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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peClit laY be subject to 'deed restrictions' which lay be lOre restrictive than City
<br />regulations. the undersigned assUJeS responsibility for CCIIpliance with any applicable deed restrictiOll8.
<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 laY be
<br />cited for a .isdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirl!llents 8aY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Depart8ent, (813)
<br />788-6611.
<br />
<br />Further80re, if the owner bas hired a contractor or contractors, he is advised to have the contractor(s) sign portioua of the
<br />'Contractor Sections' of this application for which they will be responsible. If. you, as the OIfDer sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for tile work, If the contractOr 11sbes you to sign
<br />as contractor that lay be an indication that be is not P!operly licensed and is not entitled to pertitting privileges in tile
<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 - BoIeowner'. Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuser Affairs. If the applicant is 8OIeOD8 other than the
<br />'owner", I certify that I have obtained a copy of the above described docU8l!Dt and pralise In good faith to deliver It to the
<br />"owner' prior to C08leDcesent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all wort will be done in COIpliance with all
<br />applicable laws regulating construction, loning, and land developleDt.
<br />
<br />Application is hereby 8ade to obtain a per.it to do work and installation as indicated. I certify that no lfOrk or
<br />installation bas cOMenced prior to issuance of a pertit and that all wort will be perfocted to .et standards of all 1_
<br />regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDIeDtal agencies laY apply to the intended wort, and that it is
<br />.y responsibility to identify wbat actions I .ust take to be in C08pliance. Such agencies include but are not lilited to:
<br />t Departlent of Ilnvirollllental Regulation - Cypress Bayheads, Wetland Areas and Ilnvirollllelltally Sensitive Lands,
<br />Mater/Mastewater Treatlent .
<br />t Southwest Florida Mater Hanagesent District - Mells, Cypress Baybeads, Metland Areas, Altering Matercoucses
<br />t Ar.y Corps of Ilngineers - Seawalls, Docks, lavigable Materways
<br />t Departlent of Health' Rebabilitative Services, Ilnvirouental Health Unit - Mells, llastewater Treablent, Septic Tants
<br />t US Ilnvir0D8ental Protection Agency - Asbestos abat8leOt
<br />I also certify that, if fill aaterial is to be used in Flood ZOne lA' or 'A,etc.', it is understood that a drainage plan
<br />addressing a 'COlpensating VOIU88" will be sub8itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A per.it issued sball be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a peClit prevent the Building Official fCOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pmit issued slla11 becme iDYalid
<br />unless the lfOrt authorized by such peClit is COIIeIlCed within sillOnths of issuance, or if lfOrt authorized by the pertit is
<br />suspended or abandoned for a period of siz IOnths after the tille the wort is COIIeIlCed. One 90 day utension of ti8e, laY be
<br />allowed for the perlit with fee charge of $15.00. Tbe utension shall be requested in writing to the Building Official. An
<br />approved inspection .U8t be logged during each sillODth period, or the project will be considered abandoned.
<br />WARlIIG TO OIIIIlR: YOUR FAILURE TO RECORD A laTICE OF COHMIICIlHBJII' HAY RESUL'I' II YOUR PAYIIG nICE FOR DIPROVBHIlI!S TO YOUR
<br />PROPIlRTY. IF YOU InEMD TO OB'lAIlf PI_IIG, COlfSULT WITH YOUR LlllDIR OR AI AnoRJ/EY BEFORE RBCORDIMG YOUR lIaTICE OF
<br />COHHElfCIlHIlHT. JOBSUlfDllR $2,500 II VALOIl DO IIO'r IIlED TO RIlCORD AHD POST A 'laTICH OF CCllllDCBIIBIII"
<br />
<br />
<br />'f~~A;tL"
<br />
<br />
<br />STATE OF FLORID~
<br />COUny OF ~ C/) .
<br />The foregoing inst~pn.en. t was acknowledged
<br />before me this __a~=._, 19-1/L by
<br />
<br />?c;~J rVl. ~rl€hi~
<br />
<br />who is personally known to me or who has
<br />produced {)l..Jt~3~D' 7S JA.{I./A/';)-7~1J
<br />as identification and h did/did Dot
<br />take th.'
<br />
<br />S'I'ATIl OF FLORIDA.....-:-:J
<br />coum OF r,48clJ
<br />The foregoing instrum~ was acknowledged
<br />before me this acf , 19~ by
<br />
<br />
<br />who is p~~y ~~ or who haa
<br />pl'ed&eed
<br />as identification and who did/did Dot
<br />take an oath.
<br />
<br />
<br />r
<br />
<br />r l? APER
<br />Notary Public. State of FIorIcla
<br />My Comm, Exp. June 6. 1997
<br />No. CC 292357
<br />
<br />
<br />~~~
<br />: jjII'Ulfi
<br />
<br />KATHY C. MONTIETH
<br />Notc!V Public. State of FIoI1do
<br />My Comm. Exp. JQn, 3. 1999
<br />No. CC 431231
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