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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that this peIlit lay be subject to "deed restrictions" which lay be lOre restrictive tban City
<br />regulations. !be undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />..~lf the owner bas bired 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 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 Zephyrbills Building DepartJent, (813)
<br />:':"'788-6611.
<br />
<br />..-FurtheIlore, 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 />'j"rjOU are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />::.a& contractor that laf be an indication that be is not properly licensed and is not entitled to per.itting privileges in the
<br />(feity 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 "Florida's Construction Lien Law - Hoaeowner's Protection
<br />Guide" p{epared by the Plorida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />'owner", I certify that I bave obtained a copy of the above described docUlent and prolise in good faith to deliver it to the
<br />"owner" prior to cODellceJent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />..I certify that all the inforaation 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 perf oIled 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 goveInlental agencies lay apply to the intended work, and that it is
<br />If responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to:
<br />t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Vater/Wastewater !reatJent
<br />t Southwest Plorida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t AllY Corps of Engineers - Seawalls, Docks, Havigable Waterways
<br />t DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />t US Environaental Protection Agency - Asbestos abateJent
<br />I also certify that, if fHllaterial 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 subJitted which is prepared by a professional engineer registered in the State of
<br />Plorida 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 shall issuance of a per.it prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall becOle invalid
<br />unless the work authorized by such peIlit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day extension of tile, laY be
<br />allowed for the perJit with fee charge of $15.00. !be extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each six lOoth period, or the project will be considered abandoned.
<br />WARNING !O MER: YOUR PAILURE !O RECORD A HOTICE OF COMMEHCEMBNl' MAY RESULT IH YOUR PAYIHG !WICE FOR IMPROVEMmS TO YOUR
<br />PROP !O OB!AIN PIIWlCIHG, CONSULT WITH YOUR nORHE CORDING YOUR HOTICE OF
<br />HCBMM. JOBS UNDER ,500 IH VALUE 00 HOT HEED TO RECORD POST A "HOTICE OP COMMEHCEMB I
<br />
<br />
<br />
<br />
<br />
<br />o~
<br />
<br />was j\,knowledged
<br />, IfJt..L by
<br />
<br />STATE OF FLORIDA ~___ 0. _~
<br />COUNTY OF 0 CL- ~
<br />The foregoing inst~ent was acjnowledged
<br />before me th.s /Vj-Ly' , 191::2 by
<br />
<br />~
<br />who is ersonally
<br />produced
<br />as identification and who did/~id not
<br />take an oath.
<br />
<br />o is personal
<br />produced
<br />as'identification and who did/did not
<br />take an oath.
<br />
<br />
<br />
<br />c
<br />
<br />has
<br />
<br />(Signatu
<br />
<br />
<br />(Ham~ Typed, Printed r
<br />NOTARY PUB\f,I~
<br />".."~-~(.-.
<br />~~..
<br />*.*
<br />'" ~
<br />-4 ~~
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<br />
<br />BOBBIE J BUPlKI
<br />My Commission CC~S8'1
<br />Expire.. Mar. 31. 2000
<br />
<br />(Name Typed, Printed r S
<br />NOTARY PUBLIC ~~~~~
<br />~ co BOBBlE J BURKE
<br />*.* My Cornrninion CC643871
<br />Expire.. Mar. 31. 2000
<br />"'... .,.~
<br />"~~ OF f~\I"~
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