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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A~ NOTICE OF DEED RESTRICTIONS
<br />The undersign~d understands that this perlit lay be subject to 'deed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assutes responsibility for COIpliance 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, botb the owner and contractor lay be
<br />cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requiretents lay apply [or the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />188-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of tbe
<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 'Florida's Construction Lien Law - HOIeOWDer's Protection
<br />Guide" prepared by the Florida Departlent of Agricultur~ and Consuler Affairs. If the applicant is sOleone 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 />"ownerD prior to COllenCl!lent.
<br />
<br />E. CONTRACTOR'S/OWNER'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, loning, 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, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDIental 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 lilited to:
<br />· Departlent of Environmental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treallent
<br />t Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Nastewater Treatlent, Septic Tanks
<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 'colpensating volute" will be subtitted 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 frOl thereafter
<br />requiring a correction of errors ,in plans, construc~ion,o[ violations of any code. Every perlit issued shall becOle invalid
<br />unless the work authorized by such perlit is cOllBDced within six IOnths of issuance, or if work authoriled by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOIIeDced. One 90 day IlItension of tite, laY be
<br />allowed for the perlit 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 IODth period, or the project will be considered abandoned.
<br />NARIfING TO ONIfER: YOUR FAILURE TO RECORD A NOTICE OF COIIHIIICIHIlfT HAY RESULT IN YOUR PAYING !NICE FOR IMPROVEHmS TO YOUR
<br />PROPERTY. IF YOU IlfTEND TO OBTAIlf FIlfAlfCIJfG, CONSULT NITH YOUR LENDER OR AN AnORBIY BEFORE RECORDING YOUR NOTICE OF
<br />COHKENCEHllfT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMHIIfCEHIlfT".
<br />
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<br />and who did/did not
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<br />\
<br />(N~e ped, Printed
<br />NOTARY PUBLIC
<br />~~~ JODI HALDEN
<br />W My Commiaeion 00424504
<br />* * Expires Dec. 05, 1998
<br />" Bonded by HAl
<br />~DFF\.G"~'" 800-422-1565
<br />
<br />STATE OF FLOR!1' \_
<br />COUNTY OF \. \ \ ~\::{X()O~'t)
<br />The foregoing instrument wa acknowledged
<br />before me this \~S'" cf2, 19 q( () by
<br />~ec\'G~
<br />~,l)~e.. ~_ E.~l ~(lA\clu
<br />who is personally kno n to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />t~h:~cla1\
<br />(Sig t r~, \~ \~en
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~~~ JODI HALDEN
<br />. My Comminion CC424504
<br />* * Expires Dec. 05. 1998
<br />., Bonded by HAl
<br />~JtDFF\.O~'" 800-422-1555
<br />
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