<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this perfit laY be subject to "deed restrictions" wbich laY be lOre restrictfve than tity
<br />regulations. Tbe 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 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 lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents aay apply for the intended work, they are advised to contact the City of Zepbyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />Furtberaore, if the owner bas bired a contractor or contractors, be is advised to bave 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 wisbes you to sign
<br />as contractor that aay be an indication that he is not properly licensed and is not entitled to peraitting privileges in the
<br />City of Zephyrbills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN bAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of .Florida's Construction Lien Law - Hoaeow.ner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuaer Affairs. If the applicant is sOleone other than the
<br />"~er", I certify that I have obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the
<br />"owner" prior to COllenceaent,
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that 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 developllent.
<br />
<br />Application is hereby lade to obtain a perfit to do work and installation as indicated. I certify that no work or
<br />installation bas cOlleDced prior to issuance of a perfit and that all work will be perforled to teet 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 goveI1lJental agencies aay apply to the intended wort, and that it is
<br />IY responsibility to identify what actions I lUst take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />t Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water ManageleDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rebabilitative Services, Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tants
<br />t US Environaental Protection Agency - Asbestos abateaent
<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 volute" will be sublitted whicb 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 perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perfit issued sball beCOle invalid
<br />unless the work authorized by such perlit is cOllenced within Sil IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of sillOntbs after the tille the work is couenced. One 90 day l!ltension of tile, aay be
<br />allowed for the perlit with fee cbarge of $15.00. The 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 />WARNING TO OWffER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEJlBtff MAY RESULT IN YOUR PAYING TilICE FOR IMPROVEIIBITS TO YOUR
<br />PROPERTY. IF YOU INt'BlfI} TO OBTAIH FINANCING, CONSULT WITH YOUR LIlfDER OR All AnoRJIEY BEFORE RECORDING YOUR IfO'l'ICE OF
<br />ClI!IIIIICIIIEI~ lED 10 RIlllRD IIID POST A 'IIO!I~
<br />
<br />
<br />
<br />
<br />..... -"- ,...-""'.-
<br />M cP ~.z.Kc"'r . OR 'Ft Co~Er4",
<br />
<br />
<br />fJ 1--5C2>
<br />The foregoing instrument was acknowledged
<br />before me this 3/J-- <f ' 19~ by
<br />
<br />STATE OF FLORIDA
<br />coum OF
<br />
<br />STATE OF FLORIDA f}
<br />COUlflY OF r v15 Co
<br />The foregoing instrum~t~as acknowledged
<br />before me this '3 U".!:..., 19.2.L by
<br />( .
<br />
<br />who is personally known to me or who has
<br />produced
<br />as iden. tifiCatiOn.. and wh~d/did not
<br />
<br />take an oa~~~ ~
<br />
<br />(Signature) . ,
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oat~ ~
<br />
<br />(Signature)
<br />
<br />(Name Typed, ,Printed or Stamped)
<br />NOTARY PUBLI KEITH CORREIA
<br />MVCOMMISSION , CC 451416
<br />.'.1ff EXPIRES: May 13. 1999
<br />.~lf,~ Bonded Thru Notary PubIlc UnclelWlleBll
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />'~"'~'!.:U"" KEITH CORREIA
<br />f:'rrl;;,'!fit~ MY COMMISSION * CC 451416
<br />;..,...~:~.; EXPIRES: May 13. 1999
<br />~;':1,iff.,t~~~"" Bonded Thru Notary PubIc LnIeIwrIlers
<br />
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