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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pemit laY be subject to Ildeed restrictions II which lay be .ore restrictive than City
<br />regulations. The undersigned assUles responsibility for cOIpliance 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 .ay 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 lisdeteanor 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 Zepbyrhills 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 />'Contractor Sections' of this application for wbich they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the cor.tnctrr, 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 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, have been provided with a copy of 'Florida's Construction Lien Law - BOJeOWner's Protection
<br />Guide" p{epared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is 8011!0ne 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 CODeDceaent.
<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 cOIpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has COIIeDced prior to issuance of a perli t and that all work will be perfoIled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlBDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveI1llelltal agencies laY apply to the intended wort, and that it is
<br />.y responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not luited to:
<br />t Departlent of EnviroDleDtal Regulation - Cypress Baybead3, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Managetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AllY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US HnvirODlental Protection Agency - Asbestos abatetent
<br />I also certify that, if fllllaterial is to be used in FloOd Zone "All or "A,etc.", it is understood that a drainage plan
<br />addressing a uCQlpensating volllleD will be sublitted wbich'is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance.
<br />
<br />A perlit issued sball be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisior~ of the technical codes, nor sball issuance of a perlit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery peIlit issued sball beCOle invalid
<br />unless the work authorized by such pemit is cOlleDced within sil IOnths of issuance, or if work authorized by the pemit is
<br />suspended or abandoned for a period of slllODtbs after the tile the lIOrt is c_enced. One 90 day l!ltension of tile, laY be
<br />allowed for the pemit with fee charge of $15.00. !be l!ltension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each silllCDth period, or the project will be considered abandoned.
<br />WARMING TO omR: YOUR FAILURE TO RECORD A NO'I'ICE OF COMMBNCEMBHt' MAY RESUL! IN YOUR PAYING !VICE FOR IMPROVEMBN!S TO YOUR
<br />PROPERTY. IF YOU INTEND TO OB!AIH FIWCIHG, CONSUL! WITH YOUR LINDER OR IN AnoRm BEFORE RECORDING YOUR NO'I'ICE OF
<br />COMMENCEMBN! . JOBS UNDER $2,500 IN VALUE DO liO'l' HEED fO RECORD AND POST A "NO'I'ICE OF COMMBNCEMBHt'''.
<br />
<br />
<br />~~~SI~~
<br />
<br />STATE OF FLORIDA 0
<br />COl'M'lY. OF ~. ~
<br />The foregoing inst~.ent was acknowledged
<br />before me this I~ ' 19~ by
<br />
<br />~bb/€ ::r ~C-{ ,k~
<br />who IS personally known to me or-w~$___
<br />pradaced
<br />as identification and who ~/did not
<br />take~---rn_-L~ -
<br />
<br />(Signature)
<br />
<br />TNam~ Typed, Printed or Stamped) ----.-
<br />NOTARY PUBLIC
<br />
<br />~~,
<br />II DONNA M SINClAIR
<br />* * My <-c"nmission CC3826HI
<br />Expires Jun. 14, 1998
<br />~JtDF~
<br />
<br />~~~~~iO~FFLORIDA P ~
<br />
<br />The foregoing iDst~ent was ac~~ledged
<br />before me this 1/ '.S" , 19 -Zt.. by
<br />
<br />c:tD-hbt~ T BLl/rk~
<br />who is personally known to me or who has
<br />preduced
<br />as identification and who ~/did not
<br />take an o~~._.~
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC #A' M SINCLAIR
<br />",., . DONNA
<br />. ~y PlJ8(~ * II * My Commission CC382619
<br />lQr.';c . , j;:xpife~Jun, 14,1998
<br />*.J " E';t~~: ~~~~,.
<br />~JtIlF~
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