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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which Jay be lOre rest~ictive lhan 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 bas bired a contractor or contractors to undertake work, they JaY 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 lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if tbe owner has bired a contractor or contractors, he is advised to bave 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 wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to peIlitting privileges in the
<br />City of Zephyrbills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN hAW (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 - HOJeOWDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Conslller Affairs. If the applicant is SOJeOne other than the
<br />"owner", I certify that I have obtained a copy of the above described dOCUJeDt and prOJise in good faith to deliver it to the
<br />"owner" prior to COIleDCeJeDt.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify tbat all the inforaation 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. I certify that no work or
<br />installation bas couenced prior to issuance of a perlit and that all work will be perfol'led to .eet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in th~ jurisdiction. I also
<br />certify that I understand that the regulations of other govel1llental agencies JaY apply to the intended work, and that it is
<br />If responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />* Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater !reatlent
<br />t Southwest Florida Water HanageJeDt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArJY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rehabilitative Services, EnvirODJeDtal Health Unit - NeIls, Wastewater !reatlent, Septic ranks
<br />t US EnvirODlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A/etc.", it is understood that a drainage plan
<br />addressing a .cOJpeDsating volllle" will be sublitted wbich 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 tbe work 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 frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall becOle invalid
<br />unless the Ifork authorized by such perlit is cOllBnced within sillOnths of issuance, or if Ifork authorized by the perlit is
<br />suspended or abandoned for a period of sillOnths after the tile the work is COIIeDCed. One 90 day extension of tile, JaY be
<br />allowed for the perlit with fee charge of $15.00. !be extension sball 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 />WADING TO OWNER: YOUR FAILURE TO RECORD A NO'J'ICE OF COHHDCEIlllNt' HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEIlllIl'S TO YOUR
<br />PROPERTY. IF YOU INt'BMD TO OBTAIN FINAIICIRG, COKSULT WITH YOUR LENDER OR All AnoRDY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "KOTICE OF COMMENCEHEIfI".
<br />
<br />
<br />
<br />SIGIIAIURE: ~'J.
<br />
<br />STATE OF FLORIDA 0
<br />coum OF r 1/-8CD
<br />The foregoing instrument was acknowledged
<br />before me this I /;;L , 19U by
<br />I
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identificati not
<br />take an oa
<br />
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />KEITH CORREIA
<br />MY COMMISSION' CC 451416
<br />EXPIRES: May 13. 1999
<br />Bonded l11m NoIlUY PubIlc Und8rNl\llllS
<br />
<br />
<br />STATE OF FLORIDA ~
<br />coum OF F ;(96 ()
<br />The foregoing inst~t was aCknowledged
<br />before me this I , 19-22- by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identif~d. who did/did not
<br />take an Oa '. ,C ~:a-
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC CORREIA \
<br />, .......r.....' KEITH15S,^", . CC 451416
<br />, ~.~, MyCOMM M' .
<br />l~~~';. EXPIRES' May 13. 1999 ~
<br />~.: :~: . \JIIdlIlWlI\8IS
<br />~. '/i>~ n_~....d l11m NoI8IY P\IIlllC
<br />"~~,Rf.~~..~ DUlftIVU
<br />
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