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<br />'.'
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />. ' . 'A. NOTICE OF DEED RESTRICTIONS
<br />Ibe undersigned understand. that this persit .ay be subject to 'd"'d restrictions" wbicb .ay be lOre restrictive than Citj
<br />regulations. fhe undersigned assUJes responsibility for. compliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSEP CONTRACTORS AND CONTRACTOR RSSPONSIBILITIES
<br />If tha,6wner bas bired a contractor or contractors to undertake work, they lay be required to .be licensed in accordance with
<br />.tale and loc.l regnlations. If the contractor i. not licensed as required by law, both l:lu! O1IIler and contractor "y be .
<br />cited for a lisde.leanor violation under state law, If the owner or intended contractor are uncertain as to wbat licensing
<br />requirements lay apply for the intended work, they are adrised to contact the City of Zephyrhills Building DepartJent, (813)
<br />~ 788-6611.
<br />
<br />.:F.urtherllore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of,the' .
<br />"Contractor Section.' of thi. application for wbich they will be responsible. If you, as the O1IIler .ign .. 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. 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 _ HOIeowner's Protection
<br />Guide" prepared by the Fl2J:ida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that r have obtained a copy of the above described docUlent and prolise in good faith to deliver it to the.
<br />"owner" prior to couencE!lent.
<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 c01lpliance with all .
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby Jade to obtain a permit 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 perforJed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop1lent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other ~oveI1llental agencies lay 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 />* Department of Environmental Regulation - Cypress nayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater TreatJent .
<br />* Southwest Florida Water Management District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* Army Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* De artJent of Health & Rehabilitative Servicag LnvirOll1l~1tal Health Unit - Wells, Wastewater rreatJent, Septic Tanks
<br />* US Environmental Protection Agency - Asbestos abatement
<br />I also certify that, if fill laterial is to be used in Flood Zone "All or IIA,etc.", it is understood that a drainage plan .
<br />addressing a uCQlpensating volUJe" will be submitted 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 altet;'.:or f.
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frCl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall become invalid
<br />unless the Hork authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six IOnths after the tile the work is c01llenced. One 90 day extension oftiJe, JaY be
<br />allowed for the peIli t with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six IOnth period, or.the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A HOTICE OF COHHBHCEHBNl' MAY RES UR PAYINGfWICE FOR IMPROVEHmS TO YOUR
<br />PROPERlY. IF TO OBTAIN FINANCING, COHSULr IiIrH YOUR LE OR AN AfTORHEY RECORDING YOUR NgrI~ OF
<br />COMHE . JOBS UHDER , 0 IN VALUE DO HOT NEED TO RECORD POST A "NOTICE OF CO CIDlENT" .
<br />
<br />
<br />
<br />STATE OF FLORIDA
<br />
<br />has
<br />
<br />who is personally
<br />produced ~
<br />as identification
<br />take an oiith.
<br />
<br />
<br />
<br />waf:, aCknouledged
<br />, 19 9~ by
<br />
<br />and who did/did not
<br />
<br /><'-------.
<br />known to me or who has
<br />~
<br />
<br />and who did/did not
<br />
<br />(Signatu
<br />
<br />(Nam~ Typed, Print
<br />NOTARY PUBLIC
<br />",,111 ~II#~
<br />..~ :.6. ~
<br />
<br />~.:
<br />
<br />"r~ Of f~O""
<br />
<br />BOBBIE J BURKE
<br />My Commission CC543871
<br />. Expire. Mar. 31. 2000
<br />
<br />BOB8Ie J BURKE
<br />My CommiBslon C~
<br />Expir_ Mer. 31. 2000 .'
<br />
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