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<br />CONDITIONS OF PERMIT AFFIDAVIT <br />A.... NOTICE OF DEED RESTRICTIONS <br />-lb. under.Igned understands th.t tbI. per.It .,y be .ubject tu 'd.ed restrIctIun.' shIeh say ba aur. restrIcti.. tboo City <br />regulations. rbe undersigned assUles responsibility for co.pliance witb any applicable deed restrictions. <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br />If tbe ..... loa blred · runtr.ctor ur runtr.ctur. tn und.rtele work. tb.y say be reguIred to be liceooed io accooIenca .ith <br />.t,t. and loc'l r.gul.ti.... If the contr.ctor i. not licen.ed as r"luired by las. bolb tbe ..... and conbolotor IOf be <br />cited lor · .Iad.....or .iol.tion und.r .t.t. I... If tb. ....r or Intended contractor are uncerlaio as to aIot liceosing <br />cogolr....t. say 'pply lor tb. int.nded NOrk. lb.y .r. edvI.ed to contect the City of Zephyrbill. BoIldIog Deporlaeot. (813) <br />788-6611. <br /> <br />Furtberaur.. if tbe ooner 10. bIred · CORtr.ctor or contr.ctor.. b. i. 'dvised to 10.. tbe ,,"tr.ctor(.) .Iga porlJ... of 1Io <br />'Cootractor Secti.... of thI. applIcation for aIIIeh tbay .m be res_Ibl.. If roo. as tbe Mer Riga .. the contractor. <br />roo .r. IndIcating th.t roo. r.lbor lion lbo contr.ctor. .r. respon'Ibl. for th. ..rl. If the contractor .lBIoa roo to Riga <br />as contractor tbat .ay be an indication that he is not properly licensed and is not entitled to peDlitting privileges in the <br />City of Zephyrhills. <br /> <br />C. TRANSPORTATION IMPACT FEES AND U'l'ILI'rY CONNECTION FEES ,.< <br /> <br />D. CONSTRUC'l'ION LIEN Lnw (CHAPTER '113, FLORIDA STA'rUTES, AS AMENDED) <br />I certify lb.t I, ibe applIcant, b... been pro.Ided with. copy of 'YlorIda'. Con.truction Lien Lao _ 8Dae0a0er'. Protecti.. <br />GuideN prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant i8 sOleone other than the <br />.....r.. I certify tbat I b... obt.ined · copy of tb. above described doc....t and proai.. 10 good f.Ith to deIl.er It to tbe <br />Nowner" prior to COalenCelent. <br /> <br />E. CONTRACTOR' S/OWNER' S AFFIDAVI'l' <br />I certify that all the infor.ation in tbis 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 .ade to obtain a per.it to do work and instailation as indicated. I certify that no work or <br />installation bas cOllenced prior to issuance of a per.it and that all work will be perfoIJed to leet standards of all lar8 <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 govecn.ental agencies aay apply to the intended worl, and that it is <br />.y responsibility to identify wbat actions I .ust take to be in co.pliance. Such agencies include but are not li1ited to: <br />t Departlent of RnviroD8ental Regulation - Cypress Bayheads, Wetland Areas and RnviroD8entally Sensitive Lands, <br />Water/Wastewater Treablent <br />t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses <br />t Ar.y Corps of Engineers - Seawall's, Docks, Navigable Waterways <br />t De artlent of Health & Rehabilitative Services EnvirOD8ental Health Unit - Wells, Wastewater Treatlent, Septic 'anks <br />t US EnviroDlental Protection Agency - Asbestos abate.ent <br />I also certify that, if fIll .aterial is to be used in Flood Zone NAN or NA,etc.N, it is understood that a drainage plan <br />addressing a .co.pensating VolO8eN will be sub.itted which is prepared by a professional engineer registered iD the State of <br />Florida prior to per.it. issuance. <br /> <br />. A per.it 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 tbe technical' codes, nor shall is~u~ce of a per.it prevent the Building Official frUl thereafter <br />requiring a correction of errors in plans, construction, or violations of any code. Bvery petlit issued shall beCOll invalid <br />unless the work authorized by such per.it is cOllenced within six IOntbs of issuance, or if work authoriled by the petlit is <br />suspended or abandoned for a period of six IOnths after the tile the work is c_enced. One 90 day eltension of u.e, ., be <br />allowed for the perlit with fee charge of $15.00. Tbe extension shall be requested in writing to the Building Official. In <br />approved inspection .ust be logged during each six IOntb period, or tbe project will be considered abandoned. <br />WARNIlfG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHENT HAY RESULT IN YOUR PAYING l'IlICE FOR IHPROVIIIDrS fO YOUR <br />PROPERTY. IF "YOU Ilf1'END ro OBTAIN FIIfANCING, COltSULT WIra YOUR LENDER OR Alf ATrORln BEFORB RBCORDIItG YOUR lfO'l'ICE OF <br />ClIIIIIm...~~ ,:LlItl -=- IIICORD AJD rosr A · aIIIlIII ___ <br /> <br /> <br />..d/ C~- <br />SI ArU. OR AGBltT <br /> <br /> <br /> <br />" I <br /> <br />STATE OF FLORIDA <br />COUlf1'Y OF <br />The foregOing instrument <br />before me this <br /> <br />was acknowledged <br />, 19_ by <br /> <br />STATK OF FLORIDA <br />COUlITY OF <br />The foregOing instrument was acknowledged <br />before me this , 19_____ by <br /> <br />who is personally known to me or who has <br />produced <br />as identification and who did/did not <br />take an oath. <br /> <br />who is personally known to me or who has <br />produced <br />as identification and who did/did not <br />take an oath. <br /> <br />(Signature) <br /> <br />(Signature) <br /> <br />(Name Typed, Printed or Stamped) <br />NOTARY PUBLIC <br /> <br />(Name Typed, Printed or Stamped) <br />NOTARY PUBLIC <br />