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<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. 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 witb
<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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />require.ents lay apply (or the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />Further.ore, 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 tbis application for wbich they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, ratller than the contractor, are responsible for the work. If the contractor wisbes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to per.itting 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 - HOIeowner's Protection
<br />Guide" prepared by the Florida DepartJent of Agricultur~ and Consuler Affairs. If tbe applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described docUlent and prolise in good faith to deliver it to the
<br />"owner" prior to couencelJent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVl'f
<br />I certify that all the inforlation in this application is accurate and that all work will be done in co.pliance 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 per.it and that all work will be perfor.ed to .eet 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 goverDIental agencies lay apply to tbe intended wort, and tbat it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to:
<br />· Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />· Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />· US EnviroDlental Protection Agency - Asbestos abate.ent
<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 "co.pensating volUle" will be sub.itted 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 frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball beCOle invalid
<br />unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by tbe per.it is
<br />suspended or abandoned for a period of six IOnths after the tile tbe work is cOllenced. One 90 day eltension of tile, laY be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during eacb six IOnth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMEKTS TO YOUR
<br />PROPERTY. IF YOU INT OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY RECORDING YOUR NOTICH OF
<br />COKHENCKKENT. JO R $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTIC NCKMHNT".
<br />
<br />
<br />
<br />STATE OF FLO~
<br />COUNTY OF . ~
<br />The foregoing instrument was acknowledged
<br />before me this ;1- if s , 19 7'-6 by
<br />
<br />
<br />who i~own to me or who has
<br />produced
<br />as identification and who did/did not
<br />take ~h. O. >>;"...,. 4t
<br />
<br />(si9nature)~-"1 A J1l2.oJ-.
<br />
<br />(Name Typed, print~ or Stamped) 1
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA / ',~
<br />COUNTY OF '--. CJ.....A,./i--tJ
<br />The foregOing instrument was acknowledged
<br />before me this j1 - c:2 _<\ , 199.k. by
<br />
<br />
<br />who is own to me or who has
<br />produc
<br />as identification and who did/did not
<br />
<br />take~~h. a. >>r /J77~
<br />
<br />(Signature) ~ . 4 u . /
<br />LLd n. c. v . LLC7 oe!. v
<br />(Name Typed, Printed or tamped) /
<br />NOTARY PUBLIC
<br />
<br />\,.." 1~.ltt""
<br />~\'f:"~'" Nancy A. Moody
<br />, ",~':'r*~ MY COMMISSION' CC534806 EXPIRES
<br />~~~f FebruaIy 21,2000
<br />"',;!r.,r..~ BONDED THRU TIlOV FAIN INSURANCE, INC.
<br />
<br />_.:'~"~U:,"'" HIney A. Moody
<br />
<br />";~4~~ MY COMMISSION' CC53480lI EXPIRES
<br />~.;\~:,fE FebnJary 21, 2000
<br />-". ;,"'~.' BONDED THRU TIlOV FAIN 1NSURAIlCE, INC.
<br />
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