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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this petlit lay be subject to 'deed restrictions" wbieb laY be lOre restrictive tban City
<br />regulations. Tbe 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 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 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 />FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />RContractor Sectionsn of this application fonfbieb 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 peIlitting 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 'Florida's Construction Lien Law - HOIeOIIDer's Protection
<br />Guiden prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleQne other than the
<br />Rowner", I certify that I have obtained a copy of the above described docUleDt and pra.ise in good faith to deliver it to the
<br />"ownern prior to couenCl!lel1t.
<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, zoning, and land developleDt.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has co.aenced prior to issuance of a petlit and that all work will be perfoIJed 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 goveIDIeDtal agenCies laY apply to the intended wort, and that it is
<br />IY responsibility to identify what actions I lUst tate to be in cOlpliance. Sueb agencies include but are not lllited to:
<br />t Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Managl!lel1t District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater !reatlent, Septic ranks
<br />t US EnvirODleDtal Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood ZOne RAn or RA,etc.n, it is understood that a drainage plan
<br />addressing a 'cDlpeDsating VOlUleR will be sublitted whieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A pertit 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 sball issuance of a petlit prevent the Building Official fra. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued shall beCOle invalid
<br />unless the work authorized by sueb petlit is COllenced within six IOnths of issuance, or if work authorized by the petlit is
<br />suspended or abandoned for a period of six IODtbs after the tile the work is co.enced. One 90 day extension of tile, laY be
<br />allowed for the petlit with fee ebarge of $15.00. !he extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during eaeb sillOnth period, or the project will be considered abandoned.
<br />WARMING TO om:R: YOUR FAILURE TO RECORD A NOTICE OF COMMElfCHMEHf MAY RESUL! IN YOUR PAYING !VICE FOR IMPROVHMEIft'S TO YOUR
<br />PROPERTY. IF YOU IJI'J'BND TO OBTAIN FINAlfCIIG, CONSULT IIITH YOUR LINDO OR AN AnORNBY BEFORE RE.CORDIIG YOUR JlO'fICE OF
<br />COMMEJlCHMEJIT. JOBS UNDER $2,500 II VALUE 00 lOT NEBD TO RECORD AND POST A "NOTICE OF COJOmJICKMBJI'J'R.
<br />
<br />~e~
<br />P SIGJlA!URE: OWJIBR OR GHII'J'
<br />
<br />~~
<br />SIGJlAT : COJl'J'RACTOR
<br />
<br />STA!E OF t:J.ORI~
<br />coum OF . ~
<br />The foregoing instrument was acknowledged
<br />before me this ~ - 5 , 1991r~ by
<br />- . c:::----~
<br />
<br />----..' \. . ~ F~~
<br />~ ~~ . . .-- 't -r
<br />who j.B--peI1J(f..- ...) own to me or who has
<br />prod1Iceli. h. ..
<br />as identific~and who
<br />take
<br />
<br />~~~~~U
<br />
<br />The foregoing instrument was acknowledged
<br />bf!J.ore..llIe this ~- S , 19 c1 6 by
<br />
<br />
<br />to me or who has
<br />
<br />r.;r;::r-t, 1j'~'~.i r'j','
<br />
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