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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it .ay be subject to "deed restrictions" which .ay be lOre restrictive than City
<br />regulations. The undersigned assu.es responsibility for co.pliance 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 lisde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licenSing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />788-6611.
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<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 per.itting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />,.;
<br />,
<br />
<br />D. CONSTRUCTION LIEN LnW (ClffiPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeOWiDer's Protection
<br />Guide- prepared by the Florida Departlent of Agriculture and ConsDler Affairs. If the applicant is sOleORe other than the
<br />-owner", I certify that I have obtained a copy of the above described docu.ent and prolise in good faith to deliver it to the
<br />"owner" prior to cOllenCelent.
<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 cOlpliance 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 worl will be perfOIJed to leet standards of all laws
<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 otber 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. Such agencies include but are not lilited to:
<br />· Departlent of BnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and RnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />· Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Naterways
<br />· DepartJent of Healtb , Rehabilitative Services, RnviroDlental Health Unit - Wells, Wastewater rreatlent, Septic lanks
<br />· US EnviroDlental Protection Agency - Asbestos abatelent
<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 .cOlpensating volUleH will be subtitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to pertit. 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 per.it prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued &ball beCOle invalid
<br />unless the work authorized by such perlit is cOllenced within Sil IOnths of issuance, or if work authorized by the pellit is
<br />suspended or abandoned for a period of Sil IOnths after the tile the worl is cOllenced. One 90 day eltension of tile, laY be
<br />allowed for the perlit 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 IOntb period, or tbe project will be considered abandoned.
<br />WARMING TO OWNER: YOUR FAILURI TO RICORD A NOTICI OF COMHENCKHENT HAY RESULT IN YOUR PAYING twiCE FOR IHPROVlllBDS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENOIR OR AN ATTORIEY BEFORE RECORDllfG YOUR DICE OF
<br />COHHENCEHINT. JOBS UNDIR $2,500 IN VALUI DO NOT NBIlD TO RIlCORD AND POST A "NOTICR OF COHHENCKHEtfTlI.
<br />
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<br />f~ tkk J1~ 03 D.4
<br />SI~{'bIlHIR OR M;lNI/ - ----siGi.i~: ~RACIOIl
<br />
<br />- I
<br />
<br />STATE OF FLOR,WA
<br />COOtfTy OF rA5c...o
<br />The foregoing instrument was a~~owledged
<br />before me this iJ-UG 10, 19 ~ by
<br />
<br />PI? flhotll /:J(,(~ y K /lIO vJ AI
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />take an ~ II. (jM
<br />(Signatu~e .
<br />~Aabel
<br />(Name Typed, Prin~-18J] 1I0<:7486n
<br />NOTARY PUBLIC ~.,,:..r ExpintaJune22, 2002
<br />
<br />STATI OF FLORIDA /) 5
<br />COUNTY OF 1./11. CO
<br />The foregoing injtrument was aCknowledged
<br />before me this /:::lJ!G to , 19L by
<br />
<br />P~lf/A W{ - /G/l.fJwv/
<br />who is personally known to me or who has
<br />produced
<br />as identif. icat~i and WhL1id/~dn t .
<br />take an oath.
<br />.
<br />An AlIhal
<br />(Signature) . *W'*MyCommittloncc7486n
<br />,~'" EllIliMa.Jon. ~ ~
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
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