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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pertit lay be subject to 'deed restrictions" wbich lay be lOre restrictive than City
<br />regulations. tbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has bired a contractor or contractors to undertake wori, 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 lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireraents lay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Deparuent, (813)
<br />788-6611.
<br />
<br />Furthermore, if the owner bas bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />nContractor Sections" of this application for wbieb 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 wisbes 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, bave been provided with a copy of "Florida's Construction Lien Law - HOIeowner's Protection
<br />Guide" p~epared by the Florida Deparl:lent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />nowner", I certify that I bave obtained a copy of the above described docUlent and prolise in good faith to deliver it to the
<br />"owner" prior to couencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in compliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOIIenced prior to issuance of a perlit and that all work will be perforted to leet standards of all laws
<br />regulating construction, City codes, zoning requlations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDIental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I .ust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />* DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treauent
<br />t Southwest Florida Water Kanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Deparl:lent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater treatJent, Septic 'ranks
<br />* US EnvirODlental Protection Agency - Asbestos abateJent
<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 volUle" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A per.it issued shall be construed to be a license to procned 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 frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becOIe invalid
<br />unless the work authorized by such pertit is cOllenced within six IOnths of issuance, or if work authorized by the perJit is
<br />suspended or abandoned for a period of six IOntha after the tile the work is couenced. One 90 day extension of tile, laY be
<br />allowed for the perJit with fee charge of $15.00. The extension sball 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 PAl LURE TO RECORD A HOTlCE OF COKKBNCKKENT HAY RESULT IN YOUR PAYING TWICE FOR IKPROVKKEHTS TO YOUR
<br />PROPERTY. IF YOU Iln'END TO OBTAIN PlHAHCING, COlfSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDIHG YOUR NO'rICE OF
<br />C.DKKEHCRKKNr. JOBS UNDER $2,500 IN VALUE 00 HO! HEED '1'0 RECORD AND POST A "HOT ICE OP COKHKNCKKElfT".
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<br />~I~ . ~~/
<br />
<br />
<br />STATE OF FLORID~~~
<br />COUH'1'Y OF
<br />The foregoing if7t~~e .c~~ledged
<br />before me this , 19~ by
<br />
<br />rfL- G
<br />who 1S personally known 0 or who has
<br />produce
<br />as identificatio
<br />take an oath.
<br />
<br />
<br />
<br />
<br />(Signature
<br />
<br />(Nam~ Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC~HeIma
<br />
<br />--. \ ". . 1t7
<br />"" ~.2003
<br />
<br />,ngela L Helms
<br />Commission CC800247
<br />
<br />mes January 3. 2003
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