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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 laY be lOre restrictive than City
<br />regulations. Ihe undersigned assutes 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 .ay 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 lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requiretents laY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtheflOre, if the owner bas bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor SectionsU of this application for wbich 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 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, have been provided with a copy of uFlorida's Construction Lien Law - HOIeowner's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsWler Affairs. If the applicant is sOleOne other than the
<br />"owner", I certify that I have obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the
<br />"owner" prior to coaencetent.
<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 developlent.
<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 perforted to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governtental agenCies laY 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 lilited to:
<br />t DepartJent of Environtental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />t Southwest Florida Water Managetent District - Wells, Cypress Baybeads, 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 Treatlent, Septic lanks
<br />t US Environtental Protection Agency - Asbestos abatetent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or MA,etc.", it is understood that a drainage plan
<br />addressing a "coapensating volute" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<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 per.it prevent the Building Official frOt thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall beCOle invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the penlit is
<br />suspended or abandoned for a period of six IOntbs after the tile the lIOrk is c_enced. One 90 day I!Itension of tile, laY be
<br />allowed for the penlit 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 10 om:R: YOUR FAILURE 10 RECORD A NOIlCE OF COMMEMCEJIElft' MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEJIElft'S TO YOUR
<br />PROPERTY. IF YOU IIft'EIfD 10 OBIAIN FIMAJlCING, CONSULI WIIH YOUR LElfDER OR AJf ATlORREY BEFORE RiCORDIKG YOUR KOIlCE OF
<br />CllIIBII . JOIIS UIlDIR 12,500 II VILIJIl 00 IOII1E1D fO RECllRD~--
<br />
<br />
<br />
<br />jISNAIURE: COIft'RACTOR
<br />
<br />STATE OF FLORIJIA---..
<br />coum OF 'r o-d..AoA::?
<br />The foregoing instrument was acknowledged
<br />before me this r- / y , 19 j b by
<br />
<br />STATE OF FLORIDA~
<br />coum OF . 'j---I ~
<br />The foregoing instrument was acknowledged
<br />before me this .3- - / if , 19 j b by
<br />
<br />
<br />to me Qr who has
<br />-:L8"~ -
<br />a identification a who did/did not
<br />take 11 oath. :J1 a )Ih. I
<br />
<br />(Signature) /n!1 ::1-
<br />
<br />(Name Typed, Printed or iiamped) Y
<br />NOTARY PUBLIC
<br />
<br />who i~~~O me or who haB
<br />produce
<br />as identification and who did/did not
<br />take an o~th. "-11 a JU ~
<br />
<br />(Signature) /Vol>. ~ . f( ""~
<br />(Name Typed, Printed/or Stamped)
<br />NOTARY PUBLIC
<br />
<br />i~I" NInoy A. MoIJ&.'
<br />",': :*E MY COMMISSION # CC5:!/Y',
<br /><,; :..= w.h.......21 ..
<br />....,~: .-....., .'"
<br />'~t,9t~~..:- BONDED THRU TROY FAIN l~::;:-:,!',:,
<br />
<br />l' ,OIl' Nancy A. Moody
<br />~*: :*: MY COMMISSION , CC534808 EXPIRES
<br />~... . - FebnJaJy 21,2000
<br />"'~ BONDED THRll TRIlV FAIN INSURANCE. INC
<br />
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