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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'fbe undersigned understands that this penit IlaY be subject to 'deed restrictions' Ibich llay be lOre restrictive than City
<br />regulations. 'fbe undersigned assUJe8 respcmsibility for COIpliance witll any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner lias hired a contractor or contractors to undertake work, tIIey 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 owner and contractor IlaY be
<br />cited for a lisd_anor violation under state law. If the OlDer or intended contractor are uncertain as to lhat licensing
<br />requirelents laY apply for the intended IOrk, they are advised to cQlltact the City of Zephyrbllls Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if tile owner has lIired a contractor or contractors, be is advised to have tile contractor(s) sign portions of tile
<br />.Contractor Sections' of this application for wbicll they lill be responsible. If you, as the owner sign as the contractor,
<br />you are inc1icating that you, ratller than the contractor, are responsible for tile work. If tile contractor wislles you to sign
<br />as contractor that IlaY be an indication that lie is not properly licensed and is not entitled to penitting privileges in tile
<br />City of Zepbyrhills.
<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, tile applicant, have been provided witll a copy of 'Florida's construction Lien Law - lkIIeoImer's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and COnsUler Affairs. If the applicant is SOIeOIle otller than tile
<br />'OlDer', I certify that I have obtained a copy of tile above described docUIent and pImlise in good faith to deliver it to tile
<br />'owner' prior to COII8JlCeJellt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infonation in this application is accurate and that all IOrk lill be done in COIpliance lith all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is bereby Be to obtain a Perlit to do work and installation as indicated. I certify that no IOrk or
<br />installation bas CDlenced prior to issuance of a penit and that all IOrk lill be perfoned to Jeet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in tile jurisdiction. I also
<br />certify that I understand that the regulations of other governlll!J1W agenCies IlaY apply to the Intendec1lOIt, and that it is
<br />IY responsibility to identify .hat actions I lUSt take to be in COJpliance. Such agencies include but are not lilited to:
<br />t Departlent of EnvirOllllelltal Regulation - Cypress Baybeads, Wetland Areas and EnvirOllllelltally Sensitive Lands,
<br />Water /Wastewater 'lreatlent
<br />t SoUtblest Florida Water Hanagell!llt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, Xavigable Waterways
<br />t Departlent of Health i Rehabilitative Services, EnvirOlll8lltal Healtll Unit - Wells, Wastewater Ireatlent, Septic lanb
<br />t US EnviIOllll!lltal Protection Agency - Asbestos abatl!lent
<br />I also certify that, if flllllaterial is to be used in Flood Zone 'A' or 'A, etc. n, it is understood that a drainage plan -
<br />addressing a 'COIpeIl8ating volDle' lill be subJitted Ibich is prepared by a professional engineer registered in the State of
<br />Florida prior to penit issuance.
<br />
<br />A ~it issued shall be construed to be a license to proceed lith tile wort and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Buildlng\ Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery penit issued shall becme invalid
<br />unless the wort authorized by such pellit is co.enced lithin sillOllths of issuance, or if wort authorized by the penit is
<br />suspended or abandoned for a period of sillOlltlls after the tile tile wort is co.enced. One 90 day utension of tile, IlaY be
<br />allowed for the penit lith fee charge of $15.00. !lie utenslon 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 />WlRNIIfG 'l'O omR: YOUR FAILURE '10 RlCORD A ROIICE OF CClMDCIIIIIfI MAY RlSULI IX YOUR PAIIIG NICE FOR IMPROVIIlIIIS 'l'O YOUR
<br />PROPERlY. IF YOU IJDIlD to 08lAII FIWClIfG, COISULI WID YOUR LBIDIR OR D AnomY BEFORI RBCOBDIIG YOUR ROIICE OF
<br />
<br />
<br />~~'~o IIVMa OOQ__W~~: ~~..
<br />
<br />SIGlAIURI: OOER SIGMlfURB: R
<br />
<br />SfAt'E OF FLORIDA ()
<br />coum OF ~
<br />The foregoing instrument was acknowledged
<br />before me thisVJ.-v1? J. b , 19 r S- by
<br />
<br />
<br />~~ersonallY known ~~)or who has
<br />pro uced ;
<br />as identification and wbo ~d/did DOt
<br />
<br />take anft~^-'/yJ'r~/1'
<br />
<br />(Signature)
<br />
<br />(Hame Typed, Printed or Stamped)
<br />HOTARY PUBLIC
<br />
<br />~tRY ~
<br />.^ DONNAM SINCLAIR
<br />* * My Commission 00382619
<br />", Expires Jun. 14. 1998
<br />~1t1lF p..'
<br />
<br />SIAR OF FLORIDA ~
<br />coum OF ~
<br />The foregoing instrument was acknowledged
<br />before me this <"Yv1 d ,':}b , 19~ by
<br />
<br />
<br />~ is personally known to ~~r who has
<br />oauceCl
<br />as identification and who did/did not
<br />
<br />take an ~'-h1~~'
<br />(Signature)
<br />
<br />(Hame Typed, Printed or Stamped)
<br />HOTARY PUBLIC
<br />
<br />*11*
<br />
<br />"'-.;,. .....<:1~
<br />"OFf\.U"
<br />
<br />DONNA M SINClAIR
<br />MyCo~~n~19
<br />Expires Jun. 14,1998
<br />
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