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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 restrictions. wbich 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 tbe owner bas bired a contractor or contractors to undertake wort, 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 lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to .bat licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />.Contractor Sections I of this application for wbich 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 Zepbyrbills.
<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 - HOIIeOIDer's Protection
<br />Guide. prepared by the Florida DepartJent of Agriculture and ConsUIeI Affairs. If the applicant is SOIeODe other than the
<br />"owner", I certify tbat 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 inforaation in this application is accurate and that all work will be done in cOlpliance with all
<br />appliCable laws regulating construction, Joning, and land develo~ent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no wort or
<br />installation bas CDllenced prior to issuance of a peIlit and that all wort will be perforJed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develo~ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govl!IDllental agenCies lilY apply to the intended work, and that it is
<br />Iy responsibility to identify what actions I lust take to be in COIpliance. Such agencies include but are not lilited to:
<br />t Departlent of EnvirOflleJltal Regulation - Cypress Baybeads, Wetland Areas and Envirolllentally Sensitive Lands,
<br />Vater/Vastewater Treatlent
<br />t Soutbwest Florida Water Managuent District - VeIls, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Deparblent of Health & Rebabilitative Services, EnvironleDtal Health Unit - VeIls, Vastewater treablent, Septic Tants
<br />t US EnvironleDtal Protection Agency - Asbestos abatuent
<br />I also certify that, if fill IiIterial is to be used in Flood ZOne "AI or "A, etc. I, it is understood that a drainage plan
<br />addressing a .cQlPeDSating volUle. will be sublitted wbich 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 wort and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball 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 perJit issued shall beCOle invalid
<br />unless the work authorized by sucb perlit is COllenced within six IOnths of issuance, or if work authorized by the peIlit is
<br />suspended or abandoned for a period of sillOntbs after the tile the work is CDllenced. One 90 day extension of tile, laY be
<br />allowed for the peIlit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each sixlODth period, or the project will be considered abandoned.
<br />WAIUfING TO OIDIBR: YOUR FAILURE TO RECORD A NO'l'ICE OF C<IDIBNCBIlBIft MAY RESULT IN YOUR PAYING !IIICE FOR IMPROVEMD'lS TO YOUR
<br />PROPERfY. IF YOU IIft'BHD TO OBtAIN FIIWCING, CONSULT VITH YOUR LBNDIR OR AN AftORDY BEFORE RlCORDIJlG YOUR JlO'l'ICI OF
<br />
<br />
<br />COMMHJICBMBR~r" _ UWG :~':INO:~DD ~r A ~~~
<br />
<br />SIGllArm" - R 0-'- ~ _::;:--2-" - .. ~:.:::.
<br />i ~~___-~.---
<br />
<br />STAfE OF FLORIDA f) STATE OF FLORIDA 0
<br />coum OF f 1-S Co COUJft'Y OF T /!5 CO
<br />The foregoing instrument was ~~Wledged The foregoing inst@pt was ac~edged
<br />before me this tt> / 30, 19 by before me this -,---0, 19~ by
<br />f
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification an, d w, ho a:::::
<br />take an oat~~ ~
<br />
<br />(Signature)
<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~t~k ~
<br />
<br />(Signature)
<br />
<br />(Name Typed, P
<br />NOTARY PUBLI
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUB .,.
<br />""'~~~'~"'" KBTH CORREIA
<br />~"f"~~:~ MY COMMISSION # cc 451416
<br />\~'~~{f EXPIRES: May 13. 1999
<br />"'~.w.,i!It.. Bonded 11Iru NolIIy PublIc Undelwltl8rs
<br />
<br />
<br />, ~" ' KEITH CORREIA
<br />~,,~ MY COMMISSION II Cc 451416
<br />~j EXPIRES: May 13. 1999
<br />;;r,;<t'. Bonded 11Iru Notary PubHc UndelwItt8rs
<br />
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