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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 restrictive than City
<br />regulations. Yhe 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, tbey 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 Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired 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 perlitt~ng 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 - HOIeOWDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant is sOleone other than the
<br />Downer", I certify that I have obtained a copy of the above described docUJent and prolise in good faith to deliver it to the
<br />"owner" prior to cOllellcl!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. I certify that no work or
<br />installation has COIIenced 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 the jurisdiction. I also
<br />certify that I understand that the regulations of other goveruental agencies lay apply to the intended lfOrl, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liJited to:
<br />t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rehabilitative Services, EnvirODJental Health Unit - Wells, Wastewater Yreatient, Septic Yanks
<br />t US EnvirODlental Protection Agency - Asbestos abateJent
<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 "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 />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 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 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 IOntha after the tile the lfOrk is couenced. One 90 day extension of tile, laY be
<br />allowed for tbe perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six IOntb period, or the project will be considered abandoned.
<br />WARNING TO OIIlfER: YOUR FAILURE TO RECORD A NorICE OF COMMENCEMENT HAY RESULY IN YOUR PAYING BICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU IIfTEND YO OBtAIN FIMARCING, CONSULY WIrH YOUR LENDBR OR AN Anomy BEFORE RBCORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO Nor NEED '1'0 RECORD AND POST A NNorICE OF COMMENCEMENY".
<br />
<br />~h~b""
<br />ll'l'URB. OWNBR OR AGEIfT
<br />
<br />SIm~
<br />
<br />STATB OF FLORIDA
<br />coum OF P;:t5co
<br />The foregoing instrument was acknowledged
<br />before me this "2-/'Z.- ,19 97 by
<br />
<br />STATE OF FLORIDA /)
<br />coum OF rN 5c 0
<br />The foregoing instrument was acknowledged
<br />before me this 1- ._/ L ~ 19-L.L.. by
<br />
<br />who is personally known to me or who has
<br />produced ~[)rA(..(...-'< ICA/~
<br />as identificati and who di not
<br />take an oath.-....
<br />)
<br />
<br />who is personally known to me or who has
<br />produced ~L?
<br />as identification and who di
<br />take an oath.
<br />
<br />
<br />(Signature) r? i? ',r). .; _
<br />1"';;>1<" (/C& ,A. /-r S I~/.:::. c..
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />(Signature)
<br />f3;<-ucC: P. Ii 5J3EL
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />BRUCE A. ASSEt
<br />Notary Public, State of Florida
<br />My Comm. expires June 22, 1998
<br />Comm. No. CC 386272
<br />
<br />BRUCE A. ASSEt
<br />Notary Public, State of Florida
<br />My Comm. expires June 22, 199B
<br />Comm. No. CC 386272
<br />
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