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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peClit 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 ,CpNTRACTOR RESPONSl-BILITIES ',.
<br />If the owner has'hired a corttractor or contractors to undertake 1fOrk~ they lay be required to De licensed in accordance with
<br />state and local regulations. If the contractor is not li c~sed as required by law, both the oViler' 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 />requirl!leIlts lay apply for the intended work, they are advised to contact the City of ZepbyrhillS' Building Departlent, (813)
<br />188-6611.
<br />
<br />Furtherlore, ~t the owner has hired a contractor or contractors, he is advised to. have the contractor(s) sign portions of the
<br />IIContractor 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 - HOIeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOIeone 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 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, 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 cOlleDced prior to issuance of a perlit and that all work will be perfoCled 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 goveIDJental 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 lilited to:
<br />t Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Managl!lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· AClY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rehabilitative Services, EnvirODJental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />t US EnviroDlental Protection Agency - Asbestos abatl!lent ..
<br />I also certify that, if fill laterial is to be used in Flood Zone "All or "A, etc. " , it is understood that a drainage plan
<br />addressing a .cOlpensating volUle" will be subJitted 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,tbe Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery peClit issued shall beCOle invalid
<br />unless the work authorized by such peClit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOntbs after the tile the work is COlJellced. One 90 day extension of tile, JaY be
<br />allowed for the peClit 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 each six IOnth period, or the project will be considered abandoned.
<br />WARNING TO OWHER: YOUR FAILURE TO RECORD A NOTICE OF COMMEHCEMElft' MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENt'S TO YOUR
<br />PROPERTY. IF YOU IlfTEIm. TOOBTAIH FINANCING, CONSULr.wITH YOUR LENDER OR AN AnORREY BEFORE RECORDING YOUR JlO'lICE OF
<br />COMMENCEMElft'. JOBS UNIIER $2,500 IN VALUE DO NOT NEED TO RECORD AIm POST A "NOTICE OF COMMKNCEMElft'''.
<br />
<br />
<br />OF FLORlftA-n
<br />COUlf'lY OF .. ~
<br />The foregoing i~strument was acknOwledged
<br />before me this. / 0 ~ /<, -, 19~ by
<br />
<br />~) (l-t~~
<br />who i.S ~onal y known to me or who has
<br />produced ~,L.~_2f' v+~.u-'r.:l.~- Lty- L3S .j)
<br />as identification and who did/did not
<br />take an oath. (/ ~ ~
<br />"--i1 ,~
<br />(Signature) .IY. A:A<AUd A f! i-
<br />. &nc..v . D"~ciY
<br />(Name Typed, Printkd or Stamped) /
<br />NOTARY PUBLIC
<br />
<br />~
<br />
<br />
<br />STATE OF FLORIDA <---;-;;
<br />coum OF r ~?
<br />The foregoing instrument was acknowledged
<br />before me this /0 -/.s- ~ 19 Y.-k by
<br />
<br />~.~. &~~L
<br />who is I ,;~nallY k!1own to me or who has
<br />produced <~~A{flL~
<br />as identification and who did/did not
<br />take an oat~ ' f::l JJtrJ-ff-..L.1
<br />
<br />(Signature) -;/ht"'GA If d G
<br />/t' &.Ilcv 0:3 '-/
<br />(Name Typed, Printed or Stamped) /
<br />NOTARY PUBLIC
<br />
<br />.~~~.. Nancy A. Moody
<br />;....l'A~~:. tM COt.NSSION , CC534806 EXPIREi;
<br />':~.AiJ,: February 21 2000
<br />..":t....\\,~ BONIlEO THR\J lROV FAIN INSURANCE. IN'.
<br />,llf..",
<br />
<br />....~~~:f~'-', Nancy A. Moody
<br />,~f"'~",;~ MY COMMISSION * CC534806 EXPIRES
<br />,,:,~.~l February 21, 2000
<br />.;;. ...;:,~., BONDED THRU TROY FAIN INSURANCE, INC
<br />"qfll\i'\
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