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<br />CONDITIONS OF PEnMIT AFFIDAVIT
<br />A. NOTICE OF DEED nESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to wdeed restrictions" 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 hired 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licenSing
<br />reguirelents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />188-6611.
<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 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 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. CONSTRUC'l'ION LIEN L'AW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeOWDer'. Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConSUler Affairs. If the applicant is SOleODe 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 COllenCeJIent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in COIpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />I
<br />
<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no worl or
<br />installation has cOIIenced prior to issuance of a perlit and that all work will be perforled to leet standards of all law8
<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 goverDlental agencies lay apply to tbe intended worl, 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 />· Departlent of HnviroDlental Regulation - Cypress B8yheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treallent
<br />· Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· Arl' Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· Deparllent of Healtb & Rehabilitative Services, HnviroDlental Health Unit - Wells, Wastewater Treallent, Septic Tanks
<br />t US EnviroDlental Protection Agencl - Asbestos abateJIent
<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 wCOIpensating volUle" 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 tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall is~u~nce of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery per.it issued sball beCOll invalid
<br />unless the work authorized by such perlit is cOllenced within sil IOnths of issuance, or if wort authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is C08enced. One 90 day eztension of tile, .y be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be reguested in writing to the Building Official. An
<br />approved inspection lust be logged during each six IOntb period, or tbe project will be considered abandoned.
<br />WARNING TO OIINER: YOUR FAILURE TO RECORD A NOTlCR OF COHHENCRHENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVlllBfts TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LEHDIlR OR AH ATTORIEY BEFORE RECORDING YOUR HorICE OF
<br />COHHENCKHENT. JOBS UNDER $2,500 IN VALUE DO HOT HERD TO RiCORD AND POST A "NOTICE OF COHKHNCKHKHT".
<br />
<br />
<br />4tjl3~
<br />' SIG URE: OHTRACTOR
<br />
<br />~ ^
<br />~A./
<br />' NAf1J~ OR AGiNT
<br />
<br />, I
<br />
<br />STATE OF F;]ORID
<br />COUNTY OF 'lJSc/J
<br />The forego -ng instient was aclmowiedged
<br />before me thi~.1__ ,19~ by
<br />
<br />~O,
<br />who is personally known to me or who has
<br />produced
<br />as id tification
<br />ta, oath.
<br />
<br />STATE OF FLORIDA" 11 r /'
<br />COUNTY OF r n ~ 'CJ
<br />The foregOing ins~r~~t was aCknowledged
<br />before me thi~l ~':t- ,19.!lL by
<br />
<br />JJC/l[;tJ~IfUt{ /C~~WV
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take n oath.
<br />
<br />
<br />(~gnature) ~ '
<br />'IlUC(~ ,4, Si3E L-
<br />( ame Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />eflJ ::" A . /fs 136' L
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />BRUCE A. ASaEL
<br />Notery Pub/lo, State of Florida
<br />My Comm. e"pir~3 June 22. 1998
<br />Comm. No. CC 386272
<br />
<br />BRUCE A. ASSEL
<br />Notary Public. Sz.,te of Florida
<br />My Comm. e"pirt.3 June 22. 1998
<br />Comm. No. cc 386212
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