<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />'A: NOTICE OF DEED RESTRICTIONS
<br />'fhe undersigned understands that tbis pemit lay be subject to 'deed restrictions I which laY be lOre restrictive than City
<br />regulations. fhe undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tbe owner has hired 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 reguired by law, both tbe owner and contractor laY be
<br />cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what lic8DBing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtberJOre, if tbe owner bas bired a contractor or contractors, be is advised to have tbe contractor(s) sign portions of the
<br />IContractor Sections I of tbis application for which tbey will be responsible. If you, as the OlDer sign as the contractor,
<br />you are indicating that you, rather than tbe contractor, are responsible for tbe work. If tbe contractor wiIJbes you to sign
<br />as contractor that JaY be an indication tbat he is not properly licensed and is not entitled to peraitting privileges in the'
<br />City of Zephyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />,
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<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, ASAMEHDED)
<br />I certify tbat I, tbe applicant, have been provided witb a copy of IPlorida's Construction Lien Law - HCIIl!OImer's Protection
<br />Guide" prepared by tbe Plorida Departlent of Agriculture and Consuaer Affairs. If tbe applicant is sOleone otber than tbe
<br />lowner", I certify that I have obtained a copy of the above described docuaent and prOlise in good faith to deliver it to tbe
<br />"ownerl prior to cOlIBDceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all tbe inforJation in this application is accurate and tbat all worl will be done in COIpliance with all
<br />applicable laws regulating construction, laning, and land developlent.
<br />
<br />Application is hereby lade to obtain a per.it ,to do work and installation as indicated. I certify that DO work or
<br />in,WIaUan has CDlenced prior to issuence of a perlit and that all.ort rill be perfolled to l8et ataDilarc1s of alIIawa
<br />regulating construction, City codes, loning regulations, and land developlent regulations in tbe jurisdiction. I also
<br />certify tbat I understand tbat tbe regulations of otber governJental agencies Jay apply to tbe 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 liJited to:
<br />t Departlent of BnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Plorida Water Hanageaent District - VeIls, Cypress Bayheads, Vetland Areas, Altering Watercourses
<br />t Amy Corps of Engineers - Seawalls, Doels, Kavigable Vaterways '
<br />t Departlent of Healtb & Rehabilitative Services, EnvirODlental Healtb Unit - Wells, Wastewater freatlent, Septic 'fanla
<br />· US Bnvironaental Protection Agency - Asbestos abateaent
<br />I also certify that, if fill .aterial is to be used in Plood Zone IAI or 'A,etc.', it is understood that a drainage plan
<br />addressing a IcOlpeDsating volUle" rill be subJitted wbich is prepared by a professional engineer registered in tbe State of
<br />Florida prior toperlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed witb tbe worl and not as authority to violate, cancel alter, or
<br />, set aside any provisions of tbe technical codes, nor sball issuance of a perait prevent tbe Building Official fIOl thereafter
<br />requiring a correction of errors in plans" construction, or violations of any code. Every pmit issued shall becc.e invalid
<br />unless the worl authorized by such perlit is cOllenced within Sil aonths of issuance, or if worl authoriled by the pmit is
<br />auspended or abandoned for a period of ailaontbs after the tile the work is cOllenced. One 9D day utension of tile, lay be
<br />allowed for the pmit with fee charge of $15.0D. The utension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each ail IOnth period, or the project will be considered abandoned.
<br />WARKIKG TO OIIIBR: YOUR FAILURE TO RECORD I HOTICH OF COKKENCBHElfl' HAY RESULT IN YOUR PIYIIG rvIa FOR IHPROVEHKK'fS 'f0 YOUR
<br />PROPERTY. IF YOU IK'fJOO) TO OBTAIN FINANCING, CONSULT WI'l'H YOUR LBNDBR OR AJf ATTORHBY BBFORE RECORDING YOUR KorICE OP
<br />aJfHBNCEHBH'f. JOBS UKDER $2,5DO IN VALUE DO NO'f NBED TO RECORD AND POST A "HOT ICE OP COHHBNCEHBH'fI.
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<br />~;g ~
<br />
<br />SlATE OF FLORIDA
<br />coum OF (Asr;:o
<br />The foregoing instrument was acknowledged
<br />before me this t-fAf-~ Jo , 19~ by ,
<br />
<br />~~_h..>' J-{. t;-,-: I ~
<br />"ho is personally ~WD to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />~;U. ~onc1. - ~
<br />(Signature) I
<br />
<br />(Hillle 'bPed, Printed or Stamped)
<br />HO'1'ARY PUBLIC
<br />
<br />STAT! OF noR 01
<br />coum OP QO ,
<br />The fore oing instrument was acknowledged
<br />before me this t{~ b , 19 ? 8 by
<br />
<br />4' o+ltJ M. k1~
<br />who is personally pown ~e or who has,
<br />produced
<br />as identification and who did/did not
<br />
<br />take an 04'Q~~ ~oL- -
<br />(Signature! I
<br />
<br />(Nillle Typed, Printed or Stamped)
<br />HO'1'ARY PUBLIC
<br />
<br />'.i ,
<br />" i.(;d"'; :.\;.
<br />._. 0
<br />;....<t.
<br />
<br />o/.v:;) rOND"
<br />COM ~:~.r.~ Of: ,-! ""'....~~
<br />c.~' -'. 2000
<br />
<br />
<br />~
<br />
<br />DAVID RONDA
<br />\ ~"TE 01' flORIDA
<br />GDllIilCPlRE8: MARCH 21. 2llIID
<br />, CXlM IIClC IG43a
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