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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this pectit lay be subject to Ideed restrictions" wbicb lay be lOre restrictive tban City
<br />regulations. rbe undersigned assUles responsibility for cOlpliance witb any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tbe owner bas hired a contractor or contractors to undertake work, tbey lay be required to be licensed in accordance with
<br />state and local regulations. If tbe 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 wbat licensing
<br />requireJeDts JaY apply for the intended work, they are advised to contact tbe City of Zepbyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if the owner bas hired a contractor or contractors, be is advised to have tbe contractor(s) sign portions of the
<br />.Contractor Sections. of this application for whicb tbey 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 wisbes you to sign
<br />as contractor that lay be an indication tbat he is not properly licensed and is not entitled to perlitting privileges in tbe
<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, bave been provided with a copy of uFlorida's Construction Lien Law - HOIeOWDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant is sOleone otber tban the
<br />lowner", I certify tbat I bave obtained a copy of tbe above described docUlent and prOlise in good faith to deliver it to the
<br />NownerN prior to cOll8nceJent.
<br />
<br />E. CONTRACTOR"SjOWNER'S AFFIDAVIT
<br />I certify tbat all tbe inforlation in tbis application is accurate and that all work will be done in cOlpliance witb 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 tbat all work will be perfocted 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 tbe regulations of other goveIDIental agencies JaY apply to tbe intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include b~t are not lilited to:
<br />t DepartJent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Nater/Nastewater TreatJent
<br />t Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Acty Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health' Rehabilitative Services, EnvieODlental Health Unit - Wells, Wastewater reeallent, Septic rants
<br />t US InviroDlental 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 volllle" 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 witb 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 frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pectit issued shall becOIe invalid
<br />unless the work authorized by such perlit is cOllenced within six IOntbs of issuance, or if work autborized by the perlit is
<br />suspended or abandoned for a period of sil IOnths after tbe tile the work is cOllenced. One 90 day extension of t08, lily be
<br />allowed for the pe~it with fee charge of $15.00. Tbe extension sball be requested in writing to tbe Building Official. An
<br />approved inspection lust be logged during each sil IOntb period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHENT MAY RESULT IN YOUR PAYING TWICE FOR IHPROVEIlIlNTS TO YOUR
<br />PROPERTY. IF YOU INrEND TO OBTAIN FINANCING, CONSULT WITH YOUR LINDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COHHENCKHEKT. JOBS UNDIR $2,500 IN VALUI DO NOT NEED TO RECORD AND POST A "NOTICE OF COHHKNCKHENT".
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />~ )'\1\. ~~
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE OF F1QHIDA
<br />COUNTY OF . Po.. S C 0
<br />The foregoing instrument was acknowledged
<br />before me this I)..-#-o(-..J.u~ 19~ by
<br />
<br />7ws-e II rn '8r~
<br />who is personall~ known to me or who has
<br />produced ~JS&SV-733~S:d-37I-o
<br />as identification and who did/did not
<br />
<br />~o~~
<br />(Si9~)' ~
<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 />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~~~~'flft:;.... JAMIE L. MURPHY
<br />i*:~.*, MV COMMISS.. fON..i# CC 466180
<br />~ ! ~ l'.)(pIRES' Apr11 27. 1999
<br />~Iif.. . ' Bonded Thru NolaIy Public IbIIIIWIIIIlnI
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