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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A:: NOTICE OF DEED RESTRICTIONS:. .
<br />
<br />The undersign~d understands that this per.it .ay be subject to "d~ed restrictie,ns' whicn ~ay b~ sore restrictive than City
<br />regulations. The und~~signed assuaes responsibili".fo~ compliance with any appllcabl~ deed restriction~.
<br />,., ':0\ ." . '.. " . ,
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the ONner has hired a contractor or contractors to und~rtake work, they may b& r~quired to be licensed in accordance with
<br />state and local regulations. If the contractor il not licensed as required by law, both the OHner and contractor ~ay be
<br />cited for a misdemeanor violation under state law. . If the owner or intended contractor are uncertain as to what licensing
<br />require.ents lay apply for the intended work, they are advised to contact the City of Z~phyrhills 8uilding Departeent, (813)
<br />788-66 11.;"'
<br />
<br />Further.ore, If the owner has hired a contractor Dr 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. ]f the contractor wishes you to sign
<br />as contractor that aay be an Indication that he is not properly licensed and is not entitled to per~itting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D.
<br />
<br />CONSTRUCTION LIEN LAW
<br />
<br />(CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - Homeowner's Protection
<br />Guide' prepared by the Florida Departlllent of Agriculture and Consulll~r Affairs. If the appl icant is se,.eee,ne other than the
<br />"owner", I certify that I have obtained a copy of the above described document and promi5~ in good falth to deliver it to the
<br />'owner' prior to cOimencement.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the information in this application is accurate and that all work Mill be done in co~pliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
<br />
<br />Application is hereby ~ade to obtain a ~erlit to do work and installation as indicated. I certify that no work or
<br />installation has co&~~nced prior to issuance of a perlit and that all work Hill be performed to meet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governffiental agencies may apply to the intended Mort, and that it is
<br />ay responsibility to identify what actions I must take to be in cc,mpliance. Such agerlcies include bllt ill ~ 1"1[,1 li'lited to:
<br />
<br />I Department of Environmental ReQulation - CY~i~~~ 9ayheads; Hetland Areas and Environmentally Sensi tive L~nds,
<br />Water/Wastewater Treatment
<br />f Southwest Florida \later ManaQelent District - Wells, Cypress Dayheads, Hetland Areas, Altering Watercourses
<br />I Ar~y Corps of Enoine~rs - Seawalls, Docks, Navigable Haterways
<br />f Depart.ent of Health L Rehabilitative Services. Environmental Health Unit'" We1ls: Wastewater Treat~En~. Septic Tanks
<br />I US Environoental Protection AQency - Asbestos abatement
<br />
<br />I also certify that, if fillllaterial is to be used in Fle,od Zone "A" or 'A,etc.', it is underste,[,d t!.~l a drainage plan
<br />addressing a 'co.pensating volume" will be submitted which is prepared by a prof~ssional engineer regist~red in the State of
<br />Florida prior to perllit iss~ance.
<br />
<br />A per~it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel aller, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter
<br />requiring a correction clf errrors in plans, cc,nstructie.n, or violations of any cod~. Every perili t iSSlled :;hal I bece,.t' invalid
<br />unlt'ss the work authorized by such permit is COJftenced within six ~onlhs of issuanc~, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the time the Hork is co~menced. One 90 day e~tE~5iDII of tile, ~ay be
<br />allowed for the per~it with fee charge of $15.00. The extension shall be requested in Hriting to the Building Official. An
<br />approved inspection ~ust be logged 'during each six month period, or the project "ill be considered ~bdlidoned.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAy
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR L~NDER OR AN ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />SIGNATURE~__lh2~-------
<br />. CONTRACTOR
<br />
<br />SIGNATURE_~N~;~-------
<br />
<br />MY COMMISSION EXPIRES
<br />
<br />~otary Publlr, 'tete of Florida
<br />My CommissIon rxpi;'~s (,"'t. 9, 1993
<br />80nded Thru Troy Foi,j I. !....ce Inc.
<br />
<br />
<br />:::::~-::-~~~~--:=:?f-C-~---------
<br />CONTRACTOR___~<?l..:_l- " ~-
<br />/
<br />MY COMMISSION EXPIRES_____~____________
<br />Notary p ,,,
<br />1M C . U~,.c.. Stat!! of fl..;
<br />y ommi,:r:^f! r " 0, .da
<br />.", )(p.-.... <
<br />Ilona_a rh I~, .i"pt. 9 7993
<br />ru Troy l'oin -/nsu I
<br />rance Inc.
<br />
<br />DATE__________~~~L-:LL-----~~-------------
<br />NOTARY AS TO ), If () I
<br />OWNER OR AGENT_ __~~----~
<br />
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