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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to Rdeed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for cOlpliance 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 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 Zephyrhills Building Departlent, (813)
<br />788-6611,
<br />
<br />Further.ore, 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 perlitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (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 - HOJeowoer's Protection
<br />Guide" prepared by the Florida Departlent of Agricultur~ and ConsUler Affairs, If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described docUlent and prolise in good faith to deliver it to the
<br />"owner" prior to couenceJent. .
<br />
<br />E. CONTRACTOR' SjOWNER' S AFFIDAVI'f
<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, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a per.it 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 developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governJental agencies lay apply to the intended wort, and that it is
<br />IY responsi~ility to identify what actions I lust take to be in co.pliance, Such agencies include but are not lilited to:
<br />t Department of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />t Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />t US EnviroDlental Prot~ction 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 volUleR will be sublitted 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 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 per.it issued shall becOJe invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths 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 cOllenced. One 90 day eltension of tile, Jay be
<br />allowed for the per.it 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 />WARJUHG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IHPROVEHEITS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN AnORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COHHENCEKENT. JO ER $2,500 IN VALUE DO NOT NEED TO RECORD AHD POST A "NOTICE OF NCRMENT" .
<br />
<br />
<br />
<br />STATE OF FLORID~
<br />COUNTY OF / ~
<br />The foregoing instrument
<br />before me this
<br />
<br />was aCknowledged
<br />, 19 7 Yby
<br />
<br />STATE OF FLORIDA ,,~--v..
<br />COUNTY OF ' / ~
<br />The foregoing instrument was acknowledged
<br />before me this 1YJ(j Is , 19~ by
<br />
<br />
<br />
<br />who' personal known to me or who has
<br />produce
<br />as identification and who did/did not
<br />take an o(l,th~ (}, JJ1.~, 0,.
<br />
<br />(Signature) j~ A /1 ~
<br />L ~<=- v __ - 13 nd,:/
<br />(Name Typed, Printed qt Stamped) !
<br />NOTARY PUBLIC
<br />
<br />,,~~~ltiJz## Nancy A. Moody
<br />''';Q~~ MY COfMSSION' CCS34800 EXPIRES
<br />~. . . : FebruaIy 21, 200D
<br />,.\:.....
<br />""Rr..r,l BONDED 1IRJ 1RlW IWN 1NSllIWICE, INC.
<br />
<br />..' \';Autt"'~ Nancy A. Moody
<br />~~~ . ON """'~..,"" F'I'''''
<br />i;, :.~.. uv COMMISSI , """"""'" ',,' .,.
<br />..*. .*i: MJ
<br />" :. . ~ February 21.2000
<br />~'t.'F';"~: BONOED THRlllROY FAIN 1NS1IRANC
<br />"'I",,,..
<br />
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