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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands tbat this perJit lay be subject to Ideed restrictions" wbicb lay be lOre restrictive tban City
<br />regulations. !be 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, they lay be required to be licensed in accordance witb
<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 lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requireaents aay apply for tbe intended work, they are advised to contact tbe City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner bas bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />'Contractor Sections I 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 wishes you to sign
<br />as contractor that lay be an indication tbat be 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, bave been provided with a copy of NFlorida's Construction Lien Law - Hoaeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone otber tban the
<br />'ownerN, I certify that I bave obtained a copy of the above described docUlent and prolise in good faith to deliver it to the
<br />"owner I prior to cOllenceaent.
<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 develop.ent.
<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 COIIenced prior to issuance of a perlit and tbat all work will be perforJed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify tbat I understand that the regulations of other governaental agencies JaY apply to the intended work, and tbat it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />. Departlent of Environaental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater Treallent
<br />. Soutbwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rehabilitative Services, EnvirORlental Healtb Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />t US EnvirORlental Protection Agency - Asbestos abateaent
<br />I also certify that, if fill laterial is to be used in Flood Zone 'A' or NA,etc.N, it is understood tbat 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 perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed witb tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of tbe technical codes, nor shall issuance of a perlit prevent tbe Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perait issued sball becOle invalid
<br />unless tbe work autborized by such perlit is cOllenced witbin six IOntbs of issuance, or if work autborized by the perlit is
<br />suspended or abandoned. for a period of sillOnths after the tile the work is cOllenced. One 90 day extension of tiJe, lilY be
<br />allowed for the per,it 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 eacb sil IOntb period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCBHBNT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEHBNTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AJI ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COHHENCBHBHT. JOBS UNDER U,500 IN VALUE DO NOT NEED TO RECORD AJlD POST A "NOTICE OF COHHBNCKHBNT".
<br />
<br />SIGNATURE: OWIIER OR AGENT
<br />
<br />9~ W\. 7:,)1j\A--
<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 FLqQ!DA
<br />COUNTY OF ~SQ..l)
<br />The foregoing instrumeq+,was ac~ow1edged
<br />before me this l2)fI.o~ 19~ by
<br />
<br />'l2wse II m. Br(Jl.AY~
<br />who is person~l~y known to me or who ha~
<br />produced F0b)(.;fF/34;.50-733~S:d-37 /--U
<br />
<br />~~;;;~:;:d/7 not
<br />(Si~~)~': .--_ rZ!
<br />~ f ~ L tnur-J?"- t1m
<br />(Name Typed, Printed S red)
<br />NOTARY PUBLIC
<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 />
<br />JAMIE L. MURPHY
<br />v.y COMMISSION /I CC 456180
<br />EXPIRES. April 'D. 1999
<br />Bonded l1uu NolIuY PublIc IMdeIwIlIln
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