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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perllt lay be subject to 'deed restrictions' which lay be lOre restrictive than City
<br />regulations. !he undersigned asSU188 responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESfONSIBILITIES
<br />If the owner bas 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 lilY be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />reguirel8Dts lilY apply for tbe intended work, they are advised to contact tbe City of Zephyrhills Building Departlent, (813)
<br />. 788-6611.
<br />
<br />FurtheClOre, if the owner has hired a contractor or contractors, he is advised to have tbe contractor(s) sign portions of the
<br />'Contractor Sections' of tbis application for which they will be responsible. If you,. as the owner sign as tbe contractor,
<br />you are indicating that you, ratber than tbe contractor, are responsible for the work. If tbe contractor wisbes you to sign
<br />as contractor tbat laY be an indication tbat he is not properly licensed and is not entitled to perlitting privileges in tbe
<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 tbat I, tbe applicant, have been provided witb a copy of 'Florida's Construction Lien Law - HOIeOKDer's Protection
<br />Guide' prepared by tbe Florida Deparblent of Agriculture and Conslller Affairs. If tbe applicant is sOlt!ODe otber than tbe
<br />'owner", I certify tbat I have obtained a copy of tbe above described docUleDt and prOlise in good faitb to deliver it to tbe
<br />"owner" prior to cOlleDcl!lent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all tbe inforaation in this application is accurate and tbat all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify tbat no work or
<br />installation has COIIeDced prior to issuance of a perlit and that all work will be perfoCJed to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developleRt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDIeDtal agencies lay apply to the intended wort, and that it is
<br />IY responsibility to identify what actions I lust take to be in COIpliance. Such agencies include but are not lialted to:
<br />· Deparblent of EnviroDleDtal Regulation - Cypress Bayheads, Vetland Areas and EnviroDleDtally Sensitive Lands,
<br />Vater/Vastewater Treablent
<br />I Southwest Florida Vater Manageaent District - VeIls, Cypress Bayheads, Vetland Areas, Altering Vatercourses
<br />I ArlY Corps of Engineers - Seawalls, Docks, lavigable Vatenays
<br />I Departleot of Health i Rebabilitative Services, EnvirODleOtal Healtb Unit - VeIls, Vastewater !reatleDt, Septic Yanks
<br />· US EnvirODleOtal Protection Agency - Asbestos abatl!leDt
<br />I also certify tbat, if fill laterial is to be used in Flood Zone "A' or "A,etc.', it is understood that a drainage plan
<br />addressing a 'cOlpeDsating volllle' will be sublitted which 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 ,iolate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent tbe Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or ,iolations of any code. Ivery perlit issued shall beCOle in,alid
<br />unless the work authoriled by such perlit is couenced within sillODths of issuance, or if work authoriled by the perlit is
<br />suspended or abandoned for a period of sillOntbs after the tile the work is co.enced. One 90 day utension of tiae, lilY be
<br />allowed for the Perlit with fee charge of $15.00. !he utension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sillOnth period, or tbe project will be considered abandoned.
<br />WARNING TO OIlIER: YOUR ILURB TO RECORD A NOTICK OF COIIMIICIllENT MAY RESULT IN YOUR PAYING !lUCK FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU I~ OBI F" IIG, COlfSULT VITH YOUR LBIIDIR OR AJI AmmDY BEFORE RECORDIlfG YOUR IIOrICE OF
<br />COIIMIIICKMENT. JOBS IR '2, I A DO IIor NEED TO RECORD AND POST A 'NOTICE OF C(JUIDCEMIlNT-.
<br />
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<br />~tJ~
<br />OR AGENT SIGNATURE: CONIIIACTO
<br />
<br />STATE OF FLORIDA /7
<br />COUmOF r~
<br />The foregoing in$trument was acknowledged
<br />before .. tbie/~. 19~ by
<br />
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oa~r/f ~~~/
<br />
<br />(Signatu~), J )'/ ~ L rei
<br />~rd 4., a..<<!'LLQ _.son
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC CLAlAL~
<br />My CcmnBxp. 8/11/99
<br />90IldeclByServicelas ~
<br />No. ~ "/,,,,'
<br />U'r .4- 'UiI.U
<br />1- ~ l>, We.. ~ 300 14>~ ~ 1/ Ie /
<br />
<br />STATE OF FLORIDA ,{2 _ ~ _ .-J
<br />coom OF V~
<br />The foregoing i~strument was acknowledged
<br />before me this I~~. ' 19~ by
<br />
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />ta~~o~t:~ AZ~~
<br />(S1gnature) L' ~~n~~ j
<br />(7 Lc9,cJ, CL./7e.r(~o?1
<br />(Name Typed, Print d or St=L~
<br />NOTARY PUBLIC oJ JI,to MyCommBxp.8I17M
<br />~, ~~ l3cadI:dBJScnIaoIu
<br />· PUBLIC >- Nd.J:C489309
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