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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which Jay be lOre restrictive than City
<br />regulations. fbe undersigned assUJes responsibility for cOlpliance 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 work, they JaY be required to be licensed in accordance with
<br />state and local regulations. If tbe contractor is not licensed as required by law, both the owner and contractor Jay 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 tbe intended work, 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 have the contractor(s) sign portions of the
<br />"Contractor Sectionsll 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 wisbes you to sign
<br />as contractor that Jay be an indication that he is not properly licensed and is not entitled to perlitting 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, bave been provided with a copy of IIFlorida's Construction Lien Law - HOJeOw.Der's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is SOIeone other than the
<br />lIowner", I certify that I bave obtained a copy of the above described docUJent and prlmise in good faith to deliver it to the
<br />"owner" prior to couenCeJel1t.
<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, loning, and land develo(Went.
<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 bas cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDJental agencies JaY apply to the intended work, and tbat it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDJentally Sensitive Lands,
<br />Water/Wastewater freatJent
<br />* Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater freablent, Septic fanks
<br />t US EnviroDlental Protection Agency - Asbestos abateJent
<br />I also certify that, if fill laterial is to be used in Flood Zone "All or "A, etc. II , it is understood that a drainage plan
<br />addressing a "cOJpensating volUJe" will be sublitted which 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 perlit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOle invalid
<br />unless the work authorized by such perlit is cOJJenced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the till! the work is co.enced. One 90 day extension of tile, Jay be
<br />allowed for the perlit with fee charge of $15.00. The extension shall 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 TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMBNCEMBII'l' MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMElft'S TO YOUR
<br />PROPERTY. IF YOU Ilft'EID TO OBTAIN FIIWfCING, CONSULT WITH YOUR LEIDER 0 All AnORm' BEFORE RECORDING YOUR HOTICE OF
<br />COMMENCKMEHT. JOBS UlmER $2,500 II VALUE DO NOT HEED TO RECORD AID T A 'NOTICE OF COMMENCEHElft'''.
<br />
<br />SIGNATURE: OWIER OR AGElfJ'
<br />
<br />
<br />STATE OF FLORIDA
<br />COUll'l'Y OF
<br />The foregoing instrument was aCknowledged
<br />before me this , 19____ by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />STATE OF FLORIDA ~
<br />COUll'l'Y OF '~ 7)
<br />The foregoing i strument was acknowledged
<br />before me this J - /;2.. , 19 ~ by
<br />
<br />{~n~~
<br />
<br />who is person~ ~ me or who has
<br />produced ~~ H./Yrr>-L.
<br />as identification who did/did not
<br />ta~e oath.l/'Vi 4=
<br />' tilLl-~
<br />(Sig a~~ '
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />"'1111',,, Nancy A Moody
<br />i~.-.r.'t.f~~ .
<br />f*: "Ji.'= :*~ MY COMMISSION' CC534806 EXPIRES
<br />~'~''J.f' February 21. 2000
<br />..."'.f.p.r..~~. BONDED THRU TROY FAIN 1tl9lJRAHCC, INC,
<br />
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