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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perJit JaY be subject to Ddeed restrictionsR which lay be lOre restrictive than City
<br />regulations. 'he undersigned assUles responsibility for cOJpliance 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 JaY be
<br />cited for a lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents JaY apply for 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 the
<br />RContractor 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 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 - HOJeOIIIIer's Protection
<br />GuideR prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is SOJeOne other than the
<br />Downer", I certify that I have obtained a copy of the above described docUJent and prOlise in good faith to deliver it to the
<br />"ownerR prior to cOlleDcelent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the infoIlation 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 COJJeDced prior to issuance of a perJit and that all work will be perfolled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDJental agenCies JaY 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 liJited to:
<br />· DepartJent of EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />· Southwest Florida Water Managelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· DepartJent of Health & Rehabilitative Services, InvironJental Health Unit - Wells, Wastewater TreatJent, Septic 'anks
<br />· US EnvirODlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "AD or "A,etc.", it is understood that a drainage plan
<br />addressing a uCOlpensating volUleR will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida p'rior to perJit. issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perJit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall beCOle invalid
<br />unless the work authorized by such perJit is cOllenced 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 cOlleIlced. One 90 day extension of tile, lilY be
<br />allowed for the perJit with fee charge of $15.00. the extension sball be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six IOntb period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NO'l'ICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING !WICE FOR IMPROVBIIIMTS TO YOUR
<br />PROPER'l'Y. IF YOU IIft'HHD 10 OBrAIlf FIlfAlfCIlfG, COlfSULT WUB YOUR LEWER OR Alf AnoRJIBY BEFORE RECORDIlfG YOUR 1I0000ICE OF
<br />
<br />
<br />7" C'5:~rm_A'~~
<br />
<br />~R OR AGEn SIGlfATURE: CTOR --....___
<br />
<br />STATE OF FLORID~
<br />COUNTY OF ~Q~
<br />The foregoing instrument was acknowledged
<br />before me this &J~ \ &- , 19~ by
<br />
<br />.AJo~ L. ~~-eJt..
<br />who is personal Iv knnwn~to me or who has
<br />produced
<br />as identification and who did/did not
<br />tak~o ~~,
<br />(Signature)
<br />
<br />STAlE OF FLORIDA ~
<br />COUNTY OF ~~f)
<br />The foregoing instrument was acknowledged
<br />before me this (C~ I~ , 19EitL by
<br />
<br />AAQf\tltqYl h. ~Q~
<br />who is_personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take a.J?-\ ?~~hli .. f1rJ /l . 1 ~ f\. ~ Ii
<br />~~ ~\.QU:'RII
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />'h'+ KlMBERLEE SCHARLAU
<br />My Commission CC361276
<br />* liijf * Expires Apr. 04, 1998
<br />WI.. Bonded by ANa
<br />~.,,"".., 800-852-5878
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PIlI~
<br />"""6 K/MBERLEE SCHARLAU
<br />* . * My Commission CC361276
<br />Expires Apr. 04,1998
<br />Bonded by ANB
<br />">",,,,,";>" 800-852-5878
<br />
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