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<br />- CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pemit lay be subject to "deed restrictions" which JaY be lOre restrictive tltan 'City
<br />regulations. 'he undersigned assOles responsibility for cOlpliance 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 work, they lay 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 JaY be
<br />cited for a lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireJents JaY apply for the intended work, they are advised to contact the City of Zepbyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, 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 wbicb 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 be is not properly licensed and is not entitled to pemitting 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 ftFlorida's Construction Lien Law - HOJeOWDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described docUJent and prOlise in good faith to deliver it to the
<br />"owner" prior to couenCMent.
<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, zoning, and land developllent.
<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 bas cOllenced prior to issuance of a pemit and that all work will be perfoIJed to Jeet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developllent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDIeDtal agencies JaY apply to the intended work, and that it is
<br />If responsibility to identify wbat actions I lUst take to be in cOlpliance. Such agencies include but are not liJited to:
<br />t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Amy Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rebabilitative Services, EnvirODJeDtal Health Unit - Wells, Vastewater rreallent, Septic 'anks
<br />t US EnviroDlental Protection Agency - Asbestos abateJent
<br />I also certify that, if fill laterial is to be used in Flood Zone "Aft or "A, etc. ft, it is understood that a drainage plan
<br />addressing a .cOlpeDsating volOle" will be sublitted wbicb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<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 pemit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pentit issued sball becOJe invalid
<br />unless the work authorized by such perlit is COllenced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is co.enced. One 90 day extension of tile, JaY be
<br />allowed for the pemit with fee charge of $15.00. rhe extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during eacb six IOntb period, or the project will be considered abandoned.
<br />WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCBMEN'l MAY RESU ING !IIICE FOR IMPROVEMEN'fS ro YOUR
<br />PROPERTY. IF YOU IN'lEND '0 OBTAIN FlNAlCING, CONSULT WITH YOUR LENDE AN AT'fORRBY FO RECORDING UR HOT CE OF
<br />COMMENCKMEMT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND OST A "NOTICE C
<br />
<br />6~
<br />
<br />
<br />STATE OF FLORIDA f'
<br />COUN'lY OF lc/Q.,O Q...J.C)
<br />The foregoing instrument was acknowledged
<br />before me this Jv....lw lS, 193JGL by
<br />\
<br />(' J,~fo '(cl ~, CZppi'd'\
<br />who is personalll knotJii' to. me or who has
<br />produced ~ L DR L \ ( E Ul se-
<br />as identification and who di4[~I~n~
<br />
<br />take~~
<br />
<br />(Signa .~~ RHONDA DUNCAN
<br />~~f" '..t~ MY COMMISSION /I CC384519 EXPIRES
<br />
<br />(Name : F~' ~ PiIj~ NI ~d)
<br />NOTARY ~BLIC
<br />
<br />STATE OF FLORI~
<br />COUNTY OF rr~ CO
<br />The foregoing instrument was acknowledged
<br />befor~ me this]71/l{ IS, 1910 by
<br />
<br />{~,~.~ <r).C,Q(~
<br />who is ~ersonally known to me or who has
<br />produced "
<br />as identification and who did~~
<br />tat an tho -
<br />U
<br />
<br />
<br />July 31, 1998
<br />THRU TROY FAIN INSURANCE. INC.
<br />or Stamped)
<br />
<br />(Name Typed,
<br />NOTARY PUBLIC
<br />
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