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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peIlit lay be subject to "deed restrictions" which JaY 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 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 JaY be
<br />cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if the owner bas hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sections' of this application for whicb 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 tbe 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 perlitting 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 tbat I, the applicant, have been provided witb a copy of 'Florida's Construction Lien La. - HOJeOWner's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and Consuter Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I bave obtained a copy of the above described docUJeDt and prolise in good faith to deliver it to the
<br />"owner" prior to couenceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in tbis application is accurate and that all .ork will be done in cotpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no .ork or
<br />installation bas cOllenced prior to issuance of a perlit and that all work will be perf OIled to leet standards of all Ins
<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 governtental agencies JaY apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not litited to:
<br />t DepartJent of EnviroDJental Regulation - Cypress Baybeads, Wetland Areas and Environtentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />t Southwest Florida Water Manageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rehabilitative Services, Bnvironaental Health Unit - Wells, Waste.ater TreatJent, Septic Tanks
<br />t US Bnvirontental Protection Agency - Asbestos abateaent
<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 "cOlpensating volute" will be sublitted whicb is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed .ith 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 peIlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery perJit issued shall beCOle invalid
<br />unless the work authorized by sucb perlit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six tontbs after the tite the work is c_enced. One 90 day extension of tite, JaY be
<br />allowed for the perlit with fee charge of $15.00. Tbe extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six tonth period, or the project will be considered abandoned.
<br />WARlfIMG TO OWMBR: YOUR FAILURE TO RBCORD A NOIICE OF COMMENCBHBlft' MAY RBSULT IN YOUR PAYING TWICE FOR IHPROVBIIBlft'S TO YOUR
<br />PROPBRTY. IF YOU Ilft'BIfD TO OBTAIN FIMAHCING, COMSULT WITH YOUR LElfDBR OR AM ATTORlfBY BBFORE RECORDING YOUR )fOlICB OF
<br />
<br />
<br />=':00:2,500 [RVn~ OO~ OW ro~Zk~
<br />
<br />STATB OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE OF FLOR~
<br />COUNTY OF ~ < -d
<br />The foregoing instrument was aCknowledged
<br />before me this .J - / ~ , 19~ by
<br />
<br />.Jk~
<br />
<br />to me or who has
<br />produced cG -J/f? - $IY- J.O 7 - 0
<br />as identification and who did/did not
<br />
<br />take~:;th. @J1fi/~1J
<br />
<br />( Signature~
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />.:$':;.~:~"'~ Nancy A. Moody
<br />t*r~1~ ~ COMMISSION' CC534806 81Pt:
<br />~~:~~ FebruaJy 21, 2000
<br />'lJ,,1if..'r,.~ BONDED 1llRU lROV FAIN INSURANCE '
<br />
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