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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait aay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. The 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 IOrk, they lilY 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 lisdeJeanor violation under state law. If the owner or intended contrac~pr are uncertain as to what licensing
<br />requirelents laY apply for the intended IOrk, they are advised to contact the City of' Zephyrbills Building Departlent, (813)
<br />188-6611.
<br />
<br />FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for wbich 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 IOrk. 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 peraitting privileges in the
<br />City of Zepbyrhills.
<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 NFlorida's Construction Lien Law - HCleowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is sOleone other than the
<br />Nowner", I certify that I have obtained a copy of the above described docUleDt and prOJise in good faith to deliver it to the
<br />"owner" prior to COIleDCeJent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all IOrk will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<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 has cOllenced prior to issuance of a perait and that all work will be perfofled 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 regulations of other goverDIeDtal agencies .ay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to:
<br />t DepartJent of BnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlentally Sensitive Lands,
<br />WaterfWastewater Treatlent
<br />t Southwest Florida Water Managelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Aray Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />t US EnvirODleDtal Protection Agency - Asbestos abateJent
<br />I also certify that, if fill lateria1 is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "cOJpensating volllle" will be subJitted 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 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 perJit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery perJit issued shall becOJe invalid
<br />unless the work authorized by such perait is COlleDCed within six IOnths of issuance, or if work authorized by the perJit is
<br />suspended or abandoned for a period of six IOntha after the tile the work is cOllenced. One 90 day extension of tile, Jay be
<br />allowed for the perait with fee charge of $15.00. Tbe 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 />IiARNING TO omR: YOUR FAILURE TO RECORD A NOTICE OF COIlMEJICBMBN'l MAY RESULT IN YOUR PAYING !VICE FOR IMPROVEMBN'lS TO YOUR
<br />PROPERTY. IF YOU IIITEIiD TO OBtAIN FIWCIHG, COHSULT Ium YOUR WDER OR AX AnORm BEFORE RECORDIHG YOUR HOTICE OF
<br />COMMEHCEMEN'l. $2,500 IH VALUE 00 HOT HEED TO RECORD AKD PO" CEMm'".
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<br />~
<br />
<br />
<br />c:::-:
<br />
<br />STATE OF FLORIDA 'u
<br />CoumOF ~~
<br />The foregoing instrument was acknowledged
<br />before me this r'J / ;J.~ ,19 ~ by
<br />
<br />/~
<br />~ PrNl-J
<br />who is personally own to/me or who has
<br />produced '
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />
<br />STATB OF FLORIDA Q
<br />coum OF S1.... ~
<br />The foregoing ins~rument was acknowledged
<br />before me this 7!~' ,19.fL by
<br />
<br />W~BOD~ to ~~.;o has
<br />
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />BOBBlE J BURKE
<br />My Com..1lMlon CC54IB7t
<br />Explree Mer. 31.2000
<br />
<br />
<br />Stamped)
<br />
<br />(S'
<br />
<br />BOBBIE J BURKE
<br />My Cornmlssion CC543871
<br />Expir_ Mar. 31, 2000
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