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<br />" r CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pertit laY be subject to Ideed restrictions" whieb lay be lOre restrictive than City
<br />regulations. tbe undersigned assUleS responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance tlith
<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 lisd_anor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requireJents lilY apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />. 788-6611.
<br />
<br />FurtherlOre, if the owner has bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />'Contractor Sectionsl of this application for whieb 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 lilY be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<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, the applicant, bave been provided with a copy of 'Florida's Construction Lien Law - HoIemmer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is IIOIIt!One other than the
<br />'owner', I certify that I bave obtained a copy of the above described docUleDt andprOlise in good faith to deliver it to the
<br />"owner" prior to COlleDCeJellt.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in cOJpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />
<br />Application is hereby aade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation bas c~ced prior to issuance of a pertit and that all work will be perfoIJed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveruental agencies laY apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in cOlpliance. Sueb agencies include but are not lilited to:
<br />t Departlent of Envirolllel1tal Regulation - Cypress Baybeads, Wetland Areas and Envirolllentally Sensitive Lands,
<br />Water/Wastewater treatleRt
<br />t Southwest Florida Water Managl!lel1t District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, Navigable Watenays
<br />t Departlent of Health & Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater treatlent, Septic tanks
<br />t tl!! f!lvirODlle!1tal Protection Agency - Asbestos abatuent
<br />I also certify that, if fill laterial is to he used in Flood ZOne 'AI or 'A,etc.", it is understood that a drainage plan
<br />addressing a ICOlpeDSating volUJe" will be soblitted wbieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit 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 sball issuance of a perlit prevent the Building Official frCl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued sball beCOle invalid
<br />unless the work authoriled by sueb perlit is cOll8llced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of sil IOnths after the tiE the work is cOll8llced. One 90 day l!Itension of tiE, lilY be
<br />allowed f~r the pertit with fee ebarge of $15.00. the l!Itension shall he requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sil IODth period, or the project will be considered abandoned.
<br />WARRING fO OWNER: . YOUR FAILURE TO RECORD A NotICE OF COMMERCBMm MAY RESULT IN YOUR PAYING twICE FOR IMPROVIIlEIfS TO YOUR
<br />PROPERTY. IF YOU III'IBND TO OmAIN FIWCING, CONSULt WItH YOUR LBIIDER OR All AnoRIIY BEFORE RECORDING YOUR IIOfICE OF
<br />COMMIMCEMBlII. JOBS UND VALUE 00 Mot tIlED to RECORD AIfD POST A lINotICE OF COIlMENCEMEIl'f".
<br />
<br />
<br />A)\...
<br />(Signature)
<br />. _1.-.&'1
<br />(N , . ~d)
<br />NOT-. ~~
<br />
<br />
<br />~~e
<br />SIGDIm. II!BACIIII
<br />
<br />
<br />S'fA'fE OF FLORIDA 'P- . 1fJu
<br />coum OF ~M Q :..Q
<br />The foregoing instruwen~s ackn~ledged
<br />before me this ';;2.1~f-ct s-; , 19~ by
<br />
<br />S- el-5 ~G
<br />who i ersonal y knOWD. 0 me or who has
<br />produce
<br />. tification and who didtaid no~
<br />o. b
<br />
<br />
<br />SI
<br />
<br />
<br />(Nam
<br />NOT
<br />
<br />
<br />, ~. . ... ....-uoed)
<br />ftC 173301 ExPM
<br />flt. .." .IInuIIy 14. 1.
<br />IOHl!P tIRIlNW FAIl""'...
<br />
<br />fIA.~~" DEBORAH K.1IIOMl.EY
<br />{.:~i . fI( COtIMSSION , CC 173301 EXPIRES
<br />~. JanIl8lY 14. 1.
<br />'" "iif.~ IlONDED tlIIU TROY FAIN 1IIlIIWCE. ac.
<br />
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