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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A: NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that tbis perlit lay be subject to "deed restrictions" wbicb lay be lOre restrictive than 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 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 lay be
<br />cited for a lisdeieanor violation under state law, If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611,
<br />
<br />FurtbeIlOre, if the owner bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for wbicb tbey 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 tbe contractor wishes you to sigH
<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 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 tbat I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeowner's Protection
<br />Guide" prepared by tbe Florida Departlent of Agriculture and ConsUler Affairs, If tbe applicant is sOIeone other than the
<br />"owner", I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />"owner" prior to couenCl!Ient,
<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 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 cOllenced prior to issuance of a perlit and that all work will be perfOrled 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 goveInlental agencies lily apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in colpliance, Sucb 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 ManageleDt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArIf Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US EnvirODlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc,", it is understood tbat a drainage plan
<br />addressing a "cOlpensating volUle" will be sublitted wbicb 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 the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code, Every perlit issued shall beCOle invalid
<br />unless the work authorized by such perlit is cOll8nced witbin 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 cOllenced. One 90 day extension of tile, lilY be
<br />allowed for the perlit 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 six IOnth period, or the project will be considered abandoned.
<br />WARMING TO OWIER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMm'S TO YOUR
<br />PROPER'l'Y, IF YOU INTEND TO OBt'Alli FIlfAlfCIliG, COliSULT WITH YOUR LENDER OR Alf AnOmy BEFORE RECORDIliG YOUR 1I0'fICE OF
<br />COMMENCEMENT, JOBS UlfDER $2,500 Iii VALUE DO NOT NEED TO RECORD POST A "NOTI COMMENCEMENT" ,
<br />
<br />
<br />v(~# /f'~
<br />
<br />
<br />STATE OF FLORIDA ~
<br />COUN'lY OF /J~<lCJ
<br />The foregOing Instrument was acknowledged
<br />before me this Oe...-r.- ,2/ , 19~ by
<br />
<br />~5 /-I/1/lAlf --;tSO.(..l?T
<br />;~~d~~I'SO~-al1Yiilown- t~J>r who has
<br />
<br />as identification and who di ~not
<br />take n oat .
<br />
<br />STATE OF FLORIDA~
<br />COUN'l'Y OF ;4 6t!..Q
<br />The foregoing instrument was acknowledged
<br />before me this oeT. :).:2 ~ 19~ by
<br />
<br />
<br />~~ I? lWi~ G e.e!l}9 LJ J
<br />who ' .- --sonall _ ~o to me or who' has
<br />produced
<br />as identification and who di~d no~
<br />
<br />tacg'L' (~ ~~~<
<br />(S~~~kJl:- 6. ~w~17~:;~ .
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(~ure) . ~
<br />' ~B/~ ~_ ( ~.en/ltVD
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />:_i~V:!~~-:. Bobbie s. Swetland
<br />;~(~"):~ MY COMMISSION' CC534927 EXPIRES
<br />>.,.;~~"..~ February 22, 2000
<br />'i-f.ifr:~., . BONDED THRU TROY FAIN INSURANCE, INC.
<br />
<br />~~'\\!\~f1t* Bobble S, SWetland
<br />f*(Ji:':~ MY COMMISSION' CC534927 EXPii',
<br />C;~;~'~f FebrualY 22. 2000
<br />";{,P.r:.~'fo." BONIl€D THRU TROY FAIN INSURANCE. ir':
<br />
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