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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pertit lay be subject to "deed 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 lay be
<br />cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to .wbat licensing'
<br />requireJents 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 hired 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 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 perlitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<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 DepartJent of Agriculture and ConsUJer 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 />"owner" prior to cOlleJ1ceJent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infortation 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 cOllenced prior to issuance of a pertit and that all work will be perforJed to Jeet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDJental agencies JaY 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 />* DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />WaterfWastewater TreatJent
<br />* Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* DepartJent of Health & Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />* 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 uCOlpensating volute" 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 shall 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 per.it prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall beCOle invalid
<br />unless the work authorized by such per.it is cOllenced 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 tile the work is cOllenced. One 90 day extension of tile, JaY be
<br />allowed for the pertit 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 IOnth period, or the project will be considered abandoned.
<br />WARMING TO OWNER: YOUR FAILURE 'f0 RECORD A NOTICE OF COMMENCEMENI MAY RESULT IN YOUR PAYING nICE FOR IMPROVEMENIS 'fa YOUR
<br />PROPERTY. IF YOU INlIND TO OBTAIN FINANCING, CONSULT WITH YOUR LINDER OR AN AnORm BIFORE RECORDING YOUR NOTICE OF
<br />caNlCW . JOBS flJALOEOO IOUiID 10 RECORD AND ZW _
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<br />
<br />
<br />SIGNATURE: OWIIER OR AGENT SIGNATURE: COHTRACTOR
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF ?~5>('l:>
<br />The foregoing instrument was acknowledged
<br />before me this ~, 19~ by
<br />
<br />N~Y\lt. L. M', 1 tD",
<br />who is personally known to me or who has
<br />produced
<br />as identification and who ~id not
<br />
<br />take an ~~
<br />
<br />(Signature
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC OUV1A A, LOVETT .
<br />lA:.~ Notary Pu~lic, State of Flonda
<br />~ 0i ~ My c~~~inewg,e~~g~2~~6 2000
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF 1> A!>L.. b
<br />The foregoing instrument was acknowledged
<br />before me this ~, 19~ by
<br />
<br />~ a 'f\.(''t.. L. MJju",
<br />who is personally known to me or who has
<br />produced
<br />as identification..and who jMl/did not
<br />take an o~t~~
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped),
<br />NOTARY PUBLIC OLJ\jlA A, LOVETT .
<br />~*~ Notary Putllic, :;tat€ 01 FlOrida
<br />2 ~~ My c~~~ineY~~e~~~~2~~52000
<br />
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