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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />fbe undersigned understands that this Perlit lay be subject to "deed restrictions" wbieb laY be lOre restrictive than City
<br />regulations. fhe undersigned asSUles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertate 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 COIltractor lilY be
<br />cited for a lisd8leanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireJents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (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 responaible. If you, as the owner sign as tile contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the wort. If tile 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
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AHBNDED)
<br />I certify that I, the applicant, have been provided with a copy of "Plorida's Construction Lien Lall - JbIeowDer1s Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsWler Affairs. If the applicant is scmeone other than the
<br />"owner", 1 certify that I have obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />"owner" prior to cOlleDceJent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoCliltion in this application is accurate and that all wort will be done in co.pliance with all
<br />applicable laws regulating construction, Joning, and land developJIent.
<br />
<br />Application is hereby lade to obtain a perlit ,to do wort and installation as indicated. I certify that no 1I0rk or
<br />iQtallation has CCIIIIBDCed prior to issuance of a pem t and that all work rill be perfotJed to leet ataDcJards of all laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveI1lIental agencies laY apply to the intended wort, and that it is
<br />.y responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not Iiaited to:
<br />I DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater freatlent
<br />I Southwest Plorida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I A[IJ Corps of Engineers - Seawalls, Docks, Havigable Waterways '
<br />I Departlent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater freatlent, Septic fants
<br />I 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 sw.itted 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 wort and not as authority to violate, cancel alter, or
<br />. set aside any provisions of the technical codes, nor shall issuance of a perait prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans" construction, or violations of any code. Every perJit issued shall beCOle invalid
<br />unless the work authorized by such perlit is cOllenced within Sil IOnths of issuance, or if rork authorized by the petlit is
<br />suspended or abandoned for a periOd of Sil IOntha after the tile the 1I0rk is COllBDced. One 90 day utension of tile, laY be
<br />allowed for the perait with fee charge of $15.00. The extension shall be requested in rriting to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sillOnth period, or the project rill be considered abandoned.
<br />WARHIHG TO OWHER: YOUR FAILURE TO RECORD A BOTICH OF COMHBJICEHENl' HAY RESULr IH YOUR PAYIBG flilCH FOR IHPROVEMBKl' 0 YOUR
<br />PROPERtY. IF YOU mElD fO OBfAIlf FlHAHCIHG, CONSULf IUfH YOUR LEHnER OR All AffORIIEY BEFORE RECORDIHG YOUR BO'f OF
<br />COMHEHCEHEJIT. JOBS UBDER $2,500 IH VALUE DO HO'f HEED TO RECORD AHD posr A "HOfICE OF COHKEJICBHHIff".
<br />
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<br />S . :ODIR J
<br />
<br />
<br />S1'A'f1 OF FLORIDA
<br />coum OF #;:;u ,\'JJ,o~+I
<br />The foregoing instrument was acknowledged
<br />before me this;27 ::JVNf. I 19..i1.. by ,
<br />
<br />
<br />own to me or who has
<br />
<br />SUfE OF FLORIDA
<br />Coum OF -Ih:.L l oj3cJi,..ol:;? H
<br />The foregOing 1nstrument was aCknowledged
<br />before me this '2-7 CS0t..J~ , 19 ?J by
<br />
<br />~cll~ ~rffr~'1
<br />who is pers nally known to ~ or who haa,
<br />produced
<br />as identification and who did/did not
<br />
<br />~ o~th.~ Lij
<br />1JCd m
<br />(Signature)&
<br />/)A If;:t::i) Pf\
<br />(Name Typed, printed~r Stamped)
<br />NOTARY PUBLIC "
<br />
<br />(Signature f.
<br />AI "_-n . 0 10 DA..
<br />r;z?e bPe , printed. or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~
<br />
<br />DAVID RONDA
<br />-..!.~~
<br />CIOM-=c~27."
<br />
<br />~
<br />
<br />DAVID ROND.\ .
<br />lirA" QI: fII.ClMM.
<br />ClaI~ 1IMCN27."
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<br />
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