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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that this penit lily be subject to "deed restrictions" whieb lily be lOre restrictive than City
<br />regulations. !he undersigned il8SUIe& responsibility for ~liance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OImer bas hired a contractor or contractors to undertake work, they lilY 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 owner and contractor lilY be
<br />cited for a .isdeleanor violation under state lal. If the owner or intended contractor are uncertain as to what licensing
<br />reguireIeDts lily apply for the intended work, they are advised to COQ.tact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furthenore, if the ower has hired a contractor or contractors, be is adviBed to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for which they lIill be responsible. If you, as the ower sign as the contractor,
<br />you are indicating that fOu, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that lily be ail indication that he is not properly licensed and iB not entitled to perlitting privileges in the
<br />City of ZephyrhillB.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEM LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's construction Lien Law - lIoIeoImer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUIeI AffairB. If the applicant is 8OIl!OD8 other than the
<br />"OImer", I certify that I have obtained a copy of the above described docUIent and pIOlise in good faith to deliver it to the
<br />"owner" prior to COIIeDceIl!Ilt.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the infoIliltion in thiB application is accurate and that all work will be done in ~liance with all
<br />applicable laws regulating construction, loning, and land develoPEDt.
<br />
<br />Application iB hereby Iilde to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has CDlenCed prior to iSBuance of a penit and that all work will be perfoIJed to leet standarcls of all laws
<br />regulating conBtruction, City codes, loning regulations, and land develoPEDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDlleDtal agencies lilY apply to the intended work, and that it is
<br />Ii responsibility to identify what actions I lUSt take to be in ~liance. Sueb agencies include but are not lilited to:
<br />t Departlent of Bnvil'Olllelltal Regulation - CypresB Baybeads, Wetland Areas and BnviroDleDtally Sensitive Lands,
<br />lIater/Wastewater !reat:lent .
<br />t Southwest Florida lIater Managl!lleDt District - lIe1l8, Cypress Bayheads, lIetland Areas, Altering lIatercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, Havigable lIaterways
<br />t DepartleDt of Health' Rehabilitative Services, BnviIODleDtal Health Unit - lIe11s, lIastewater !reatlent, Septic !anks
<br />t US BnviIODleDtal Protection Agency - Asbestos ahateleDt
<br />I also certify that, if filllilterial is to be used in Flood Zone "A" or "A,ete.", it is understood that a drainage plan -
<br />addressing a "C0Jp8D8ating volute" will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A ~it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel aiter, or
<br />set aside any provisions of the technical codes, nor Bhall iSBuance of a perlit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall beCf118 invalid
<br />unlesB the work authorized by sueb perlit iB ~ced within BillOnths of iBsuance, or if work authoriled by the perlit iB
<br />Buspended or abandoned for a period of sillODtbs after the tile the work iB ~ced. One 90 day stension of tile, lilY be
<br />allowed for the pmit with fee charge of $15.00. fbe stension shall be requested in writing to the Builc1ing Official. An
<br />approved inspection lUSt be -logged during eaeb Bil IOIlth period, or the project will be considered abandoned.
<br />IIARHIHG !O OIIHER: YOUR FAILURI !O RlCORD A IfOfICE OF COIIIBICIIIIHf MAY RISUL! II YOUR PAYIIG !IIICE FOR DIPROVIIIII!S !O YOUR
<br />PROPEm. IF YOU III'IBHD !O OB!lIK FIMAKCIIG, COKSOL! IIID YOUR LBIIDIR OR 1K AnomY BIFORB RICOBDIKG YOUR DICE OF
<br />aIOIEICIMBII!. JOBS ORDER '2,500 IK VALUI DO lOt DID fO RECORD lID POSt A 'HOtICE OF aJIIIIICBIIIK!'.
<br />
<br />Ii'-.e ~ ~y ~ -/ ~;g_J
<br />
<br />.7 SIGllfURI: (IOlIR OR AGIII'l ,7' SIGIIA'IURI: COKDACrOR
<br />
<br />8!I'O OF FLORIDA 0
<br />coom OF [frf:Jj)
<br />Tbe foregoing instrument was acknpwledged
<br />before me this t{Ai 1(/ n... , 19~ by
<br />
<br />~ ~./5 f\-lt+t,
<br />wbo is persona~ly !m~ to ~ or who has
<br />produced .Bn(U()~ ~\Jt>11s.. LA c.EIJ'S€.
<br />as identificat}9D and who did/did not
<br />
<br />~ake/~~(M~'~
<br />~~k<J~m --
<br />(Name Typed, Printed or St~ed)
<br />NOTARY PUBLIC
<br />
<br />S!A!E OF F~
<br />coum OF tl-S"n
<br />Tbe foregoing instrument was acknowledged
<br />before me thiS~, 19-55. by
<br />
<br />J{;)~,S~'\
<br />wbo is personal!y ~wn to me. orwbo has
<br />produced -:tl n'flA OA IUle11J k \C.fnsF.:
<br />as identif1cation and bo did/did not
<br />tak~%4~ ',/'
<br />V~ J (, ,r-;~~
<br />Si~at~ _
<br />~D .~t'\S6n
<br />(Name-Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />A ROBERT L. JOHN.sON
<br />._. Nota;y P:,jolic. S!;;~F cf Fi'>:'irJa
<br />. ." ,MY Comm. 8~fJ!,ri)( i:.CI,i ';~.J ~
<br />No. (;C4:)>;;';~ ~
<br />~ Bond9d Thru (f;[fina! ~\-lr',.:,....'lI ~r"ll:[" I
<br />1-(8CO) 123-0121" .. ,
<br />~~!~"'-~'';''''''~'WI'I~o;i
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<br />R03mn L- JOHNSON
<br />Notur~' r\;t~:C. St;;t.1 of Flr;Ttda
<br />M'j C,)mm. Hxpir&s ~.~;:.y 08.' 999
<br />No CC~::'I'Si2
<br />Bonded ThjJ (f':~irdlt: ~r::,~,,'1! ~t'r,.irt
<br />1jg.OQ) 723.0121
<br />
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