<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. 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 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 lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireJents laY apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired 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 perlitting 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 IFlorida's Construction Lien Law - HOIeowner's Protection
<br />Guidelt prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />Hownerl, I certify that I have obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />lowner" prior to COIlenCeJel\t.
<br />
<br />E. CONTRACTOR'SjOWNER'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 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 perlit and that all work will be perf oIled to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDJental agencies lay 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 lilited to:
<br />t Departlent of Bnvironlental Regulation - Cypress Bayheads, Wetland Areas and Knvironlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Arly Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health i Rebabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />t US EnvirODlental Protection Agency - Asbestos abateJel\t
<br />I also certify that, if fill laterial is to be used in Flood Zone ItAH or "A, etc. H, it is understood that a drainage plan
<br />addressing a ICQlpensating volUle' will be sublitted 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 perlit prevent the Building Official frDl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery peIlit issued shall beCOle invalid
<br />unless the work authorized by such perlit is CODenCed within sixlOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six JOnths after the tDe the work is cOllenced. One 90 day I!ltension of tile, lay be
<br />allowed for the perlit with fee charge of $15.00. The I!ltension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each six JOnth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOIICE OF COHHDCKHIBT HAY RESULT IN YOUR PAYING !WlCE FOR IHPROVIMIK1'S TO YOUR
<br />PROPKRTY. IF YOU IBDD TO O1l'I'AIH FIWCIlfG, COIISDLT WITH YOUR LBHDER OR All AnoRIIIY':BEFORE RECORDIIIG YOUR JlOIICI OF
<br />CllIIIIJICIlIlEIIT. JOBS IlIDIlIl 12.500 [I VALUE 00 IIIlr IIID fO RIlClIIIlIID POSr I 'IIIlr[CI OF ~.
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<br />STATK OF FLORID~
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<br />The foregoing inst ent was acknowledged
<br />before e this "7 ~"-'"i 19~ by
<br />
<br />
<br />STATE OF FLORI~
<br />COUmOF . ~
<br />The foregOing ins~ent was aC~OWledged
<br />before e this "7 ~==--, 197: by
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<br />(Namf! Typed, ~~JJted
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<br />BOBBIE J BURKE
<br />My Comminlon CCS43871
<br />Expires Mat. 31. 2000
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
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