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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />fhe undersigned understands that this perlit lay be subject to .deed restrictions" which Jay be lOre restrictive than City
<br />regulations. 'I'he undersigned assUJes 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 wort, they JaY 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 />requireJents lay apply for the intended work, they are advised to contact the City of Zepbyrhills Building DepartJent, (813)
<br />188-6611.
<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 />DContractor 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 'fOrt. 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 .Florida's Construction Lien Law - HoIeolmer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUJeI Affairs. If the applicant is SOJeOne other than the
<br />Downer", I certify that I have obtained a copy of the above described dOCUJellt and premise in good faith to deliver it to the
<br />"owner" prior to cOJJenceJent.
<br />
<br />E_ CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforJation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developJeDt.
<br />
<br />Application is hereby lade to obtain a perlit to do wort and installation as indicated. I certify that no wort or
<br />installation has COIIenced prior to issuance of a perlit and that all wort will be perfoI'led to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developJent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveI'DleJ1tal agencies JaY apply to the intended wort, and that it is
<br />IY responsibility to identify what actions I lUst take to be in COIpliance. Such agencies include but are not lilited to:
<br />* Departlent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water/Wastewater 'I'reatlent
<br />* Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* AIIY Corps of Engineers - Seawalls, Docks, Havigable Waterways
<br />t DepartJent of Health & Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater 'I'reatlent, Septic rants
<br />* US KnvironJental Protection Agency - Asbestos abateJent .
<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 volUle" will be subJitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the wort 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 fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall beCOle invalid
<br />unless the wort authorized by such perlit is cOll8nced within sillODths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period ofsil IOnths after the tHe the wort is c.enced. One 90 day extension of tile, lilY be
<br />allowed for the perlit with fee charge of '15.00. 'I'he extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each sil IOnth period, or the project will be considered abandoned.
<br />IfARHIHG '1'0 0IUfER: YOUR FAILURE '1'0 RECORD A HorlCE OF COIIMBliCEllDJ MAY RESUL'I' IH YOUR PAYIHG "'ICE FOR IMPROVEJIEIft'S 'l'0 YOUR
<br />PROPERTY. IF YOU lJi'l'EHD 'l'O OB'l'AIX FIIWCIHG, COHSUL'l' WI'l'H YOUR LDDIR OR All AftORllY BEFORE RiCORDIXG YOUR HorICE OF
<br />COHMEHClHEJi'l'. JOBS lJIfDER $2,500 IX VALUE DO Hor lfEED 'l'O RECORD AJID POS'l' A 'HorICE OF COMMDCEIlDJ'.
<br />
<br />~~~
<br />A'I'URE: 'OWNER' E
<br />
<br />S'l'A'l'E OF FLO~
<br />COUJi'l'Y OF S t.;.o
<br />The foregOing instrument was ackpowledged
<br />before me' this LI ~~(-' 19~ by
<br />
<br />
<br />w~/li1;.OIIll ~ or who has
<br />produced
<br />as entification and who did/did not
<br />ta n oa
<br />
<br />J~\~il C~~
<br />SIWIDBIl: Cllo;~--
<br />
<br />
<br />S'l'A'l'E OF FLORIDA
<br />COUJi'l'Y OF PAs ~
<br />The foregOing instrument was aCknowledged
<br />before me this 2.., ~~' 19~ by
<br />
<br />
<br />who is l:ersonallY known ~ or who has
<br />produc
<br />as identification and who didl~
<br />
<br />~a anlo~, b~ _~j
<br />'-< ~ 01Dt ~
<br />(S gnatur )' ---....
<br />
<br />
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />14"
<br />
<br />· .. ....Jr,
<br />STATE 0:'
<br />COM E)(;>n~
<br />
<br />...,.~'~'
<br />i~'r.
<br />2~
<br />
<br />DA VIO RONDA
<br />ST A IE GF FLORIDA
<br />c;:; ,:~: :"';RES: MARCH 27, 2lIOO
<br />~iV1 #CC 543432
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