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<br />. CONDITIONS OF PERMIT AFFIDAVIT'
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe uQdersigned understands that this perlit lay be subject to 'deed restrictions" whicb lay be lOre restrictive than City
<br />regulations. 'be undersigned assutes responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<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 aay be
<br />cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requiretents lay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
<br />188-6611.
<br />
<br />Furthertore, if the owner has bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />DContractor Sections" of this application for wbicb tbey 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 'Florida's Construction Lien Law - HDIIe01IJIer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuter Affairs. If the applicant is sOIIeOne other than the
<br />"owner", I certify that I have obtained a copy of the above described docutent and prOlise in good faith to deliver it to the
<br />"owner" prior to couencetent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developtent.
<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 perforJed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governtental agencies tay 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 litited to:
<br />· Departlent of Environtental Regulation - Cypress Bayheads, Netland Areas and Environtentally Sensitive Lands,
<br />Nater/Nastewater Treatlent
<br />· Southwest Florida Nater Hanagetent District - NeIls, Cypress Bayheads, Netland Areas, Altering Natercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Naterways
<br />· DepartJent of Health & Rehabilitative Services, Invirontental Health Unit - NeIls, Nastewater TreatJent, Septic 'anks
<br />t US EnvirODlental Protection Agency - Asbestos abatetent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A. or "A,etc.", it is understood that a drainage plan
<br />addressing a .cOtpensating voluteD will be subtitted wbicb is prepared by a professional engineer registered in the State of
<br />Florida p'rior to perlit. issuance.
<br />
<br />A perlit issued sball be construed to be a license to proceed witb 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 frOt thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOle invalid
<br />unless the work authorized by such perlit is colltmced within six tonths 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 c_enced. One 90 day extension of tite, aay be
<br />allowed for the perlit with fee cbarge of $15.00. !be extension sball 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 />NARlHMG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMHINCEHllfT HAY RESUL! 1M YOUR PAYING !NICE FOR IHPROVIMDI'S TO YOUR
<br />PROPERTY. IF YOU IlfTEND TO OBTAIN FINANCING, CONSULT NITH YOUR LENDER OR AM AnORHEY BEFORE RECORDING YOUR NOTICE OF
<br />COMHINCEHINT. JOBS UHDER $2,500 IN VALUE DO NOT NIID TO RECORD AND POST A "NOTICI OF COMHINCEHllfT".
<br />
<br />
<br />s~Jr ~ Sl~~
<br />
<br />STATE OF FLO~A \
<br />COUlfTY OF I V\-d\. QS'
<br />The foregoing in~trument was ~cknowledged
<br />before me this~rjlU~list, 19~ by
<br />
<br />~~'\Ol C-. Y10-2
<br />who is personally known to me UL whu has
<br />produced
<br />as identification and who did/dMI uul
<br />ean t~l
<br />
<br />tureJ ~
<br />-, rn- YV\c. UI if..
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />.,~" ELYSE M MCGUIRE
<br />. MyCommiulon CC421008
<br />* * Expires Nov. 16. 1998
<br />~, Bonded by HAl
<br />-'FflDf;.d' 800-422-1566
<br />
<br />STATE OF F~
<br />coum OF i ~\ \q-S
<br />The foregoing in.t~was acknowledged
<br />before me this ~ , 19~ by
<br />
<br />G~rl6 HliC
<br />who is ersonally kno to me or who has
<br />produce
<br />as identification
<br />take an o.th.
<br />
<br />
<br />(Signature)
<br />1=re~dA \/. LD~'",
<br />(Name Typed, Printed or ~ f....~~~I"
<br />NOTARY PUBLIC :-i<.~.",'~O A~p,.('~"
<br />: .. ". ~ ';
<br />: :: My Comm. Expires': ~
<br />~ : Dec. 4, 1999 ! :
<br />~ lP ", No. CC515093.: ;:
<br />" :;.. ". ,I:) ..' ~ .~
<br />" ~)o:'..,.UBL\9.." ~ .:
<br />". ~ ....... ~".,~
<br />-" OF FloO -~
<br />""",,1.....,,"-,..............
<br />
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