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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A.. NOTICE OF DEED RESTRICTIONS_
<br />The undersigned understands that this perJit lay be subject to "deed restrictions" whicb^lay be jare restrictive tban City
<br />regulations. 'he 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 law, both the owner and contractor lay be
<br />cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, he 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 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 per.itting 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 - HOIeOWDer's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone otber than the
<br />'owner", I certify that I have obtained a copy of the above described docUJent and prOlise in good faith to deliver it to the
<br />"owner" prior to cOllencelent.
<br />
<br />E. COHTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation 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 per.it to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforJed to teet 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 otber goveIDlentBl agencies lay apply to tbe intended work, and tbat it is
<br />Iy responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not li.ited to:
<br />t Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />I Southwest Florida Water Hanagele~t District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Arly Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health' Rehabilitative Services, Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I US Environaental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill .aterial is to be used in Flood Zone 'A" or "A,etc.', it is understood that a drainage plan
<br />addressing a 'cOlpensating volUle" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it 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 frOl 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 IOntha of issuance, or if work authorized by the perJit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOIIenced. One 90 day eltension of tile, lay be
<br />allowed for the perJit with fee charge of $15.00. The extension shall be requested in writing to tbe Building Official. An
<br />approved inspection lUst be logged during each six IOntb period, or the project will be considered abandoned.
<br />WARMING TO OIfIER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCBMBNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVRMBNTS TO YOUR
<br />PROPERTY. IF YOU INTEJfD TO OBTAIN FINANCING, CONSULT WUH YOUR LEJfDBR OR AR AnORDY BEFORB RECORDING YOUR IfOTICB OF
<br />ClJtHBBCBMBNT. JOBS UHDER $2,500 IN VALUE DO NOT HERD TO RECORD AND POSY A "NOTICE OF ClJtHBHCBMENT".
<br />
<br />fltJ,-
<br />
<br />~r-
<br />SIGNATURE: CONTRACTOR
<br />
<br />SIGNAtURIl: OOER OR AGENT
<br />
<br />StATE OF ~IpA .
<br />coom OF ~
<br />The foregoing instrument was a~knowledged
<br />before me this 10~~, 19~ by
<br />
<br />I
<br />who is e or who has
<br />produc ~
<br />as identification and who di~id not-->
<br />takn~n oath. ..1/ n
<br />~1C\n 1\~~~
<br />(Si nature)
<br />r-
<br />(Hame Typed, Printe Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF 1-1 QJ' /Yl.n:JD
<br />The foregoing instrument was a~Wledged
<br />before me this 15f tP n10l~, 19 by
<br />
<br />niC~ J4-o~.c~
<br />who is ersonally own~ me or who has
<br />produced
<br />as identification and who di~ not~
<br />
<br />ta~~ <1<~'
<br />(S~nature)
<br />-ShAr en K ~ II a-t
<br />(Name Typed, Printed r Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />
<br />\\"";::'1/
<br />.::~~'p."^~.!":'!~"'" "OFFICIAL SEAL"
<br />.....~.... .."I ..'1't'~ I
<br />~*:" @ '.:*:: Sharon KellY
<br />~'~:"~^i~5J My C'Syni33:o1 Expires 08/22/99
<br />~;t/~.r;.:.~~';- Commission !fCC 490732
<br />(11111"\\\\
<br />
<br />.....'\\\\\~I~/!I/,,.
<br />t~~~~.~..~t~~ "O~F!C!AL SEAL"
<br />~~:' :;~ Snc.:ron I\s!ly
<br />%~~ ~?j My COmiTIiS:iiOn Expires 08/22/99
<br />~,:;,oF f,",\~"", Commission #CC 490732
<br />-./111\11
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