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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS .
<br />fhe undersigned understands that this perJit lay be subject to ndeed restrictionsn which 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 the owner bas 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 laY be
<br />cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirl!lents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />IContractor Sections I of this application for wbieb 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 wisbes you to sign
<br />as contractor that lay be an indication that be is not properly licensed and is not entitled to perJitting 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, bave been provided with a copy of 'Florida's Construction Lien Law - HOIeOWDer's Protection
<br />Guide. p~epared by the Florida Departlent of Agriculture and ConsOler Affairs, If the applicant is sOleone other tban the
<br />.owner., I certify that I bave(obtained a copy of the above described docOlent and prOlise in good faith to deliver it to the
<br />"ownern prior to cOlleIlcl!lent.
<br />
<br />E. CONTRACTOR'S/OWNER'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, loning, and land developlent.
<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 has COIIenced prior to issuance of a perJit and that all work will be perforJed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governaental agencies lay apply to the intended work, and tbat it is
<br />If responsibility to identify wbat actions I lUst take to be in cOlpliance, Sucb agencies include but are not lilited to:
<br />t DepartJent of EnvirODlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater freatJent
<br />* Southwest Florida Water Hanagl!lent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t Arly Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater freatlent, Septic Tanks
<br />t US EnvirODlental Protection Agency - Asbestos abatl!lent
<br />I also certify that, if fill laterial is to be used in Flood Zone "AI or "A, etc. ", it is understood tbat a drainage plan
<br />addressing a 'COIpensating volOlel will be subtitted wbieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perJit issuance.
<br />
<br />A perJit 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 the technical codes, nor shall issuance of a perJit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued sball becOle invalid
<br />unless the work authorized by sucb perJit is COllenced within six IOnths of issuance, or if work authorized by the peClit is
<br />suspended or abandoned for a period of six IOntha after the tile the work is cOllenced. One 90 day extension of tile, lilY be
<br />allowed for the perJit with fee cbarge of $15.00. fbe extension sball be requested in writing to the Building Official, An
<br />approved inspection lUst be logged during each six IOnth period, or the project will be considered abandoned,
<br />WARNING fO OWHRR: YOUR FAILURE fO RECORD A NOTICE OF COHMRHCRHBHT KAY RESULT IN YOUR PAYIHG TWICE FOR IHPROVRHBHTS TO YOUR
<br />PROPERTY. IF YOU Ilft'EHD TO OB'fAIJI FIWCIHG, CONSULT IIITH YOUR LENDER OR AM AnORHEY BEFORE RECORDING YOUR NOTICE OF
<br />COKHEHCEHEN'l' $2,500 IN VALUE DO HOT NEED TO RECORD PO" OHHEHCRHBlft'n.
<br />c.::....
<br />
<br />
<br />STATE OF FLORIDA JC) 11
<br />COUN'lY OF LdS CO
<br />The foregOing instrument was acknowledged
<br />before me this ~' 19~ by
<br />
<br />
<br />who is personally known to me or who bas
<br />produced
<br />as identification and wbo did/did not
<br />
<br />take an~ VWl. ~L.
<br />
<br />(Signature)
<br />
<br />(Nam~ Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />.<I^'
<br />DONNA M SINCLAIR
<br />* ~ * My Commission CC38281S1
<br />~ , Expires Jun. 14.1998
<br />"'~.. ...<i>~
<br />.. OF f\.O'"
<br />
<br />
<br />STATE OF FLORIDA 0 L1
<br />coum OF Lf7.s C 0
<br />Tbe fore~oing instrument was acknowledged
<br />before me tbis r :J--. , 19~ by
<br />s
<br />wbo is personally known to me or wbo bas
<br />produced
<br />as identification and wbo did/did not
<br />take an o~~ .L~'
<br />
<br />(Signature) .
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />~..' PI.to.
<br /><I>~ ~ DONNA M SINCLAIR
<br />* W * My Commlesion 00382618
<br />Expires Jun. 14. 1998
<br />"'", A'"
<br />'f~OFf\.Il'"
<br />
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