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<br />.... _l... CONDI'fIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed 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 CONTRAC'!'OH 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtber.ore, if the ONner 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 Nill 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 tbe
<br />City of Zephyrbills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />,oJ
<br />,
<br />
<br />D. CONSTRUCTION LIEN L~W (CHAPTER 713, FLOHIDA STATUTES~ AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOJeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture 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 pro.ise in good faith to deliver it to the
<br />"oNner" prior to cOllencelent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in co.pliance with all
<br />applicable laws regulating construction, loning, and land develop.ent.
<br />I
<br />
<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perf oIled 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 other govefRIental agencies lay apply to the intended work, 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 Environlental Regulation - Cypress Bayheads, Metland Areas and EnviroDlentally Sensitive Lands,
<br />. Mater/Mastewater Treatlent
<br />. Southwest Florida Mater Hanagelent District - Mells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />. ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />. Departlent of Health & Rehabilitative Services, EnvirORlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />. US EnviroDlental Protection Agency - Asbestos abate.ent
<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 perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />Bet 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 peIlit issued sball bectile invalid
<br />unless the work authorized by such per.it is cOllenced within six IOnths of issuance, or if work autborized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eJtension of tile, laY be
<br />alloNed 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 />WARNING TO ONNER: YOUR FAILURE, TO RECORD A KOTICE OF COKHENCBHKHT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVKKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICI OF
<br />COKHENCRHRNT. JOBS UNDER $2,500 IN VALUE DO NOT NERD TO RECORD AND PoST A "NOTICR OF COMMENCEMENT".
<br />
<br />
<br />W~ A'.~U~
<br />SI N : OWllRR OR AGR I' SIG~TORE: 'CONTRACTOR
<br />
<br />: I
<br />
<br />STATE OF FLORIDA~
<br />COUNTY OF t ~(!!LJ
<br />The foregoing instr/je.nt was acknowledged
<br />before me this /;2 I 3 ," c7t7tJo by
<br />
<br />~O;i(;
<br />who is onally kno ~o me or who has
<br />produced
<br />as identificat' n and who did/did not
<br />take an oath. .~ //
<br />~ /c)C"~
<br />(Signature
<br />
<br />STATE OF FLORIDA /,....-:-jf~
<br />COUNTY OF _ t:::lGeo
<br />The foregoing instrument was acknowledged
<br />before me thil}"'.;2/l'1 i"- , l:t07te0 by
<br />
<br />~-Jildp~
<br />who i ersona~ly kno 0 me or who has
<br />produced . .
<br />as identificat'on and who did/did not
<br />take an oath 1f3~
<br />
<br />(Signatu
<br />
<br />
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />",~tPiJ", Suzanne Bahr
<br />l~'-;&"~~~ Commission # CC 790817
<br />~;!..~.~g Expires NOV, 15,2002
<br />-:;,;1'"...~'&~:::' . BONDED THRU
<br />",~~,\"" ATLANTIC BONDING CO., INC
<br />
<br />,~~\~\"h;O'" Suzanne Bahr
<br />_w.....p,;>, ,. # CC 790817
<br />.:o"."i' fA, '\"~ CommiSSion
<br />~;,'..,.'i7.!'::;g Expire:, NOV, 15,2002
<br />-:;~;;,~<<y-,;,' BONDED THRU
<br />'r'-j"~,:'~\""" ATLAtn;C SONC!NG CO., INC.
<br />
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