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<br />" '. CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this perlit lay be subject to "deed restrictions" wbicb 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 lilY be
<br />cited for a lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requireJents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, 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 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 wisbes 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,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 that I, the applicant, bave been provided with a copy of .Florida's Construction Lien Law - HOIeOIDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is SOJIeOne other than the
<br />Downer", I certify that I have obtained a copy of the above described dOCUlellt and prOllise in good faith to deliver it to the
<br />"owner" prior to coaenceJent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT .
<br />I certify that all tbe inforlation in this application is accurate and that all work will be done in cOllpliance with all
<br />appliCable laws regulating construction, zoning, and land developleDt.
<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 cOlleDced prior to issuance of a perlit and that all work will be perforJed to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developleJlt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDIeDtal agencies lily apply to the intended wort, 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 EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Southwest Florida Water Hanageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater rreatJent, Septic ranks
<br />* US EnviroDleDtal Protection Agency - Asbestos abateJent
<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 uCOlpensating volUleu will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued sball 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 perJit issued sball beCOle invalid
<br />unless the work authorized by such perlit is couenced within six IOnths of issuance, or if work authorized by the perJit is
<br />suspended or abandoned for a period of six IOntbs after the tile the work is couenced. One 90 day extension of tile, lily be
<br />allowed for the pe[Jit with fee charge of $15.00. fhe extension shall 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 />WARHIHG fO OWNER: YOUR FAILURE TO RECOnp A NOIICE Of COHHEMCBIIIMf MAY RESULT 1M YOUR PAYIHG fIIlCE FOR IMPROVIHINTS fa YOUR
<br />PROPERTY. IF YOU IHTEtID fO OBfAtr....FIlWlcrMG,.COIISULf.'WIfH YOUR LEtlDER OR AM AnoRHBY BEFORE RECORDIMG YOUR MOIlCE OF
<br />COHHEMCEHEHT. JOBS UMDER $2,500 IN VALUE DO NOI NEED TO RECORD AJID POST A "NOTICE OF COMHEMCEMEII".
<br />
<br />
<br />\2~
<br />SImlfURE: OWNER OR AGEIfT ______
<br />
<br />Vel/'i? ~
<br />SIGlfArU : COHTRACTOR
<br />
<br />STAfE OF FLORIDA D
<br />coum OF \V~ 'X. 0
<br />The foregoing n~ent was .acknOlfledgBd
<br />b~ De this "' . l~ by
<br />
<br />()0- L (!, V><- ~
<br />who is pers~ ~ to me or who has
<br />produced . ,
<br />as identification and who did/did not
<br />
<br />takean~~
<br />(Signatu )
<br />
<br />(Name T . Stamped)
<br />NOTARY P BLlcWlLLlAM E. McNAll
<br />Y PUBUC, STATE OF FLORIUf
<br />MY COMM. EXP. FEB. 8, 1999
<br />COMM. # CC 437695
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing i acknowledged
<br />before me this , 19~ by
<br />
<br />L0~~' ~,M-~~1
<br />who is per-sonall own to me or who has
<br />produced ..... c.....c:..-
<br />as identific tion and who did/did not
<br />take an~~.
<br />
<br />(Signature~
<br />
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PU
<br />
<br />viiLUAM E.M(:iv,
<br />NOTARY PUBLIC, STATE OF F. .
<br />MY COMM. EXP. FEB 8 199fi
<br />COMM # CC 43769::
<br />
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