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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perJit lay be subject to .deed restrictions. which Jay be lOre restrictive than City
<br />regulations, fhe 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 JaY be
<br />cited for a lisdl!leanor violation under state law, If the owner or intended contractor are uncertain as to wbat licensing
<br />requireJeDts JaY apply for the intended work, they are advised to contact the City of Zephyrbills Building DepartJent, (813)
<br />788-6611,
<br />
<br />FurtberJOre, 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 which they will be rl!.$ponsible. 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, bave been provided with a copy of .Florida's Construction Lien Law - HOJeOWDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and Conslller Affairs, If the applicant is sOlleone 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 COJJeDceJent,
<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 develop.ent,
<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 bas cOllenced prior to issuance of a perJit and that all work will be perforJed to Jeet 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 goveIDJeDtal agencies JaY apply to the intended work, and that it is
<br />IY responsi~ility to identify what actions I lust take to be in cOlpliance, Such agencies include but are not liJited to:
<br />t DepartJent of EnviroDJeDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />WaterfWastewater TreatJent
<br />t Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rebabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater Treablent, Septic tanks
<br />t US EnvirODJeDtal 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 .cOlpensating volOle" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it 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 perJit prevent the Building Official frOll 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 perJit is cOJJenced within six IOnths of issuance, or if work authorized by the perJit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is co.enced, One 90 day extension of tile, Jay be
<br />allowed for the perJit 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 />WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMDCEMEN'l MAY RESULT IN YOUR PAYING 'NICH FOR IMPROVEmfS TO YOUR
<br />PROPERTY, IF Y ND TO OB F~, CONSULT WITH YOUR LINDER OR AN BREY BEFORE RECORDIHG YOUR HOTICH OF
<br />ClIIIIIICIDIERr. JOIIS 0 R $2. 00 R ~ IDl RIRD to IlICOIlII AIIIl PCSI A' Ie Of >> ~
<br />
<br />
<br />
<br />STATE OF F~IDA
<br />coum OF { ~A~D
<br />The foregoing instrument was acknowledged
<br />before me this DCl--r JS-~ 19..1lL by
<br />
<br />STE.PU,;.J ~S~
<br />who is Jlersonally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />
<br />t~~
<br />(~:~ -
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA
<br />coum OF p~~O
<br />The foregoing instrument~as acknowledged
<br />before me this De.T (S ,19~ by
<br />
<br />S 76(11-/ b-.:) (J. (l.OS.)
<br />who is personally known to me or who has
<br />-
<br />produced
<br />as identification and who did/did not
<br />
<br />t~ke~ o~~. 6Z ~~
<br />(S1 tu ~ c;:r
<br />uG Ie ~J~
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~"lC~~..~.:."l'.i:"""" ANGEUauE R, WAY
<br />$~ ::-l ''$'~ llV COMMIS8ION , cc ............
<br />f*: V',: :*i 1ft, VIU#fIU
<br />,~,~:.'<'C~ EXPIRES: July 29, 2000
<br />......~8r.lth~~~~'. Bonded 11uu NotIry PubIc ........
<br />
<br />..!; l~~:~:;'~:' ANGL~IQUE R, WAY
<br />:! ~'f i"i MY COMMISSION' CC 5729lIO
<br />J[!~ :/ EXPIRES: July 29, 2OlIO
<br />" ... ~:".. !londed TlIIU NoIllry PublIc ........
<br />
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