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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS"
<br />'fbe undersigned understands that this penit Jay be subject to 'deed restrictions' wbich Jay be lOre restrictive than City
<br />regulations. !be undersigned asBUles responsibility for capliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED, CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OIOler bas bired a contractor or contractors to undertake work, they lay 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 laY be
<br />cited for a liscl8l8anor violation under state law. If the mmer or intended contractor are uncertain as to IIbat licensing
<br />requirl!l8llts Jay apply for the intendedlOrk, they are advised to contact the City of Zepbyrbil1s 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 />'Contractor Sections' of this application for wbich they will. be responsible. If JOU, as the mmer sign as the contractor,
<br />you are indicating that fOU, rather than the contractor, are responsible for the IOrk. If the contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to peraitUng privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILI'rY 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 'Plorida's COnstruction Lien Law - BoIeoImer's Protection
<br />Guide" prepared by the Plorida Departlent of Agriculture and ConsUI8I Affairs. If the applicant is 8OIeOIl8 other than the
<br />'OIOler", I certify that I bave obtained a copy of the above described c10cUIent and prOlise in good faith to deliver it to the
<br />'owner' prior to COll8J1Cl!l8llt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIlition in this application is accurate and that all IOrk will be done in capliance with all
<br />applicable lills regulating construction, loning, and land deve1opl8l1t.
<br />
<br />Application is bereby lade to obtain a perut to do work and installation as indicated. I certify that DO IOrk or
<br />installation baa ~ced prior to issuance of a penit and that all IOrk will be perfotl8d to I18t ltanc1ards of all lilIl
<br />regulating construction, City coc1es, loning regulations, and land developl8llt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveruental agencies laY apply to tI!e intended IIOrk, and that it il
<br />If responsibility to identify what actions I lust take to be in COIPliance. Such agencies include but are not lilited to:
<br />t Departlent of Bnvirollll8l1tal Regulation - Cypress BaybeacJs, Wetland Areas and Bnvirollll8l1tally Sensitive Lands,
<br />Water/Wastewater !reatlent
<br />t Southwest Florida Water Hanagl!l8llt District - lIells, Cypress Baybea4s, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Ifavigable lIaterways
<br />t Departlent of Health' Rehabilitative Services, BnvirOlll8l1tal Health Unit - Wells, Wastewater !reatlent, Septic tanks
<br />t US BnvirODlental Protection Agency - Asbestos abat8l8llt
<br />I also certify that, if fill Jaterial is to be used in Plood ZOne 'A' or 'A,etc.', it is understood that a drainage plan
<br />addressing a 'co.pensating volUl8' will be subtitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance. '
<br />
<br />A perlit issued shall be construed to be a license to proceed lith the IOrk and not al authority to violate, cancel alter, or
<br />set aside any provisions of the technical coc1es, nor shall issuance of a penit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any coc1e. Ivery peIlit i88Ued shall bec3e invalid
<br />unless the IIOrk authorized by such peIlit is co.enced within slllODtbs of issuance, or if IIOrk autboriled by tile penit is
<br />suspended or abandoned for a period of ail IODths after the tile the 110ft II ~ced. ODe 90 clay atension of tile, laY be
<br />allowed for the pmit lith fee charge of '15.00. 'fbe atension ahall be requested in lriting to the Building Official. An
<br />approved inspection lUSt be logged during each lillODth period, or the project lIi11 be considered abandoned.
<br />WARlUIfG fO omR: YOUR PAILORB fO RECORD I IO'I'ICE OF aIIMDCIIIBIft MlY RESULf II YOUR PIYIIG !VICE FOR DIPROVIIIDIS !O YOUR
<br />. ... . ..
<br />PROPBR'lY. IF YOU IIIDID !O OUAlHPIlIAHCIIG, COISUL! WIm YOOft LDDIR OR D AnoRDY BBFORB RICORDIIG YOOft IIO'I'ICE OF
<br />mumlCBHBH!. JOBS URDU '2,500 II VALUE DO 10'1' mD !O RECORD AID POSI A 'IO'I'ICBOl CIMBIl1".
<br />
<br />
<br />-~~~
<br />/IGIA OR A
<br />
<br />
<br />wbo is persona1Mc known Ito me or wbo bas
<br />produced :])12, eRs> \r ~L:. et\Jse .
<br />as identification and wbo did/did not
<br />tak '0
<br />
<br />
<br />SIAIB OF PLORIDA ~ .
<br />coum OF ~~ ()
<br />The foregoing instrument was ackn9Wledged
<br />before me tbis 4>) I " 19 ~ by
<br />
<br />
<br />~:~~~~-~~r wbo has
<br />
<br />produced
<br />as identification and wbo did/did not
<br />
<br />ta~\ .
<br />(Signature --
<br />
<br />SlATE OF FLORIDA ()
<br />COUIt'Y OF (. ~t\)
<br />The foregoing ins~~ent was ac~owledged
<br />before me this , 19~ by
<br />
<br />(Rue Typed, Pri
<br />ROTARY PUBLIC
<br />
<br />
<br />t. LOCK
<br />y Comm Exp. 2--27-96
<br />o~ded?r "S,e:rvice Ins, C!
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