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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perJit lay be subject to Ideed restrictions" whicb lay be lOre restrictive than City
<br />regulations. tbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired ~ 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 wbat licensing
<br />requireJents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if the owner has hired a contractor or contractors, be 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 wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to peraitting 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 'Florida1s Construction Lien Law - HOJeOWDer1s Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUIeI Affairs. If the applicant is sOleone other than the
<br />"ownerll, 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 COIlenCeJent.
<br />
<br />E. CONTRACTOR1SjOWNER1S 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 developllent.
<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 perait and that all work will be perforaed 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 governtental agenCies laY 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 />* Department of Environmental Regulation - Cypress Bayheads, wetland Areas and EnvironJentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />* Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rebabilitative Services, EnvirODlental Health Unit - wells, Wastewater rreatJent, Septic rants
<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 uCOlpensating volUle" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to pertit issuance.
<br />
<br />A pertit 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 perlit prevent the Building Official frCl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peIlit 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 peIlit is
<br />suspended or abandoned for a period of six IOntbs after the tile the work is cOIIeDced. One 90 day l!Itension of tile, lilY be
<br />allowed for the perait with fee charge of $15.00. rhe l!Itension 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 />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEICEMEIlT MAY RESULT IN YOUR PAYING 'NICE FOR IMPROVEMElft'S TO YOUR
<br />PROPERTY. IF YOU IIlTEND TO OBTAII FINANCING, CONSULT WITH YOUR LENDER OR AN AnORNEY BEFORE RECORDIIG YOUR IOTICE OF
<br />
<br />
<br />~ 1M VALUE DO MOT HEED to RECOHD ~QlB9JENCOOI!"
<br />
<br />SIGNATURE: OWNER OR IlT SIGNATURE: COIlTRAC'fOIl' -.
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF P A-.5 C 0
<br />The forego~ng i~t~ent was acknowledged
<br />before me this ~T~S._, 19!L?- by
<br />
<br />_ ~~'~~~ R'fI1A,v
<br />lWho i ~ pe n known to m~ or who has
<br />produced
<br />as identification and who did/did not
<br />takea~ ~_
<br />
<br />~ .......
<br />(Signature)
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF I - fJ oS C- 0
<br />The foregoing inst~ent was acknowledged
<br />before me this tufJ- J-S"' , 19~ by
<br />
<br />11 EO"fJ . Ity 11~J1/
<br /><'~o is personally known 0 me)or who has
<br />produced -
<br />as identification and who did/did not
<br />takean~~(~_
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />,~, '..'.J""'''' '_'<:L.AIH
<br />* . * M~ {,,;o"'jnlll.ion 003821"
<br />Explr...kIn. '4. ,..
<br />"'?'/tOf~
<br />
<br />(Nam~ Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~,., ~
<br />~ti DONNA M SINCLAIR
<br />* ~ * MyComrniMionCC382619
<br />~_, Explr..Jun,14,1we
<br />'\/tor;.d'
<br />
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