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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that tbis perlit lay be subject to "deed restrictions II which lay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has bired a contractor or contractors to undertake work, tbey 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 lilY be
<br />cited for a lisdeieanor 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 tbe owner bas hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />RContractor Sections II 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 lilY 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, bave been provided with a copy of RFlorida's Construction Lien Law - HOJeOIDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConSUler Affairs. If the applicant is sOJeone 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 />"ownerR prior to cOlleDceJent.
<br />
<br />E. CON'l'RACTOR'S/OWNER'S AFFIDAVIT
<br />I certify tbat 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 developlent.
<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 cOllenced prior to issuance of a perlit and that all work will be perforled 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 goveIDlental agenCies lily 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 />t DepartJent of EnvironJental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Soutbwest Florida Water HanageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rehabilitative Services, Environtental Health Unit - Wells, Wastewater Treattent, Septic Tanks
<br />t US EnvironJental Protection Agency - Asbestos abateJent
<br />I also certify that, if fill laterial is to be used in Flood Zone liAR or "A,etc.", it is understood that a drainage plan
<br />addressing a .cOlpensating 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 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 sball issuance of a perlit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becOJe invalid
<br />unless the work authorized by sucb perlit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOntha after the tile the work is cOllenced. One 90 day extension of tile, lily be
<br />allowed for the perlit with fee cbarge of $15.00. Tbe extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during eacb six IOnth period, or the project will be considered abandoned.
<br />WARlHNG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHEHCEHENT HAY RESULT Iff YOUR PAYING TWICE FOR IHPROVEHENIS TO YOUR
<br />PROPERTY. IF YOU INTBHD TO OBTAIff FIHAHCIHG, CONSULT WITH YOUR LElfDER OR AN ATTORRBY BEFORE RECORDING YOUR HOTICE OF
<br />ClllllEllCEIIEIiT. JOIlS llIIlIR $2, 500 IN VALOR 00 IIlIr IINEIl to IlNCllIlIl Mil POS'l A 'Nr1IIClj r1ItIB"I.l:Il4m' .
<br />
<br />
<br />V " .- . iP '- .
<br />I -- (D . Jf, ..-u d'/}-1 L '.' M. "'4
<br />SIGHATURE: R OJ( AGEHT SIGHA! : coNTRACTOR
<br />
<br />STATE OF FLO~
<br />COUlfTY OF IL~ " /)
<br />The foregoing i~trument was acknowledged
<br />before me this UC ..:27 , 19X2:. by
<br />
<br />~. ~ ~2)F?
<br />wh . "p ;~ona " own to Die or who has
<br />produced
<br />as id tification and who did did not
<br />ta an t
<br />
<br />STATE OF FLORIDA //:)
<br />COUNTY OF \ 7- A. J ~ )
<br />The foregOing-instrument was acknowledged
<br />before me this P~. 217 , 19-2L by
<br />
<br />{{; L. !!:~~~
<br />who is ersoniUl~_.kn~~ t or who has
<br />produced
<br />
<br />
<br />~i~h~~~
<br />
<br />(N e Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />""""""'1.
<br />.~~~'~ Bobble S. SWetland
<br />{.: .-~<. MY COMMISSION # CC534927 EX
<br />\i.. February 22, 2000 -
<br />"~ BONDED THRu TROY FAlN INSUA^rJC,
<br />
<br />
<br />"..~~I~.. Bobbie S. Swetland
<br />f.rA~:~ MY COMMISSION II CC,534927 ",',
<br />~.1A~~ February 22. 200()
<br />,~;;;",-~" BONDED THAU ~rnv <'.IN '~S'H"
<br />fijn\\'
<br />
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