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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perJit lay be subject to Ideed restrictions. which lay be lOre restrictive than City
<br />regulations. The 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 lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireJents lay apply for the intended work, they are advised to contact the CitY,of Zephyrbills Building DepartJent, (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 Sectionsl 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 wisbes you to sign
<br />as contractor that lay be an indication that he 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 IFlorida's Construction Lien Law - HOJeowner's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />.owner", I certify that I have obtained a copy of the above described dOCUJent and prolise in good faith to deliver it to the
<br />"ownern prior to COJJenCl!lent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT _
<br />I certify that all the 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. 1 certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforJed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in t4e jurisdiction. I also
<br />certify that I understand that the regulations of other governJental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />* Southwest Florida Vater ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health << Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />t US EnviroDlental Protection Agency - Asbestos abateJent
<br />I also certify tbat, if ,fill laterial is to be used in Flood Zone IAI or "A,etc.", it is understood that a drainage plan
<br />addressing a .cOlpensating volUle' will be sublitted which is prepared-by a,professional engineer registered in the State of
<br />Florida prior to perlit, issuance.
<br />
<br />
<br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel ~lter, or
<br />set aside any provisions of the technical codes, nor shall is~uance of a perlit prevent the Building Official fro. luereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball becOJe invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day extension of tile, aay be
<br />allowed for tbe perlit with fee charge of $15.00. The extension shall be requested in writing to tbe Building Official. An
<br />approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPER IF YOU INTEND TO OBTAIM FINAMCING, CONSULT WITH YOUR LBNDER OR AM ATTORMEY BEFORE R,KCORDING YOUR NOTICE OF
<br />COHMEN T. $2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A 'NOTICE OF COMMENCEMENT".
<br />
<br />J T57~.~
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF \-\ \ __v:.. 6::;.~ <:;,,-\-\
<br />The foregoing instrument was acknowledged
<br />before me this~00.\~~ , 19q~ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Hillsborough
<br />The foregoing instrument was acknowledged
<br />before me this Nou. I~TJf, 19 9ro by
<br />
<br />'-P\u-..,.\~ Qt2'~ SIC-f
<br />who is personally known to me DC wha has
<br />~gduced
<br />as.-identif-iGati-on--iHld who did/did net
<br />take an oath. ~
<br />
<br />(~f51:~~~Na
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />Bruce E. Scott
<br />who is personally known to me or wha bas
<br />~
<br />as identification and who did/dill fldt.
<br />
<br />::~~:~ ,~~~
<br />
<br />(Name Typed, Pr1nted. or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />MAROARBT OBaOBN
<br />Ntllf' PIltIlc. Stlft III FI"lcla
<br />M, Coalll. Ellll'.. Ooe. So 1.17
<br />No. CC 3201.1
<br />
<br />
<br />MARGARBT OBRGBN
<br />NIlIf' PIltIlc, Stlft III FI"lcla
<br />M, COIIII. Ellll'.. Ooe. a. 1.17
<br />No. CC 3101..
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