />
<br />H/ ~e~.+
<br />who is perso~ally known to1fme or who has
<br />produced & /I .sc/lt9-llc J:-/[U1ANI
<br />as i entification and~ho did[did not
<br />take oath yt._~
<br />
<br />(5i e)
<br />IIO'1'AAX PUBLIC STATE OF FLauna
<br />Mr CXMoITRr.:T}lM~=
<br />(Name Typed, Pr.... 8U ~.~~:~MS
<br />NOTARY PUBLIC .~
<br />
<br />STATB OF ~A
<br />coum OF ttr CO
<br />The foregoing instrument was acknowledged
<br />before me this '-/-li , 19 '1.r- by
<br />
<br />who is personally known to me or who has
<br />produced Pe.It..J'o"..,...t/~, k::/?,.,iJ/,,-?
<br />as identification and who did/did not
<br />take an h.
<br />.Jc:",{ 1/%5'/1:-.> h_
<br />(5ignat IIOTAAX PUBLIC ST TE OF FLORIDa
<br />. C<MUSSION EXP. JULY 14,1H5
<br />(Name Typed, p~~n~:P'!tB~.)Db. uau...,J
<br />NOTARY PUBLIC \
<br />
<br />
<br />
<br />
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