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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that this penit JaY be subject to 'deed restrictions' whieb JaY be lOre restrictive than City
<br />regulations. !he undersigned asSUle& responsibility for cmpllance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors' to undertake work, they JaY be reguired 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 JaY be
<br />cited for a lisdeJeallor violation under state lal. If the owner or intended contractor are uncertain as to wbat licensing
<br />requireJellts JaY apply for the intended work, they are advised to COIIt.act the City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />IContractor SeCtiODS' of this application for whieb they will be responsible. If JOU, as the owner sign as the contractor,
<br />you are inc1icating that JOU, rather than the contractor, are responsible for the work. 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 peraitting 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 'Plorida's Construction Lien Law - ~'s Protection
<br />Guide' prepared by the Plori4a Departlent of Agriculture and COnsUIeI Affairs. If the applicant is 8OII8ODI other than the
<br />lowner', I certify that I bave obtained a copy of the above described docUIent and pIOlise in good faith to deliver it to the
<br />lownerl prior to COII8IlCl!lll!llt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIliltion in this application is accurate and that all work will - be doDe in COJp.liance with all
<br />applicable Ian regulating construction, loning, and land developleDt.
<br />
<br />Application is bereby lade to obtain a peIlit to do work and installation as indicated. I certify that no work or
<br />installation has CDleDced prior to issuance of a penit and that all work will be perfOlled to .et standards of all Ian
<br />regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDleDtal agencies JaY apply to the intended work, and that it is
<br />Ii responsibility to identify what actions I lUSt take to be in COI(Iliance. Sueb agencies include but are not luited to:
<br />t DepartJent of EnvirOlllel1tal Regulation - Cypress Baybeads, Wetland Areas and Envirolll8lltally Sensitive Lands,
<br />Water/Wastewater 'I'reatJent
<br />I Southwest Plorida Water Hanaq8l8llt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I AllY Co11l8 of Enqineers - Seawalls, Docks, lavigable Watmars
<br />I Departlent of Health i Rehabilitative Senices, IDviroDlelltal Health Unit - Wells, Wastewater 'I'reatlent, Septic 'I'anks
<br />I US EnviIOlllental Protection Agency - Asbestos abatl!ll!l1t
<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 'COIp8Il8ating volUle' will be sublitted whieb is prepared by a professiODal 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 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 petlit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perait issued shall beCOle invalid
<br />unless the work authoriled by sueb peIlit is ~ced within slllODtbs of issuance, or if work autboriled by the penit is
<br />suspended or abandoned for a period of slllODtbs after the tile the work is co.enced. One 90 day ateDSion of tile, JaY be
<br />allOlfed for the penit with fee charge of $15.00. 'I'be 81tension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sil JOnth period, or the project will be considered abaDdoDed.
<br />WARIlIIIG '1'0 ODBR: YOUR FAILURE '1'0 RBCORD I IO!ICE OP aJlllllCIIIBII lilY RESULt II YOOR PAYIIIG nICE PORDIPROVIIIII!S '1'0 YOUR
<br />PROPDfY. IF YOU III'fIID '1'0 OBIAII FIIIIICIIG, COKSDL! lID YOUR LIIDIR 01 U ItmIIIY BBPORI RlCDDIIG, YOOR DICE OF
<br />~ _ $2,Y/IJ II VILIIll DO lOr mD !O IIIIllIID lID IlIIl'I I "AlIIICl or ClIIIIII:IIIIII.
<br />
<br />#/J. L e'#I.s4uu
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<br />S"IGJII!UII: (JIJIII 01 AGm SIGJII'I'URB: COI!UC'I'OR -------
<br />
<br />S!A'fI OF FLOR~
<br />coum OF ;qsr CJ
<br />The foregoing inst~ent.was acknowledged
<br />before me this (:J- ~, 19.1.L by
<br />
<br />()Ahc..R L 4. IleA
<br />who is personally known to me &r WBe hils ...,
<br />pEsduced
<br />as id ificat'
<br />take oa
<br />
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />GAIL Y. GRINDLE
<br />Notary Public, State of Florida
<br />My comm, expires Mar, 25, 1998
<br />Comm, No. CC 368560
<br />
<br />
<br />GAIL Y. GRINDLE
<br />Notary PUlii\G, State of Florida
<br />My comn'! /;;(t~ireG Mar. 25, 1998
<br />Corr,;;< No GG 368560
<br />
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