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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS .
<br />!be undersigned understands that tbis perlit lilY be subject to Ideed restrictions. whieb lilY be lOre restrictive than City
<br />regulations. !he undersigned assUIeB responsibility for cmpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake IIOrk, tbey lilY be required to be licensed in accordance with
<br />state and local regulations. If tbe contractor is not licensed as required by lu, botb the mmer ~d contractor Iilr be
<br />cited for a aisdeleanor violation under state law. If the mmer or intended contractor are uncertain as to "hat licensing
<br />reguireaents lilY apply for the intended work, they are advised to CQJltact the City of Zephyrhills Building Departaent, (813)
<br />788-6611.
<br />
<br />Furtberaore, if the OIRler has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of tbe
<br />IContractor Sectionsl of this application for wbieb they "ill be responsible. If you, as the OIIIler sign as tbe contractor,
<br />you are indicating that you, ratber than the contractor, are responsible for the work. If the contractor "ishes you to sign
<br />as contractor that lilY be an indication that be is not properly licensed and is not entitled to pertitting pdvileges 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 I, the applicant, have been provided with a copy of IPlorida's construction Lien Law - BaIeoImer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuaer Affairs. If the applicant is soaeona otber than tbe
<br />IImmerll, I certify that I have obtained a copy of the above described docuaent and promse in good faith to deliver it to the
<br />"OIfI1erl prior to cOIIIIlceaent.
<br />
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVIT
<br />I certify that all tbe infOrlation in this application is accurate and that all work will be done in ClJIpliance witb all
<br />applicable Ian regulating construction, lOlling, and land developlellt.
<br />
<br />Application is hereby aade to obtain a perait to do work and installation as indicated. I certify that no work or
<br />installation has CDlenCed prior to issuance of a perlit and that all work will be perfomed to aeet standards of allla1rs
<br />regulating construction, City codes, zoning regulations, and land develOplBl1t regulations in the jurisdiction. I also
<br />certify that I understand that tbe regulations of otber gOYeIDlleDtal agencies lilY apply to tbe intended wort, and that it is
<br />If responsibility to identify what actions I lUSt take to be in cmpliance. Sueb agencies include but are not lilited to:
<br />t Depart:lent of Bnvironaental Regulation - Cypress Bayheads, Wetland Areas and Bnvironaentally Sensitive Lands,
<br />lIater /IIaste1rater 'I'reatlent
<br />t Southwest Florida lIater Manag8l8llt District - lIells, Cypress Bayheads, lIetland Areas, Altering lIatercourses
<br />t !ray Corps of Engineers - Seawalls, Docks, lavigable Waterways
<br />t Departaent of Healtb i Rehabilitative Services, InvirOJlleDtal Healtb Unit - Vells, Vastewater '1'reatlent, Septic 'I'ants
<br />t US Bnvironaental Protection Agency - Asbestos abateaent
<br />I also certify that, if fill aaterial is to be used in Flood Zone IIAI or IIA,etc. I, it is understood that a drainaqe plan -
<br />addressing a llcoapensating voluaell will be suhlitted whieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perait issuance.
<br />
<br />A ~it issued shall be construed to be a license to proceed witb tbe IIOrk and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perait prevent the Building Official frol tbereafter .
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perait issued shall becme invalid
<br />unless tbe work authorized by sueb perait is co.enced witbin sillOntbs of issuance, or if work authorized by tbe perait is
<br />suspended or abandoned for a period of six IODtbs after tbe tile the work is co.enced. One gO day stension of tile, lilY be
<br />allOlfed for tbe perait witb fee charge of $15.00. '1'be stension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sillOllth period, or the project will be considered abancloned.
<br />WARlIIG '1'0 omR: YOUR FAILURE '1'0 RECORD A IO'I'ICE OF aJlMDCEIIm MAY RESOL'I' II YOUR PAYlIe; niCE FOR DlPlJVlllD!S '1'0 YOUR
<br />PROPBR'1'Y. IF YOU IIDHD '1'0 OBtW FIJlAKCIIG, COXSUL'I' VI'1'H YOUR LODER OR AI A'1"1'ORIBY BEFORE RBCORDIIG YOOR IOrICE OP
<br />COIIMEICIME1f'1'. JOBS UlDIR $2,500 II VALUE 00 10'1' lIED '1'0 RECORD AID POS'I' A ulO'I'ICE OF COHMIICBIID'1'u.
<br />
<br />(7~~~~~~
<br />SIGHA'l'URI: omR
<br />
<br />~M {!,~.
<br />S : COIl!llAC'l'OR
<br />
<br />S'I'A'I'B OF FLORIDA A
<br />COUIfY OF /15 C-o
<br />The foregoing instrument was acknowledged
<br />before me this fY}19y Y , 19~ by
<br />
<br />Mr
<br />who is personally known to me or who has
<br />produced 12 R {1l ~n.. s.. Lie e.N <:. ..(! f~A
<br />as identification and who did/did not
<br />take an ~"'t.f? ~
<br />
<br />~l;ature)
<br />.. O~L. /1/.lst{
<br />(Name ed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />...F~" OFFICIAL SEAL
<br />l~\ GLADYS L. BUSH
<br />: I My Commission Expires
<br />';. ! Oct. 7. 1996
<br />"'SOF~.. Comm. No. CC 234022
<br />..........1ll.
<br />
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