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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perJit lay be subject to "deed restrictions. .hich JaY be lOre restrictive than City
<br />regulations. rhe undersigned assUJes responsibility for cOlpliance .ith any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has 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 la., both the owner and contractor lilY be
<br />cited for a lisdeJeanor violation under state la.. If the owner or intended contractor are uncertain as to what licensing
<br />requirBlents lay apply for the intended .ork, they are advised to contact the City of Zephyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for which 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 .ishes you to sign
<br />as contractor that lay be an indication that be is not properly licensed and is not entitled to pBIlitting 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, have been provided with a copy of .Plorida's Construction Lien La. - HOIBOIDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is sOJeOne other than the
<br />-owner", I certify that I have obtained a copy of the above described docUJent and premise in good faith to deliver it to the
<br />"owner" prior to COIlBl1CBlent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforJation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable la.s regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perJit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perJit and that all .ork will be perfoIlBd to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlBDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDIBDtal agencies JaY apply to the intended wort, and that it is
<br />IY responsibility to identify what actions I lust tate to be in cOlpliance. Such agencies include but are not lilited to:
<br />t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlBDtally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />t Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArJy Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rebabilitative Services, EnvirODlBDtal Health Unit - Wells, Wastewater Treat:Jent, Septic ranks
<br />t US EnvirODlental Protection Agency - Asbestos abatBlent
<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 .c~pensating volUle- .ill be sublitted .hich 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 shall issuance of a perJit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pBIlit issued shall beCOle invalid
<br />unless the .ork authorized by such perJit is COllBllced within six IOnths of issuance, or if work authorized by the perJit is
<br />suspended or abandoned for a period of six IOlltbs after the tile the work is c~ced. One 90 day extension of tile, Jay be
<br />allowed for the perJit with fee charge of $15.00. The extension sball be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each sixlOnth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHMENCEHENf HAY RESULT IN YOUR PAYING fIIICE FOR IHPROVIHm'S TO YOUR
<br />PROPERTY. IF YOU INfElm TO OBTAIH FIJf.AJfCIHG, CONSOLT "IrH YOUR LEIDER OR AM ORREY lFORE RECORDING YOUR HO'UCE OF
<br />COHHENCBHEtn'. JOBS UNDIR $2,500 IN VALUI 00 NOT NBlD TO RECORD AJfD P N ICE E CBHBNfH.
<br />
<br />tY~f-~~
<br />SIGNAtURE: OWNER OR AGENT Ii (p I~ - g IJ. ~ 59 - 13 If -0
<br />
<br />
<br />STATE OF FLORIDA yf)
<br />COUNTY OF r A-- ~ L.-e,.r-
<br />The foregoing instrument was acknowledged
<br />before me this {)e~. /g!.b, 19.2i: by
<br />
<br />yer-J-'e.-II L. f/arfoe.l
<br />who is perS~allY known 0 me or who has
<br />produced r','v t..r S L ,"5 {' e.,.I c. t'
<br />as identification and who did/did not
<br />take an oat
<br />
<br />(Signature
<br />
<br />
<br />STATE OF LORID~
<br />COUNfY OF aD t-o
<br />The foregoing instrument was acknowledged
<br />before me this /yL. 1..2- , 19~ by
<br />
<br />(h,---J /). ;;;~ er
<br />who 1S personally known~_me_or who has
<br />produced "Pe"~.
<br />as identification anw 1 jdid not
<br />take an
<br />
<br />00
<br />1.t\
<br />
<br />KATHV C, MONTIETH
<br />NotOlV Public. State of AOI1da
<br />My ('.omrn, Exp, Jan. 3. 1999
<br />No CC431231
<br />
<br />(Signat
<br />
<br />(Name Typed, Pr n
<br />NOTARY PUBLIC
<br />
<br />
<br />(Name Typed, Pri
<br />NOTARY PUBLIC
<br />
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