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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A; NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands 'that this perJit lay be subject to adeed restrictions a which lay be lOre restrictive than City
<br />regulatioDB. ,The. undersigned assutes 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 lisd_anor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requiretents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departtent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />aContractor Sectionsa 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 wisbes you to sign
<br />as contractor that laY be an indication that be is not properly licensed and is not entitled to perJitting privileges in the
<br />City of Zephyrhills. .
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN ~AW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of IIFlorida's Construction Lien Law - Hoteow.oer's Protection
<br />Guidell prepared by the Florida DepartJIent of Agriculture and ConsUler Affairs. If the applicant is sOlleone other tban the
<br />aownerll, I certify that I have obtained a copy of the above described dOCUleDt and prolise in good faith to deliver it to the
<br />"owner" prior to cOlleDcl!lent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infortation in this application Is accurate and that all work wiUbe done in coapliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation bas cOllenced prior to issuance of a perlit and that all work will be perforted to teet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developteDt regulations in th~ jurisdiction. I also
<br />certify that I understand that the regulations of other governtental agencies laY apply to the intended work, and that it is
<br />If responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />* Departtent of Bnvirontental Regulation - Cypress Baybeads, Wetland Areas and BnviroDlentally Sensitive Lands,
<br />Water/Wastewater freatJIent
<br />* Southwest Florida Water Managl!lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Bngineers - Seawalls, Docks, Navigable Waterways
<br />* DepartJIent of Health & Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater freattent, Septic Tanks
<br />* US EnviroDlental Protection Agency - Asbestos abatl!lent
<br />I also certify that, if fill laterial is to be used in Flood Zone IIAa or IIA,etc.a, it is understood that a drainage plan
<br />addressing a aCOllpensating voluteR will be subtitted which is prepared by a professional engineer registered in the State of
<br />FlorIda prior to perlit. issuance.
<br />
<br />. A perJit 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 perlit prevent the Building Official frOll thereafter
<br />requiring a correction of errors in plans, construction, or vIolations of any code. Every perJit issued sball becOle invalid
<br />unless the work authorized by such perlit is cOllBnced within sil IOnths of issuance, or if work authorized by the perJit is
<br />suspended or abandoned for a period of sillOnths after the tite the work is coaenced. One 90 day extension 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 sil IOnth period, or the project will be considered abandoned.
<br />WADING TO OIINBR: YOUR FAILURB TO RBCORD A NOTICH OF COMMBNCBMElft' MAY RESUL'I' IN YOUR PAYING !lIICH FOR IMPROVBIIBMfS '1'0 YOUR
<br />PROPERTY. IF YOU INTEND TO OBfAINFlMAllCING, CONSUL'I' WI'I'H YOUR LENDER OR AN AnORm' BEFORE RECORDING YOUR 1f0000ICH OF
<br />COIfMBNCBMEN'I'. JOBS UNDBR $2,500 IN VALUE DO NOT NEED TO RECORD AND POS'I' A "NOTICE OF COMMENCEMENTII.
<br />
<br />
<br />~b~~
<br />
<br />~L~~h),:~
<br />( SI IIATUR : OIDIER OR AG NT
<br />
<br />STA'I'B OF FLORIDA
<br />COUIITY OF t=115C-D
<br />The foregoing ~~rument was acknowledged
<br />before me this act""" , 19~ by
<br />
<br />~uliYl~~ A ~Sd\l~J.;~
<br />who is personally known t me or who has
<br />produced -Ariv'ers I il~Io\~e..-
<br />as id ification and who did/did not
<br />take oath.
<br />
<br />S'I'A'I'E OF FLORIDA
<br />COUNTY OF --Pa..~~o
<br />The foregoing instrument was acknowledged
<br />before me this q /8-4 , 19.3:L by
<br />I
<br />
<br />~ Mt>n~
<br />who e onauy to me or who has
<br />produce
<br />as identification and who did/did not
<br />tak~oath. ~ ~
<br />
<br />(~na~
<br />Bahr
<br />(Name Typed, P $Qlhrr8tl-*efll90817
<br />NOTARY PUBLld;, *E Expires NO\'. 15.2002
<br />~ ,f BONDED THRU
<br />~",~,~\,\' ATLANTIC BONDING co., INC.
<br />
<br />
<br />igna e)
<br />,,"" Suzanne Bahr
<br />.: - '~iMi90bI7
<br />(Name Typed, P!", *: r ,,2002
<br />NOTARY PUBLIC ~:1i,..Jl~ BONDED THRU
<br />"'~'i"" ~TlANTIC RONDING co., INC.
<br />
<br />
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