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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands tbat this peIlit lay be subject to Rdeed restrictions" which laY be lOre restrictive than City
<br />regulations. the undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tbe owner bas hired a contractor or contractors to undertake wort, tbey 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 lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requireJents lay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if the owner bas hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sections I of tbis application for which 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 Zephyrbills.
<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, tbe applicant, bave been provided with a copy of IFlorida's Construction Lien Law - HOIeOWDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUIeI Affairs. If the applicant is sOleone other than the
<br />"owner", I certify tbat I have obtained a copy of tbe above described docUleDt and prolise in good faith to deliver it to the
<br />"owner" prior to couencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all tbe inforaation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land develoPlQDt.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify tbat no work or
<br />installation bas COlleDced prior to issuance of a peIlit and tbat all wort will be perf OIled 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 goveIDIeDtal agencies aay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lUst take to be in colpliance. Sucb agencies include but are not lilited to:
<br />* DepartJent of EnvirODleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Soutbwest Florida Water Hanaguent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health & Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic tanks
<br />* US EnviroDlental Protection Agency - Asbestos abatuent
<br />I also certify that, if fill laterial is to be used in Flood Zone "AN or "A,etc.l, it is understood that a drainage plan
<br />addressing a Rc~pensating volUle" will be sublitted wbich is prepared by a professional engineer registered in tbe State of
<br />Florida prior to peIlit 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 tbe technical codes, nor shall issuance of a per.it prevent tbe Building Official frOl 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 authorized by such peIlit is couenced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOntbs after the tile the work is couenced. One 90 day extension of tiae, aay 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 six IOnth period, or the pro' 1 I be nsidered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NO'I'ICE OF COHHDCEHElft' HAY T IN YOUR P NG fNICE FOR IHPROVEIIEIft'S TO YOUR
<br />PROPERTY. IF YOU Ilft'EHD TO OBTAIN FINANCING, CONSULT WITH YOUR LIND OR AN AnO EFODB DB RDIXG YOUR XO'I'ICE OF
<br />COHHENCEHBXT. JOBS UHDER $2,500 IX VALUE DO NO'I' NEED TO RECORD AND ST A IN OF COHHEN lft'1.
<br />
<br />l"
<br />
<br />~J~~>
<br />SIGNATURE: OWNER OR AGE
<br />
<br />STATE OF FLORIDA r-1
<br />COUN'fY OF ~[,'k... rasCQ
<br />The foregoing instrument was aCknowledged
<br />before me this IVou. / , 19~ by
<br />
<br />
<br />",.~'i{..~:'fit- SANDRA L. CARVALHO
<br />~. rA\:~ MY COMMISSION * CC461982 EXPIRES
<br />~'~~~i May 30, 1999
<br />7;r,,<if.:r..<t'" BONDED THRU TROY FAIN INSURANCE,INC.
<br />
<br />
<br />
<br />t-.
<br />(Name Typed, Printed or
<br />NOTARY PUBLIC
<br />
<br />,........" SAN-a L '..M'lI. u"
<br />~~ii\'f.t'~ LIIV\ . VI'V1YnwN..
<br />f*t'A'7;:1 W<< COMMISSION * CC461982 EXPIRES
<br />"",.~.",~ May 30, 1999
<br />~1.'Ji;;;-;.,,~ 8DNIlED 11lRU TROY FAIN INSURANCE INC.
<br />I"tll\~' ,
<br />
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