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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A" NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit JaY be subject to 'deed restrictions" which lay 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 lisdelH!anor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents lay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departllent, (813)
<br />788-6611.
<br />
<br />Furtheraore, 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 responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the wort. 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, bave been provided with a copy of 'Florida's Construction Lien Law - &.emmer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is soaeone other than the
<br />"owner", I certify that I bave obtained a copy of the above described dOCUJent and prOllise in good faith to deliver it to the
<br />"owner" prior to cOlleDceaent.
<br />
<br />E" CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developunt.
<br />
<br />Application is hereby Jade to obtain a perlit to do wort and installation as indicated. I certify that no wort or
<br />installation bas c~ced prior to issuance of a perlit and that all work will be perfol'led to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveI1llental agenCies Jay apply to the intended work, and that it is
<br />-r responsibility to identify what actions I lust take to be in COIpliance. Such agencies include but are not luited to:
<br />· DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and Envirol\lentally Sensitive Lands,
<br />Water/Wastewater 'freatJent
<br />· Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· Departlent of Health i Rebabilitative Services, EnvirODJentalHealth Unit - Wells, Wastewater 'freatJent, Septic 'fanks
<br />· US EnviIODlental Protection Agency - Asbestos abateaent .
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "cOlpeDsating volDle" will be subJitted wbich 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 wort 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 fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOle invalid
<br />unless the wort authorized by such perlit is COIIeJlced within six IOnths of issuance, or if wort authoriled by the perlit is
<br />suspended or abandoned for a period of sillOnths after the tile the work is c08eDced. One 90 day extension of tile, JaY be
<br />allowed for the perlit with fee charge of U5.00. 'fhe extension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sillODth period, or the project will be considered abandoned.
<br />WARNING '1'0 OWNER: YOUR FAILURE '1'0 RECORD A NorICE OF C<>>lMDCEJIIM'f MAY RESULT IN YOUR PAYING BICE FOR DIPROVEIlEJft'S 'f0 YOUR
<br />PROPEm. IF YOU I1rmm 'f0 OB'fAII FIIIJICIIG, CONSUL'f WI'fH YOOR LlJiDER OR lIf A'f'fORDY BEFORE RECORDIIG YOUR lorICE OF
<br />COHHENCEHEH1'. JOBS UffDER $2,500 IN VALUE DO Nor HEED TO RECORD AlfD POS'f A "NorICE OF COIIIIIfCBm'l'.
<br />
<br />~~~,
<br />
<br />J:~;:t 0. ~
<br />SIGlfA'f : COIf'fRAC'fOR
<br />
<br />STATE OF FL~A
<br />coum OF 1I5Co
<br />The foregoing instrument was acknowledged
<br />before me this ZB OCT~ 19ib.- by
<br />
<br />
<br />-l'h!i~l~e~~~~~ or who has
<br />
<br />produced
<br />as identification and who did/did not
<br />
<br />* oa~O.u/<~ 'Jq?~
<br />( a~ure)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />S'fA'fE OF FL~
<br />COUI'fY OF c C t.>
<br />The foregoing instrument was acknowledged
<br />before me thisaJ QTcl?( P- , 19-9iL by
<br />
<br />
<br />"7 ~.."
<br />O/.3C< I' l'-..e'.J.
<br />w~o_~l5o!la~l kn wn~to...JD.e or who has
<br />produced
<br />as identification and who did/did not
<br />tak~ ~Oa.th ~/'"\I? f . -A9--
<br />~-(1;J1'-t- ~
<br />(Signa ure) ,
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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