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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this perlit lay be subject to Bdeed restrictions" wbich lay be lOre restrictive tban C.
<br />regulations. !be undersigned assUles responsibility for cOlpliance 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 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 lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to wbat licenSing
<br />requirelents lay apply for tbe intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if the owner bas bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for wbicb they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather tban the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that laY be an indication that be 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, have been provided with a copy of BFlorida's Construction Lien Law - HOIl!01fDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and Consl1ler Affairs. If the applicant is soeone other than the
<br />"mmer", I certify that I bave obtained a copy of the above described docUlent and pro.ise in good faith to deliver it to the
<br />"owner" prior to couencelent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforlation 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 has cOlleDced prior to issuance of a perlit and that all work will be perfoIJed 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 goveIDIental agencies laY apply to the intended work, and that it is
<br />If responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not lilited to:
<br />i Departlent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />i Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />i Arl' Corps of Engineers - Seawalls, Docks, Havigable Waterways
<br />i DepartJent of Health & Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treatlent, Septic ranks
<br />i US EnviroDlental Protection Agen~ - Asbestos abateleDt
<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 .cQlpensating volDle" 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 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 perJit issued shall beCOle invalid
<br />unless the work authorized by such perlit is COIIenced within six IOnths of issuance, or if 1I0rk authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is ~ced. One 90 day l!Itension of tile, lily be
<br />allowed for the perlit with fee charge of $15.00. The l!Itension shall be requested in IIriting to the Building Official. An
<br />approved inspection lUst be logged during each six IOnth period, or the project lIill be considered abandoned.
<br />WARHIHG TO OIIHER: YOUR FAILURE TO RECORD A HOTICE OF COHHEHCBIIBHT HAY RESULT IH YOUR PAYIHG !VICE FOR IHPROVBHBNTS TO YOUR
<br />PROPERTY.. IF YOU INTElID TO OBTAIH FHIAXCIHG, COHSULT WITH YOUR LBHDER OR AN' AtTOlIMBY BEFORE RECORDIHG YOUR HO'IICE OF
<br />COMHEHCBHBNT. JOBS UHDER $2,500 IH VALUE DO HOT NEED TO RECORD AIID POST A BNOTICE OF COIlHBNCBMBHlH.
<br />
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<br />
<br />~~~
<br />,-. SIGMAT~ OR'
<br />
<br />STATE OF FLORIDA fA
<br />comy OF ..> {O
<br />The foregoing in~trument was acknowledged
<br />before me this :Jt({/; OCTr, 19 <iF' by
<br />
<br />-------- LE(j& .5': WIJ-S6!11 ar
<br />GhO is personally known to me] or who has
<br />produced
<br />as identificatfJon ~d ~~ did/did not
<br />take an oath~ ~
<br />
<br />(Signature) r-
<br />f 01. 'IClA[NOTARY EAL
<br />(Name Typed, , (F ~JlOR:DA
<br />NOTARY PUBLIC COMMiSSION NO. CGO'1757 ,
<br />. MYCOMM'.i;5iON E:-:r;: ./;S..::1 {
<br />..""'~
<br />
<br />STATE OF FLORIDA tJ A (
<br />coum OF /' (LvLO
<br />The foregoing instrument was acknowledged
<br />before me this ;J/(/)E OCr: , 19 r.s- by
<br />
<br />r.:..-CiEtJM,E .L, 8~, ~r
<br />~ho is personally known 'to _~.--- or who has
<br />'produced
<br />as identifica an~ wh~.~d/di~ not
<br />take an oath. ~
<br />
<br />
<br />(Signature)
<br />
<br />(Name Typed,
<br />NOTARY PUBLI
<br />
<br />
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