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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'fbe undersigned understands that this pertlt aay be subject to Ideed restrictions I wbich lilY be lOre restrictive than City
<br />regulations. !be undersigned asSUles responsibility for COIpliance 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 lilY be required to be l1censed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lilY be
<br />cited for a .isd_anor violation under state law. If the owner or intended contractor are uncertain as to "hat licensing
<br />requirl!l8llta lilY 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 />IContractor Sections I of this application for wbich they will be responsible. If you, as the OlDer sign as the contractor,
<br />you are indicating that fOu, rather than the contractor, are responsible for the wort. If the contractor wishes you to sign
<br />as contractor that lilY be an indication that he is not properly licensed and is not entitled to pertittiDg 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 I,lorida's Construction Lien Law - lkIIeolmer's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and ConsUIeI Affairs. If the applicant is ~ other than the
<br />lownerl, I certify that I have obtained a copy of the above described dOCUleDt and prOlise in good faith to deliver it to the
<br />lownerl prior to COlleDCl!l8llt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all wort will be done in COIpliance with all
<br />applicable laws regulating construction, Joning, and land develoPEDt.
<br />
<br />Application is hereby Jade to obtain a pertit ,to do work and installation as indicated. I certify that DO vort or
<br />installation bas CDlenced prior to issuance of a pertit and that all IOrt will be perfoIJed to leet staD4ards of all IllS
<br />regulating construction, City codes, loning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govl!IDll8Dtal agencies lily apply to the intended wort, and that it is
<br />.y responsibility to identify what actions I lUSt take to be in COIpIiance. Such agencies include but are not Ii.ited to:
<br />t Departlent of EnvirollleDtal Regulation - Cypress Baybeads, Wetland Areas and Invirolll8lltally Sensitive Lands,
<br />Water/Wastewater 'freatleRt
<br />t Southwest Florida Water Hanag8lent District - Wells, Cypress Bayheada, Wetland Areas, Altering Watercourses
<br />t Arty Corps of Engineers - Seawalls, Docks, Navigable Watenays
<br />t Departlent of Health' Rehabilitative Services, EnvirOJlleJltal Health Unit - Wells, Wutewater 'freatlent, Septic !ants
<br />t US Bnvil'ODlelltal Protection Agency - Asbestos abateaent
<br />I also certify that, if fIll aaterial is to be used in Flood ZOne IAI or 'A,etc.', it is understood that a drainage plan
<br />addressing a lCOIpeJISating VOl0l81 will be sulmitted 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 pertit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans,. construction, or violations of any code. Ivery perlit issued sball becDe invalid
<br />unless the IOrl authorized by such peIlit is COII8Ilced within slllODths of issuance, or if IOrk authoriled by tile perJit is
<br />suspended or abandoned for a periOd of sil IOnths after the tile the IOrl is COMeDced. One 90 day atension of tile, laY be
<br />allOlfed for the pertit with fee charge of $15.00. rbe atension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sillOnth period, or the project will he considered abandoned.
<br />WARlIIG TO 0IftfIR: YOUR FAILURE 'fa RICaRD A NOrICE OF COHHDCIIID1' HAY RlSUL'f II YOUR PAYIIG 'fIIICE POI IHPROVIIID'fS 'fa YOUR
<br />PROPERn. IF YOU mIlD 'f0 OB'fAII FIIWICIIG, CONSULI WITH YOUR LllDIR OR AI AnOIUlBY BEFORI RBCOJUJIIG YOUR IOrICE OF
<br />COIlMBlfClllBll'. JOBS UHDBR '2,500 II VALUE DO lOT NIED fO RlCORD AID POS'f A 'NOTICE OF COIlMBlfCBlllH'fI.
<br />
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<br />STArl OF FLORIDA
<br />COUK!Y OF dr /...t..:5E'fiJwJb- H
<br />The foregoing instrument was acknowledged
<br />before lie thiS23. t-1A~ ' 19...h by .
<br />
<br />..:::Jc,t-lt0 61 {cF-1 J '4--
<br />who is personally )tDWfJl to me or who has
<br />produced ---. - -
<br />as identification and who did/did not
<br />take an oath, 4 I. - -
<br />~CX- rrN-9----.....
<br />(Si ture) ,
<br />
<br />(Name. ~ed, Printed or Stamped)
<br />ROTARY PUBLIC
<br />
<br />S'fAR OF FLORIDA
<br />COUlltY OF .Hz:LL <i$o!2..0uG-tf
<br />The foregoing 1nstrument was aCknowledged
<br />before me this 2~ I0ALJ , 19 97 by
<br />j
<br />~~ t1 ~I I ~ '
<br />who is personall known to me or who has
<br />i)rOduceer---= - ,--
<br />as identification and who did/did not
<br />tak~~ OiJ,th. 1", --
<br />(s{iri~t~:~ rj07ro____
<br />
<br />(RilIIe Typed, Printed or Stuped)
<br />NOTARY PUBLIC
<br />
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<br />
<br />DAVID~
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<br />
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<br />
<br />DAVID RONIM
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<br />ClGIt....1IWICM 27.11111D
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