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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'The undersigned understands that this penit lay be subject to Bdeed restrictions" which lay be lOre restrictive than City
<br />regulations. !he undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSEP 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 lisdeaeanor violation under state law, If the owner or intended contractor are uncertain as to wbat licensing
<br />requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the owner has bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />BContractor 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 be is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zephyrbills.
<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 AFlorida's Construction Lien Law - HOJeOWDer's Protection
<br />Guide" p~epared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />Aowner", 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 couencl!lent.
<br />
<br />E" CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all tbe infortation 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 peIlit 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 perforaed 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 governaental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I tust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />* Department of Environaental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />* Southwest Florida Water Manageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - NeIls, Vastewater TreatJent, Septic Tanks
<br />* US KnvirODlental Protection Agency - Asbestos abateaent
<br />I also certify that, if fill laterial is to be used in Flood Zone "AA or "A,etc.", it is understood that a drainage plan
<br />addressing a "cOlpensating volUle" will be subaitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />
<br />A pertit 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 pertit prevent the Building Official frCl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall becOle invalid
<br />unless the work authorized by such pertit is cOlleDced within six JOnths of issuance, or if work authorized by the perait is
<br />suspended or abandoned for a period of six IOnths after the tae the work is cDDenced. One 90 day l!Itension of tile, lily be
<br />allowed for the perait with fee charge of $15.00. The l!Itension 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 OIUlER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMmS TO YOUR
<br />PROPERTY. IF YOU ND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN AnORHEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMEN\ JOBS UHDE ,500 IN VALUE 00 NOT NEED TO RECORD AND PO. ~'.
<br />
<br />. ~~
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<br />SIGNATURE: CONTRACTOR '\
<br />
<br />STATE OF FLORIDA J?
<br />COUNTY OF F Ils c 0
<br />The foregoing Instrument was acknowledged
<br />before me this N~ v 'I 19fiL by
<br />
<br />STATE OF FLORIDA &1
<br />COUNTY OF " 11-5 c 0
<br />The foregoing instrument was acknpwledged
<br />before me this )1J()U ~ ' 19~ by
<br />
<br />~ is personally_ :own ~ or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />ta~e ~'-n1~
<br />(SIgnature)
<br />
<br />.~s personally known ~or who has
<br />produced
<br />as identification and who did/did not
<br />takean~ ~_
<br />~ . .A/1
<br />(Signature) ~
<br />
<br />(Nam~ Typed, Printed or Stamped)
<br />NOTARY PUBLI~,
<br />
<br />d"" DONNA M SINCLAIR
<br />.. liiAir * My Commission CC382619
<br />~~, Expires Jun~ 14. 1998
<br />~~(Jf f\.~~"
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC ~~~
<br />~.~. * ~~~~~~"-'~~~1..'
<br />
<br />~ Expires Jun. 14, 1998
<br />
<br />t ~~Of f\.O~~'"
<br />
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