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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />.A., fiOTICE OF DEED RESTRICTIONS ,
<br />fhe undersigned understands that this perlit lay be subject to 'deed restrictions' which lilY be lOre restrictive than City
<br />regulations. the 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 undertake work, they lay be required to he licensed in accordance with
<br />state and local regulatiol18. If the contractor is not licensed as required by law, both the OlDer and contractor lilY be
<br />cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireJents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, be is advised to have the conUactor(s) sign portiOll8 of the
<br />'Contractor Sections' of this application for which they will be responsible. If JOU, as the OlDer sign as the contractor,
<br />you are indicating that you, rather than the contractor, are respol18ible for the work. If the contractor wiShes you to sign
<br />as contractor that Jay 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 AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of 'Plorida's Construction Lien Law - BDI8OIIDer's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and ConsUleI' Affairs. If the applicant is SOleone 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 cOlIBDceJent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT ,
<br />I certify that all the inforliltion in this application is accurate and that all work will be done in co.pllance witb all
<br />applicable laws regulating construction, Joning, and land developlent.
<br />
<br />Application is hereby Iilde to obtain a penit .to do wort and installation as indicated. I certify that DO work or
<br />i~Wlation bas cc.lenced prior to issuance of a perlit and that all work will be perfDtJed to leet standards of all laws
<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 goverJlIental agenCies JaY apply to the intended wrt, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not litited to:
<br />t DepartJent of BnviroDlental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater freatlent
<br />t Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways '
<br />t DepartJent of Health' Rehabilitative Services, BnvirODlental Health Unit - Wells, Wastewater Jreatlent, Septic ranls
<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 'COIpensating volUle' 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 sball 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 perJit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans," construction, Dr violations of any code. Bvery petlit issued shall beCOle invalid
<br />unless the work authorized by such per.it is cOllenced within six IOnths of issuance, or if work authorised by the petlit is
<br />suspended Dr abandoned for a periOd of six IOnths after the tile the work is cOIIenced. One 90 day 81tension of tile, lily be
<br />allowed for the perlit with fee charge of $15.00. The 81tenslon shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each Sil IOnth period, or the project will be considered abandoned.
<br />WARKING TO OVHBR: YOUR FAILURE TO RECORD A NOTICH OF COKHBNCBHBHI HAY RESULT IN YOUR PAYING rvlCH FOR IHPROVBHBH1'S TO YOUR
<br />PROPERlY. IF YOU IHlEND fO OBTAIlI FIJWfCING, CONSULT WITH YOUR LENDER OR AN ATfORHEY BEFORE RECORDING YOUR NOTICE OF
<br />
<br />
<br />~;7~-ro~;;~.
<br />
<br />SfAfl OF FLORIDA
<br />coom OF l~ ~ if" )t;.rl-1.
<br />The foregoing instrument was acknowledged
<br />before me this '2 7 3ud. , 19.!1..::L by "
<br />
<br />el'o-\-\"-.)' ~ .l~L..Lv\
<br />who is pers ally kno*n to me or who has
<br />produced
<br />as identificatio and who didtdid not
<br />take oath -
<br />
<br />STAfl OF FLORIDA
<br />COlIm OF 1/-;:1 I <;/3ot2..0UEr-H .'
<br />The foregoing instrument was acknowledged
<br />before me this 2.7 ,,'lvl..) '" , 19 9 J by
<br />
<br />~~~
<br />w is ~r Dally to me or who bas,
<br />produced --.
<br />as identification and who did/did not
<br />
<br />tak~ O:;h;/ 14m-~
<br />(S~:tra-re) I
<br />I/xn pa~~
<br />(Name Typed, Printed or Stamped)
<br />NOT Y PUBLIC
<br />
<br />
<br />DAVID ROtIDA "
<br />CXlM STAlE C# FlORIDA
<br />~~27.>>IO
<br />
<br />
<br />(s~ature) ,
<br />A:vL'T\ k>~. =
<br />(Name 'J:yped, rinte or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~
<br />
<br />IMVID RONIM
<br />"A"'G'~
<br />-~~27._
<br />
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