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<br />...." CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pertit lay be subject to "deed restrictions. wbich lay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for COIpliance 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 law, both the owner and contractor laY be
<br />cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireJents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />188-6611.
<br />
<br />FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to have 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 tban the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that lay be an indication that be is not properly licensed and is not entitled to pertitting privileges in the
<br />City of Zephyrbills.
<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 - HOJeOWner's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture ,and ConsUler Affairs. If the applicant is sOleOne other tban the
<br />-owner", I certify that I have obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />"owner" prior to couencelent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify tbat 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 developJIent.
<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 cOlleDced prior to issuance of a perlit and that all work will be perforJed 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 work, and that it is
<br />IY responsihility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not luited to:
<br />* Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Soutbwest Florida Water ManageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health & Rehabilitative Services, Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />* US Bnvironaental Protection Agency - Asbestos abatelent
<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 .cOlpensating volDle" 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 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 perlit prevent tbe Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery pertit issued shall beCOle invalid
<br />unless tbe work authorized by sucb pertit is cOlleDced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOntbs after the till! the work is cOlleDced. One 90 day l!Itension of tile, lilY be
<br />allowed for the perlit with fee cbarge of $15.00. The l!Itension 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 OWHBR: YOUR FAILURB TO RECORD A IIOTICE OF COMMBIICBllBNT MAY RESULT III YOUR PAYING !VICE FOR 1M
<br />PROPBR'l'Y. IF YOU INTIUm TO OBTAIII FIIfAIICIIIG, COIISULT WITH YOUR LBHDBR OR AN RECORDIIiG Y
<br />COMMBNCBMBNT. JOBS UlfDER $2,500 Iii VALUB DO NOT IiEED fa RECORD AND POST A " NCEMBNT".
<br />
<br />SfAfE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />
<br />It--
<br />CO:VO~FF~?)st D
<br />
<br />The foregoing i~~as a~ledged
<br />before me this , 19 by
<br />
<br />CkJb A~e)\ t J()(\GL-thlLflJ f,/Vcaa.r-
<br />who is persbn lly known to me or who has
<br />o
<br />produced
<br />as identif"cation
<br />take h
<br />
<br />
<br />SIGlfArURE: OWIfER OR AGENT
<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 />SHERRY L. MCCARTY
<br />MY COMMISSION' CC 337043
<br />EXPIRES: December 19, 1997
<br />, Bonded ThIu NolaIy PublIc: IbIeIwrIbIIs
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