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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 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />require.ents 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 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 wiabes you to aign
<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 l~
<br />
<br />D. CONSTRUCTION LIEN unw (ClmPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HOJeOWner's Protection
<br />Guide" prepared-by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOIeone other than the
<br />.owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />"owner" prior to cOllence.ent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify tbat all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, Joning, and land developlent.
<br />I I
<br />
<br />Application is hereby lade to obtain a perlit to do work and instaifation as indicated. I certify that no worl or
<br />installation bas cOllenced prior to issuance of a perlit and that all work will be perfOCl8d to leet standards of all lara
<br />regulating construction, City codes, Joning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govefDlental agencies laY apply to tbe intended worl, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not liJited to:
<br />* DepartJent of BnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent ,
<br />* Southwest Florida Water HanageJent District - NeIls, Cypress Bayheads, Wetland Areas, Altering Natercourses
<br />* ArlY Corps of Bngineers - Seawalls, DOCks, Navigable Waterways
<br />* DepartJent of Health & Rehabilitative Services, EnviroDlental Health Unit - NeIls, Wastewater TreatJent, Septic ranks
<br />* US BnviroDlental Protection Agency - Asbestos abate.ent
<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 volOl8" 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 is~u~nce of a perlit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOle invaJicl
<br />unless the Nork authorized by such per.it is cOllenced within six IOnths of issuance, or if NOrk authorized by the per.it Is
<br />suspended or abandoned for a period of sil IOnths after the tile the work is cOllenced. One 90 day eatension of tile, JaY be
<br />allowed for the 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 />NARNING TO ONIER: YOUR FAILURE TO RECORD A NOTICE OF COHHBICBHlNf MAY RESULT IN YOUR PAYING TWICE FOR IMPROVBIID1'S TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDBR OR AI AnORJIBY BEFORE RlCORDIIfG YOUR MOrICE OF
<br />COKMENCKHENT. JOBS UNDER $2,500 IN VALUE DO NOT NBED TO RBCORD AND POST A "NOfICE OF COHHRNCBHlIII..
<br />
<br />t~-'A /.i ~.4/'~
<br />SIGN TURE: ONNIm OR AGENT
<br />
<br />M~) ~, --/~M-I-
<br />SIGNATURE: CONTRACTOR
<br />
<br />" I
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<br />STATB OF FWRIDA A {)
<br />COUNTY OF tl J C
<br />The foregoing instrument was a~k~wledged
<br />before me this , '/'//1/ , 191--L by
<br />
<br />f{ ole/' f i/cl/lt'/c r ) tJ(} I
<br />who is persOnaljr known to me or who has
<br />produced I)). . )I /' J/:)'? 6 ' ~~ J,? 0
<br />as identific ion and who didh I
<br />take an oat . f / .,~
<br />clv
<br />
<br />(Signature)
<br />
<br />
<br />STATE OF FLORIDA P 0)
<br />COUNTY OF tj f C
<br />The foregoing instrument was ackno~ledged
<br />before me this oJ'? ~ Y , 19 Y / by
<br />
<br />j( ok/' J //:;/Jd'l r,f ~~1;:
<br />who is personally known to me or who has
<br />produced R~. //,' J/5Jf'f '/'Y.F -.,<]/,2 -.,f'.-/ If
<br />as identif' ation and who did/did not
<br />take an 0 t . .~ ~.( /J
<br />
<br />(Signature)
<br />
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />. NOTARY PUBLIC
<br />
<br />..~::;r.~:'f~:';-" DORIS K. PUlTZ
<br />{,:r ~''f:~ MY COMMISSION # CC 308944
<br />;~~A.~:,= EXPiRES: August 16,1997
<br />'<t9r..i~~:;> Bonded 1111u Notary Public UndelWlitel1l
<br />
<br />,,'':A.~';'''''' DORIS K. PUlTZ
<br />!:~)i:'f;.~ MY COMMISSiON ~ ~G ~~e~~1& I,
<br />~~i.~~f~'; ilnr~~f;~;~~;~;~;';' .~ ,r.:~;'.c,..
<br />
<br />-,---~"..:"..',.. ....
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