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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />'A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this petlit lay be subject to adeed restrictions- wbieb lay be lOre restrictive tban City
<br />regulations. !be 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 lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requireJents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtbeflOre, if the owner bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />aContractor Sections. of this application for whieb they will he 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 be 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 - HOJeOWDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is sOJeQne other than the
<br />-owner a , I certify that I bave obtained a copy of the above described docUJent and prOlise in good faith to deliver it to the
<br />"ownera prior to cOlleDceJent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforJation 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 petlit to do work and installation as indicated. I certify that no work or
<br />installation bas cOllenced prior to issuance of a perlit and that all work will be perfoIJed to Jeet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developJeDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveruental agenCies JaY apply to the intended wort, 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 DepartJent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />t Soutbwest Florida Water HanageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater TreatJent, Septic ranks
<br />t US EnvirODJeDtal Protection Agency - Asbestos abateJent
<br />I also certify that, if fill laterial is to be used in Flood Zone aAa or "A,etc.", it is understood that a drainage plan
<br />addressing a ac~pensating volUlen will be subJitted whieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A petlit 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 sball issuance of a petlit prevent the Building Official ffOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOle invalid
<br />unless tbe work authorized by sueb perlit is COllenced within six IOnths of issuance, or if work authorized by the perJit is
<br />suspended or abandoned for a period of six IOntha after the tile the vork is cOllel1ced. One 90 day extension of tile, lilY be
<br />allowed for the petlit with fee cbarge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during eaeb sixlOnth period, or the project will be considered abandoned.
<br />WARMING TO OWHER: YOUR FAILURE TO RECORD A NOTICE OF COIIHERCEMm MAY RESULT IN YOUR PAYING TWICE FOR IHPROVEIIBIft'S TO YOUR
<br />PROPERTY. IF YOU IJlTBHD T BTAIB FlIlAHCIHG, CONSULT IfU'H YOOR LINDER OR AIf~ BBFORE RE NG YOUR NOTICE OF
<br />COMMENCEMENT. JOBS urm 'Zo. VALUE DO NOT HEED TO RECORD AIfD POST A ". ICE OF C
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<br />TORE: CO
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<br />
<br />
<br />STATE OF FLORIDA/)
<br />COUHTY OF I~
<br />The foregoing instrument was ackqowledged
<br />before me this /7011 c:, , 19~ by
<br />
<br />STATE OF FLORlnA /J
<br />COUNTY OF ~~-d
<br />The foregoing ins~rument was acknowledged
<br />before me this ,{/t5V 0 ,19 ~ by
<br />
<br />who is personally known to me or who has
<br />produced ~
<br />as identification and who
<br />take an ~.
<br />~ -L-e
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />who is personall v known to me or who has
<br />produced -
<br />aS~.d t.ification :Zd~did/did not
<br />tak o~th. ' _ 4__
<br />_~_Le-.e-c-p. -e~
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />OFH !JU:1~YS'EAi:----.
<br />PAlJ1.1NESSM~DERS
<br />NGrARY PUBUC STATE OF FLORIDA
<br />COMM1S6ION NO. CC521453
<br />MY COMMISSION EXP. AN.3 000
<br />
<br />OFFICIAL NOfARYSEAL
<br />PAUUNE S SANDERS
<br />NOTARY PUBUC Sf ATE OF FLORIDA
<br />COMMl'SSION NO. CC5274S::;
<br />MY COMMiSSION EXP. IAN "".2.vv.
<br />..:..l._,.......,'J'lv.\}
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