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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait lay be subject to Ideed restrictions" wbicb lay be lOre restrictive than City
<br />regulations. Tbe undersigned assUles responsibility for cOlpliance 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 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections I of this application for which they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign
<br />as contractor that lay be an indication that he 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, have been provided with a copy of IFlorida's Construction Lien Law - HOIeOWDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is SOROne other than the
<br />Downer", I certify that I have obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the
<br />"ownerD prior to cOllellcelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation bas cOllenced prior to issuance of a perait and that all work will be perfoIJed to .eet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developteDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDIeDtal agencies aay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lUst take to be in cOlpliance. Such agencies include but are not lilited to:
<br />* Departlent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />WaterfVastewater Treatlent
<br />t Southwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* Aray Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health & Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US EnviroDlental Protection Agency - Asbestos abatetent
<br />I also certify that, if fill laterial is to be used in Flood Zone lAD or DA,etc.", it is understood that a drainage plan
<br />addressing a uCqlpensating volUlel will be sublitted wbicb is prepared by a professional engineer registered in the State of
<br />Florida prior to perait issuance.
<br />
<br />A perlit issued sball 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 perlit prevent the Building Official frot thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perait issued sball beCOle invalid
<br />unless the work authorized by such perlit is cOllBDced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOntha after the tile the work is co.enced. One 90 day utension of tile, laY be
<br />allowed for the perait with fee cbarge of $15.00. Tbe utension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each six IOnth period, or the project will be considered abandoned.
<br />WARRING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMDCEllEIft' MAY RESULT IN YOUR PAYING !VICE FOR IMPROVEIIEIft'S TO YOUR
<br />PROPERTY. IF YOIl IIft'EW TO OBTAIN FINAIICING, CONSULT WITH YOUR LEER OR All AnORIEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />v/. {)J- ((d),;,^,v--'
<br />SIGIIAT : COIft'RACTOR
<br />
<br />STATE OF FLORID~
<br />coum OF 'j} X 0
<br />The foregoing instrument was acknowledged
<br />before me this 9'lcP/ , 19~ by
<br />
<br />-5b hn b /-/UJ5o/Y
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an ~th. t1 ~~ ~~
<br />
<br />~~ h
<br />/y ,r.; 4t- ftj S.. /X~ IJL V If /V fr
<br />(Name Typed Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA
<br />coum OF ~~
<br />The foregoing instrument was acknowledged
<br />before me this d.o~ , 19~ by
<br />
<br />~\u-,'L ~ - ~N'\'()...:"
<br />who is personally known to me or who has
<br />produced ~~&.""" \J::~ ~~ '
<br />as identification and who did/did not
<br />tak~an o~th.
<br />~ :--.(' \- ~ ~'L,.
<br />(Signature)
<br />\-- c' '':".~ ~ C\f\ ~~
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~..,.1 '111.
<br />~~~~
<br />;.;
<br />
<br />,.~ Df f\.~
<br />
<br />NANCY S MCALVANAH
<br />My CommiIIIIion CC488088
<br />Explr.. Sep. 04,1999
<br />Bonded by AAI
<br />800-422-1555
<br />
<br />lEIGH J. CLASS
<br />NOTARY PUBLIC. STATE OF FLORIDA
<br />My cQmmission expires Mar. 21, 19':! I
<br />Commission No. C C 2 7 0 3 8 1
<br />
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