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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 Ideed restrictionsR wbich lay be lOre restrictive than City
<br />regulations. !be undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has bired 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 lilY be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if the owner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />"Contractor SectionsN of this application for wbich they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, ratber than the contractor, are responsible for the work. If the contractor wisbes you to sign
<br />as contractor that lay be an indication that be is not properly licensed and is not entitled to pertitting 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 - HDIeOWDer's Protection
<br />GuideR prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />Rowner", 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 cOllencetent.
<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 cDlpliance with all
<br />applicable laws regulating construction, zoning, and land developleDt.
<br />
<br />Application is bereby 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 peIlit and that all work will be perforted 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 governtental agencies laY 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 EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Havigable Waterways
<br />t Departlent of Health & Rehabilitative Services, EnvirOOleDtal Health Unit - Wells, Wastewater treatJent, Septic ranks
<br />* US EnviroDlental Protection Agency - Asbestos abatetent
<br />I also certify that, if fill laterial is to be used in Flood ZOne NAI or "A,etc.", it is understood that a drainage plan
<br />addressing a "c~sating voluteR will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A peIlit issued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a peIlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becOle invalid
<br />unless the work authorized by such peIlit is cOlleDced within six IOnths of issuance, or if work authorized by the peIlit is
<br />suspended or abandoned for a period of six IOntbs after the tile the work is cc.enced. One 90 day extension of tile, lay be
<br />allowed for the peIlit 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 each six IOntb period, or the project will be considered abandoned.
<br />WARJlING TO OWNER: YOUR FAILURE TO RECORD A HOTICE OF COMHENCElfEHT MAY RESULt IH YOUR PAYING twICE FOR IHPROVEMEn'S TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBfAIH FIHAHCIHG, COHSULT WITH YOUR LENDER OR AI AftORNEY BEFORE RECORDIHG YOUR NOTICE OF
<br />COHHHNCEHEHT. JOBS UHDER $2,500 IH VALUE 00 HOT NEED TO RECORD AND POST A trHOTICE OF COMHEH "
<br />
<br />
<br />
<br />SIGlAIIIBE:~
<br />
<br />(.
<br />
<br />
<br />STATH OF FLORIDA ,j?
<br />COUN'lY OF r 15 Cd
<br />The foregOing instrument was acknowledged
<br />before me this (0/ / CJ> , 197"-- by
<br />,
<br />
<br />STATE OF FLORIDA P
<br />coum OF / #Sed
<br />The foregoing inst~ent was acknowledged
<br />before me this I'Ct-L ~ , 19 95- by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an o~th~ ~ ~
<br />
<br />(Signature)
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identifi~ ~wbo did/did not
<br />take an oat air ~
<br />
<br />(Signature)
<br />
<br />(Name Typ~~g~~fr~~<J pr St~ed)
<br />NOTARY p Ie:;",-. KEITH CORREIA
<br />:'.( tv. 'Z;:~ MY COMMISSION' CC 4514;.
<br />~'1t.,,~/,rl EXPiRES: May 13. 1999
<br />...tf;ifr..':;0' Bonded Thill Noary PullIIc: UnderwriiQ!:
<br />
<br />(Name Typ
<br />NOTARY P
<br />
<br />'"''''''''''
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<br />: : .0[.\
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<br />"'~,9f:J~~"
<br />
<br />t ed)
<br />KEITH CORREIA
<br />MY COMMISSION' CC 451416
<br />EXPIRES: May 13, 1999
<br />B~_~ NoII!y Public Undelwrfesq
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