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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 lOre restrictive than City
<br />regulations. fhe undersigned assUles responsibility for coapliance 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 requlations. If the 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 what licensing
<br />requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtbeIlOre, if the owner has bired a contractor or contractors, he is advised to have 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 wishes you to sign
<br />as contractor that lay be an indication that he 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 - HoJeowner's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and Consuaer Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the
<br />"owner" prior to cOJJenceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify tbat all tbe inforlation in this application is accurate and that all work will be done in coapliance with all
<br />appliCable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has COJJeDced prior to issuance of a perlit and that all work will be perforaed to Jeet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the requlations of other governaental agencies Jay apply to the intended work, and that it is
<br />Jy responsibility to identify what actions I lUst take to be in cOlpliance. Such agencies include but are not lilited to:
<br />t DepartJent of KnviroDlental Regulation - Cypress Bayheads, Wetland Areas and Knvironaentally Sensitive Lands,
<br />Water/Wastewater freatJent
<br />t Southwest Florida Water Manageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rebabilitative Services, Environaental Health Unit - Wells, Wastewater freatJent, Septic fanks
<br />t US Environaental Protection Agency - Asbestos abateaent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood tbat a drainage plan
<br />addressing a "coapensating volUle" will be sublitted wbicb 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 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 frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perait issued sball beCOlB invalid
<br />unless the work authorized by such pertit is cOJJenced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOntbs after the tiae the work is cOllenced. One 90 day 81tension of tile, Jay be
<br />allowed for the pe~it 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 IOnth period, or the project will be considered abandoned.
<br />WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEIICEMENt' MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENt'S TO YOUR
<br />PROPERTY. IF YOU INt'EIm TO OBfAIH FINAJlCING, CONSULf WIfH YOUR LENDER OR AM AnORHEY BEFORE RECORDING YOUR JfO'l'ICE OF
<br />ClIIIEIICIlIlEI " IllS IlIIlIR *) 5IJIJ II VALUE 00 IIIlr lIED to IlIC1lIIIl AlD POSI A 'VIlIICI OF ~
<br />
<br />
<br />
<br />NA RE. 0 AGENt' II"". SIm~~
<br />~~#
<br />
<br />STATE OF FLORIDA /J STATK OF FLORIDA
<br />COUtn'Y OF 17/ cJ.od.A:U) coum OF Seminole
<br />The foregoing instrument~as acknowledged The foregoing instrument was acknowledged
<br />before me this /07ffJ{),{./, 192& by before me this 7th June, 19~ by
<br />
<br />5. E Ut;'C' AJE u...) LJ J( L) E.J
<br />who is personally known to me or who ha
<br />produced<D D ~ !5-~ - -
<br />a. ication d who did did not
<br />ta
<br />
<br />
<br />
<br />Lynn Scott Nidy
<br />who is personally known to me ~xx..~xbasx
<br />R~~~~xxyyyyyyxxxxxxxxxxxxxxxxxxxxxxxxx
<br />~5tx~5t~~~*U:R;l1E*"Jlxand 0 'JI/d~d not
<br />tak oath'.
<br />
<br />(s~ure) ~
<br />D615~F. c. 0.E//V9/J[)
<br />(Name Typed, prin~ or S amped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />.,~~~
<br />"~i':~ Bobble S. SWIltla".
<br />~*: 1*% MY COMMISSION /I CC5;.'I492
<br />~'. ..,.~ Feb ' i
<br />~J,t.... ~~" ruary 2"2, ;;:or,n
<br />, 'i/f.,fl\" BONDED l1iRU TROY "'JIIIN", . .
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<br />
<br />'''It If F\.l\"'~
<br />
<br />MONICA L DILLON
<br />My Commission CC380593
<br />Expire" Jun. 08, 1998
<br />Bonded by HAl
<br />800-422-1555
<br />
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