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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this peIlit aay be subject to 'deed restrictions" wbicb lay be lOre restrictive tban City
<br />regulations. Tbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake work, tbey lay be required to be licensed in accordance witb
<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 lisd8leanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requireaents aay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if the owner has bired a contractor or contractors, be 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 JaY be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zephyrbills.
<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 - HOIeOWner's Protection
<br />Guide' p{epared by the Florida Departlent of Agriculture and ConsllIer Affairs. If the applicant is sOleone other than the
<br />'owner", I certify that I have obtained a copy of the above described docUJellt and prOlise in good faith to deliver it to the
<br />"owner" prior to cOlleIlceaent.
<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 Jade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has COJJeIlced prior to issuance of a perai t and that all work will be perf oIled to Ret 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 goveruental agencies lay apply to the intended wort, 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 />t DepartJent of EnviroDJeDtal Regulation - Cypress Baybeads, Wetland Areas and HnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Hanageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, Navigable Vaterways
<br />t DepartJent of Health & Rebabilitative Services, Environaental Health Unit - VeIls, Vastewater rreablent, Septic Tanks
<br />t US EnviIODJental Protection Agency - Asbestos abateaent
<br />I also certify that, if fill laterial is to be used in Flood Zone "AI or "A,etc.", it is understood that a drainage plan
<br />addressing a uCOJpensating volUle' will be subJitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to peClit issuance.
<br />
<br />A perait 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 sball issuance of a per.it prevent the Building Official frOJ tbereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued sball becOle invalid
<br />unless the lIork authorized by such perlit is COJJe11ced within six IOnths of issuance, or if work authorized by the peClit is
<br />suspended or abandoned for a period of six IOntbs after the tile the work is cOllenced. One 90 day l!Itension of tile, JaY be
<br />allowed for the peIlit with fee charge of $15.00. Tbe l!Itension sball be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sixlODth period, or the project will be considered abandoned.
<br />IiAIUlIKG TO OWKER: YOUR FAILURE TO RECORD A NOTICE OF COHHEKCBHBIfT HAY RESULT IN YOUR PAYING rvICE FOR IHPROVBHEIfTS 'f0 YOUR
<br />PROPERTY. IF YOU IlITBIiD TO OBTAIH FIlWfCIHG, CONSULT VITH YOUR LElfDER OR AN AnORKEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMIN ER $2,500 IN VALUE DO NOT NEED '1'0 RECORD AND POST II COKHENCEHENT".
<br />
<br />
<br />
<br />S'I'ATE OF FLORIDA R.
<br />coum OF ~
<br />The foregoing instrument was acknowledged
<br />
<br />befor~ ~:~_ by
<br />
<br />who is personally _0 to me or who has
<br />prOduced
<br />as identification and who did/did..-DQ:t
<br />take an o~th.
<br />
<br />S'l'A'l'E OF F~
<br />coum OF ~
<br />The foregoing inst~ent was acknowledged
<br />bBfor=" ~ ~'t:.719- by
<br />
<br />
<br />Wb~ perBOD.~ to .. or wbo bas
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />BOBBlE J BURKE
<br />My comrnlnlon CC54S8J1
<br />Expir... Mar. 31, 2000
<br />
<br />(Signatur
<br />
<br />(Name Typed, Printed or
<br />NOTARY PUBLIC c:.""~#(
<br />'" ~
<br />
<br />~.~
<br />~/'. ~~
<br />~ OF f\.O.
<br />
<br />
<br />(Signature)
<br />
<br />
<br />(Nam~ Typed, Printed or
<br />NOTARY PUBLIC
<br />
<br />:\.."1 ~lJi
<br />.c:.L~t'....
<br />*~pJ!*
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<br />"', . ~....
<br />1', 'do ~\.Ii,)
<br />
<br />BOBBlE J BURKE
<br />My Comrnl8alon CC543871
<br />Expires Mar. 31,2000
<br />
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