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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS .
<br />Tbe undersigned understands tbat this pertit laY be subject to "deed restrictions" wbich 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 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 aay be
<br />cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner bas 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 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 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 - HOIeOIDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOl8One other than the
<br />"ownerl', I certify that I have obtained a copy of the above described docutent and prOlise in good faith to deliver it to the
<br />"owner" prior to couenCI!IeDt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in tbis 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 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 pertit and that all work will be perforted to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in t4~ jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDIeDtal agenCies laY apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />* Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Southwest Florida Water Kanagl!leDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health & Rebabilitative Services, Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />* US EnviroDlental Protection Agency - Asbestos abatelent
<br />I also certify that, ,if fill laterial is to be used in Flood Zone "A" or l'A,etc.", it is understood that a drainage plan
<br />addressing a .cOlpensating volUleR will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit. 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 provisions of the technical codes, nor shall is~uance of a pertit prevent the Building Official frot thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued sball becOle invalid
<br />unless the work authorized by such pertit is cOlleDced within six IOnths of issuance, or if work authorized by the pertit is
<br />suspended or abandoned for a period of six IOntbs after the tie the work is cOlleDced. One 90 day l!Itension of tiR, aay be
<br />allowed for the pertit with fee cbarge of '15.00. Tbe extension 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 />WARKING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT KAY RESULT IN YOUR PAYING TWICE FOR IMPHOVEJIENTS TO YOUR
<br />PROPERTY. IF YOU INTEHD TO OBTAIN FINAJlCING, CONSULT WITH YOUR LEHDER OR AN AnOmy BEFORE RECORDING YOUR HO'fICE OF
<br />COMMENCEKBfft'. JOBS UNDER '2,500 IN VALUE 00 NOT NEED TO RECORD AJID POST A "NOTICE OF C CEKEIf'l".
<br />
<br />//~<
<br />
<br />J?f 1.)1: 1-- '9 :;ifl'~ ti-./
<br />SIGNATURE: OWIfER OR AGENT v
<br />
<br />
<br />h
<br />
<br />STArE OF FLORIDA . ~
<br />coum OF/~
<br />The foregoing instrument was acknowledged
<br />before me this /2. - /1- , 19~ by
<br />
<br />~ ~'t-/L/
<br />who iJi I!!!rsonally known to ~ or who has
<br />produced
<br />as identification and who did/did not
<br />ta~an oath. '4
<br />~.#1/ (':>f' Y --' A<J4~JJ
<br />(Si~ature) ,
<br />.' u'en J.. . /lh-t ~~ e r
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FJ.QRIDA
<br />courn OF ~i J
<br />The foregoing instrument was acknowledged
<br />before me this 'Q'ttc,~19~ by
<br />
<br />~ ~y,~J
<br />who ~personau~ ~ .&--t9 me or who has
<br />produced
<br />s identification and who did~
<br />ta 0 h. '
<br />
<br />
<br />\\\~~U~'"" Gwen L. MU818r
<br />[:f\-;b~;% MY COMMISSION' CC51ll8ll8 EXPIRES
<br />~.~.;.a-l 0eceIlIbIr7,1888
<br />"~ ;;,; ~cr,;" IlllNllIiD THIllI TIIDY PAIN IMUIWIlI. ..
<br />I"U"'\\
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