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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peIlit lay be subject to "deed restrictions" whieb lay be lOre restrictive than City
<br />regulations. The 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 ower and contractor lay be
<br />cited for a lisdeleanor violation under state law. If the ower 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 Zephyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" 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 wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting 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 witb a copy of uFlorida's Construction Lien Law - HOIeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />.owner", I certify that I have obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />"owner" prior to cOllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance witb all
<br />applicable laws regulating construction, zoning, and land developlent.
<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 cOllenced prior to issuance of a perlit and that all work will be perf oIled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDIental agenCies laY apply to the intended work, and that it is
<br />.y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />t Deparblent of EnviroRlental Regulation - Cypress Baybeads, Wetland Areas and EnviroRlentally Sensitive Lands,
<br />Water/Wastewater !reablent
<br />t Southwest Florida Water Hanagelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rehabilitative Services, EnvirODJeRtal Health Unit - Wells, Wastewater !reablent, Septic ranks
<br />t US EnviroRlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a uCOlpensating volUJe" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit 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 tbe technical codes, nor shall issuance of a perlit prevent the Building Official frOl tbereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball heCOJe invalid
<br />unless the work authorized by sucb perlit is cOlleDced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is c_enced. One 90 day extension of tile, Jay be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during eacb six IOntb period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY.. IF YOU IN'J'END TO OBTAIH FIHANCING, COHSULT WITH YOUR LENDBR OR AN AnoRNEI BEFORE RECORDIHG YOUR NOTICE OF
<br />COMMENCEMEHT. JOBS UNDER $2,500 IH VALUE DO NOT NEED '1'0 RECORD AND POST A "HOTICE OF COMMBHCEMEN!".
<br />
<br />f 1~
<br />I IJ/L.7 A/J^( !:-.<X/--
<br />SIGHA ~: CO~OR
<br />
<br />STATE OF FL~DA
<br />COUN'J'I OF 't'~ c...o
<br />The foregoing i~rument was acknowledged
<br />before me this pl. ~S- , 19~ by
<br />
<br />~ ~ll-\-~ M A ~I II A.J
<br />who is personally known to me or who has
<br />produced fL~~ fY\(aSD~;:)l.- \1-/(.. "(-/ wi:
<br />as identification and who did/did not
<br />
<br />t~~~.~ ~.
<br />(Signature) b ~
<br />Clt~1'J m., ~i\J-g
<br />(Name Typed, Printed or Stamp d)
<br />NOTARY PUBLIC
<br />
<br />S'lAIE OF FLORID! A
<br />COUHTY OF W--'J
<br />The fOregOing~t was acknowledged
<br />before me thi , 19~ by
<br />
<br />])q,t.J~fle- FCT~!50n
<br />who is personal i1kn~to me r to has
<br />produced -F/IH'" a..... J/ Y'\'J'eY'S l(.V1Se
<br />as identification who did/did not
<br />take an t
<br />
<br />
<br />#~~,
<br />1'"11*
<br />
<br />. "I:t~ Of p..""
<br />
<br />CLEREEN M BRUNTY
<br />My Commission CC383730
<br />Expires Jun. 15.1998
<br />Bonded by ANB
<br />800-852-5878
<br />
<br />'*~\~'" ROBIN LEE SILVEREST
<br />!~. ,-~ MY COMMISSION' CC 8882&4
<br />: EXPIRES: December 14, 11187
<br />IIcnIId 1llIU NDlIIY NIl \JndnIIIIII
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