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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this pertit lay be subject to "deed restrictions" wbicb lay be lOre restrictive tban City
<br />regulations. rbe undersigned asSUles responsibility for cOlpliance with any applicable-deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake wort, 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 lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents 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 bave 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. lay be an indication that he is not properly licensed and is not entitled to perJitting priVileges in the
<br />City of Zepbyrbills.
<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 - HlIIeOImer's Protection
<br />Guide" prepared by the Florida Depart.lent of Agriculture and Conslller Affairs. If the applicant is sllleOne other than the
<br />"owner", I certify that I bave obtained a copy of the above described docUlellt and prOlise in good faith to deliver it to the
<br />"owner" prior to COIleDCeJeDt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforliltion in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a pertit 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 wort 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 goverJ1ll!Jltal 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 laited to:
<br />t Depart:Jent of EnviroDlental Regulation - Cypress Baybeads, NetIand Areas and Envirol1leJltally Sensitive Lands,
<br />Nater/Nastewater Treablent
<br />t Southwest Florida Nater Managl!lellt District - NeIls, Cypress Baybeads, Netland Areas, Altering Natercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, lavigable Natenays
<br />t Departlent of Health & Rebabilitative Services, EnvirODlelltal Health Unit - NeIls, Nastewater Treablent, Septic Tants
<br />t US EnviroDlental Protection Agency - Asbestos abatl!lellt
<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 acOJpensating volDlea will be subtitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A pertit issued sball 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 pertit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall beCOle invalid
<br />unless the work authorized by such perlit is COllellced within sillOnths of issuance, or if work authorized by the pertit is
<br />suspended or abandoned for a period of sil IOnths after the tile the wort is ~ced. One 90 day extension of tile, lily be
<br />allowed for the pertit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each sillODth period, or the project will be considered abandoned.
<br />WAIUfIKG TO 0IIlfBR: YOUR FAILURE TO RECORD A IOTICE OF COIDIDCBIfIlft' MAY RESULr II YOUR PAYIIG "'ICE FOR IHPROVEIIBIfS ro YOUR
<br />PROPERTY. IF YOU IJlTBHD TO OBTAIH FlHAHCIIG, COHSULT NITH YOUR LBIIDBR OR U AnOIlRBY BlFORB RBCORDIHG YOUR IOTICE OF
<br />COMMBHCBMBtn'. JOBS IJlfDER $2,500 II VALUE DO lOT lEBO TO RECORD un POST A IIIOTICE OF COHHEHCBIfIlft'".
<br />
<br />SIGHAfURE: ONHBR OR AGEJIT
<br />
<br />
<br />SIGIATURE: COJITRAC'l'OR
<br />
<br />STATE OF FLORIDA
<br />COUJITY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE OF FLORIDA
<br />coum OF p,~ ~ \
<br />The foregoing instrument was acknowledged
<br />before me this ~\ 9creQ~ 1~ by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />~~~~
<br />who is p~ n y o~o me or who has
<br />produced
<br />as identification and who di~d n~
<br />take an oath. V~ .
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />~VI ^ t<'e--vSc("
<br />(Name Typed, Printe or Stamped)
<br />NOTARY PUDI. Tr
<br />"{tV p OFFICIAL NOTARY SEAl.
<br />~'" u~( KEVIN KRUSE
<br />.f 1\U~~{ '6 COMMISSION NUMBER
<br />1J, '\til~ ~ CC548891
<br />~~. ~ MY COMMISSION EXPIRES
<br />~ OF f\.O APR, 282000
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