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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!he undersigned understands that this peIlit lay be subject to 'deed restrictions' which lay be lOre restrictive than City
<br />regulations. 'he undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<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 lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requiretents laY apply for the intended work, they are advised to contact the City of ZepbyrhUls Building Departlent, (813)
<br />188-6611.
<br />
<br />FurtheIlOre, if the owner bas hired a contractor or contractors, he 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 work. If the contractor wishes you to sign
<br />as contractor that lilY be an indication that he is not properly licensed and is not entitled to perJitting 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 - HOIeOIDer's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is sOleDDe other than the
<br />'owner', I certify that I have obtained a copy of the above described doeutent and protise in good faith to deliver it to the
<br />'owner' prior to co.nCeJellt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infortation in this application is accurate and that all work will be done in COIpliance with all
<br />applicable laws regulating construction, zoning, and land developleDt.
<br />
<br />Application is hereby lade to obtain a peIlit to do work and installation as indicated. I certify that no work or
<br />installation has c~ced prior to issuance of a perlit and that all work will be perfoIJed to teet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developteDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governtental agencies tay apply to the intended wort, and that it is
<br />If responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not litited to:
<br />t Departlent of Environtental Regulation - Cypress Bayheads, Netland Areas and EnviroDlentally Sensitive Lands,
<br />Nater/Nastewater 'reatlent
<br />t Southwest Florida Vater Hanagetent District - NeIls, Cypress Baybeads, Netland Areas, Altering Natercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, lavigable Naterways
<br />t Departlent of Health , Rehabilitative Services, BnvirODJeDtal Health Unit - NeIls, Nastewater Treatlent, Septic 'ants
<br />t US BnviIOlllelltal 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 />al1dressing a 'COI(JeDSatlng volute' will be saitted which is prepared by a professional engineer registered in the State of
<br />, Florida prior to peIlit issuance.
<br />
<br />A perJit issued shall 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 peIlit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perin issued sball beCOJe invalid
<br />unless the work authorized by such perlit is cOlleDced within six IOnths of issuance, or if wort authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tite the work is coaenced. One 90 day eatension of tite, lilY be
<br />allowed for the peIlit with fee cbarge of $15.00. fbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each six IODth period, or the project will be considered abandoned.
<br />NARlING TO ONHER: YOUR FAILURE fO RECORD A NOTICE OF CotIMElCEHllfT MAY RESUL! 1M YOUR PAYING !NICE FOR IMPROVEIIEJIfS '0 YOUR
<br />PROPERn. IF YOU IMTBIfD fO OBTAIN FINANCING, CONSULT NUH YOUR LENDER OR AI AnORRIY BEFORE RECORDING YOUR NOTICI OF
<br />C(IDfIMCEHlN!. JOBS UNDER '2,500 IN VALUE DO NOT IfIID TO RECORD AIfD POST A 'NOTICE OF COMMEIfCEMIlMT'.
<br />
<br />
<br />s~~~~~ ~~~
<br />
<br />SfAfl OF FLORIDA
<br />COUJm OF
<br />The foregoing instrument was acknowledged
<br />before ~ ;1.3 , 19~ by
<br />
<br />J1I ff R 1/ '" JU /J1J.J t? '
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />
<br />::~c~
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />:'-;;'~X;;~--- PATRICIA NOBEl
<br />~;~b,? COMM,ISSION # CC 392533
<br />',J oni'; ,,' EXP, RES JUL 14 1998
<br />'lI/1t\\" , ..
<br />
<br />STA'I OF FLORIDA
<br />coom OF
<br />The foregoing instrument was acknowledged
<br />before me~ ~ , 19 7'6 by
<br />
<br />~dJ6~ J!>u-tJ/c'/f/#Vl
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />t~~ 7~
<br />( ~ure)
<br />~1 (", .II- .,;U;I4trz
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />,"?:,y";:/I,"
<br />fiM'. u't"-~ PATRICIA NOBEl
<br />~~; .;~ COMMISSION # CC 392533
<br />..rf ~;H..-v' .
<br />"'~?OFf,-G~,'- EXPIRES JUL 14 1998
<br />lUll" J
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