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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 IDre 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 .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 lisdl!leanor 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 Zephyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtherJOre, 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 whicb they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, ratber than the contractor, are responsible for the 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 />"
<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 'Florida's Construction Lien Law - HOJeOWIlerts Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I bave obtained a copy of the above described dOCUJent and prOlise in good faith to deliver it to the
<br />"owner" prior to COttenCetent.
<br />
<br />E. CONTRACTORtSjOWNERtS AFFIDAVIT
<br />I certify that all the infortation 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 has c-.mced prior to issuance of a perlit and that all work will be perfoIJed 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 goveIDlental agencies tay apply to the intended work, and that it is
<br />IY responsi~ility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not liJited to:'
<br />* Departlent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Southwest Florida Water Hanagl!lent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* AIIf Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health & Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater TreatleDt, Septic Tanks
<br />* US EnvirODlental Protection Agency - Asbestos abatl!lent
<br />I also certify that, if fill .aterial is to be used in Flood ZOne "A" or "A.etc.", it is understood tbat a drainage plan
<br />addressing a uCOlpensating voluteN will be subtitted wbicb is prepared by a professional engineer registered in the State of
<br />Florida prior to pertit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball issuance of a pertit 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 autborized by such perlit is coaenced within six IDntbs of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOntbs after the tile the work is COllenced. One 90 day extension of tile, lily be
<br />allowed for the peIllit with fee charge of $15.00. Tbe extension sball 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 />WARlHHG TO OVHER: YOUR FAILURE TO RECORD A NOTICE OF COHHERCEHBHT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEIIBITS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINDCING, CONSULT WITH YOUR LENDER OR AN AftORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UlfDER $2,500 IN VALUE DO NOT MEED TO RECORD ~ltNOTICE ~F COHHENCEHBHT".
<br />
<br />
<br />SIW_: oomum ~~
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19~ by
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF ~
<br />The foregoing instrument was acknowledged
<br />before me this !:> - - .;). 'f ,19 f 1:. 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 />who i~nallY knO~ or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.c.j/. a ~
<br />
<br />(Signature) /Y~ 6: L1
<br />_d J1. c.. v __ /V/ CJ i) 5-r
<br />(Name Typed, Printed or/Stamped) I
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />",U"", N All""';',
<br />*I!'I"~ ancy . .........1
<br />f:: . \~ ~ COMMISSION * cc~
<br />~~. . i February 21. 2000
<br />-;~~ . BONDED THR\J TROY FAIN INSURANCl
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