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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this perait lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. Tbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake work, they lay be required to be licensed in accordance witb
<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 lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requireJents aay apply for the intended work, they are advised to contact the City of Zephyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the orner bas bired a contractor or contractors, he is advised to bave 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 wisbes you to sign
<br />as contractor that aay be an indication that be is not properly licensed and is not entitled to peraitting 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 - HOIeorner's Protection.
<br />Guide" prepared by the Florida DepartJent of Agriculture and Conslller Affairs. If the applicant is sOlleone other than the
<br />10wnerU, I certify that I have obtained a copy of the above described dOCUJeDt and prOllise in good faith to deliver it to the
<br />lowner" prior to COll8DCeJeDt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />
<br />Application is hereby aade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has COIIenced prior to issuance of a perait and that all work will be perfoIJed 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 goverDl8Jltal agenCies aay 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 />t DepartJent of EnviroDJeDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDJeDtally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />t Southwest Florida Water HanageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t Aray Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rehabilitative Services, EnvirODJeDtal Health Unit - wells, wastewater TreatJent, Septic ranks
<br />t US EnvirODJental Protection Aqency - Asbestos abateJent
<br />I also certify that, if fill aaterial is to be used in Flood Zone "AI or "A,etc.., it.:is understood that a drainage plan
<br />addressing a"cOJpeDSating volllle' will be subJitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perait 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 frOJ 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 COIIenced within six IOnths of issuance, or if work authorized by the perait is
<br />suspended or abandoned for a period of six IODths after the tile the work is caaenced. One 90 day extension of tile, Jay be
<br />allowed for the perJit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each six IODth period, or the project will be considered abandoned.
<br />WARNING TO 0WlfEJl: YOUR FAILURE TO RECORD A NOfICE OF COHHEXCEMEHT HAY RESULT IN' YOUR PAYING TWICE _ FOR IHPROVEHEHTS TO YOUR
<br />PROPER'fY. IF YOU IlI!BIfD TO OB'J'AIJI FIJIAJICING, COJlSULT WITH YOUR LEHDER OR !II AnORHBY BEFORE RECORDING YOUR JlOfICB OF
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<br />~-~v~oo~_m~~.. ~
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<br />51 1U1lI: IliIlIII 011 AGE - - - 51GBA RIl: CllIITHiCTOII ~
<br />
<br />STATE OF FLORIDAn
<br />ccum OF ~~
<br />The foregoing ins~~~t was acknowledged
<br />before me this ~ ' 19~ by
<br />
<br />Keut"V\ ~ VY'\.~
<br />who is personally known to me or who has
<br />produced
<br />as identification and who mil/did not
<br />take an ath.
<br />
<br />STATE OF FLORI~
<br />coum OF ~~
<br />The. fO, regoing instxym-:n>> was acknowledged
<br />before me this ~P-~ ' 19~ by
<br />
<br />.,( eJ l '^- Q" ~~
<br />who is personally~own to me or who has
<br />produced
<br />as identification and who ~/did not
<br />take oath.
<br />
<br />
<br />
<br />(Nam~ Typed, Print d
<br />NOTARY PUBLIC ~
<br />~.t.v. Plio
<br />~'" L\. ('"
<br />
<br />~~~
<br />
<br />-#;~ OF fl.fI>,,$
<br />
<br />BOBBIE J BURKE
<br />My Commission CC543871
<br />Expires Mar. 31, 2000
<br />
<br />(Name Typed, Prin or Stamped)
<br />NOTARY PUBLIC ~~~ p~
<br />+'" .tJ.,:'!:: (,
<br />.tu 'tl\w'~' '*'" BOBBIEJBURKE
<br />PI t,. " My Cornminion CC643871
<br />"'... '''*'.( .. Expires Mar. 31.2000
<br />"';F OF Fl.fI>,"'<>'
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