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<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />The undersigned understands that this per.it may be subject to "deed restrictions" which ~ay be ~ore restrictive than City
<br />regulations, The undersigned assuaes responsibility for compliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the owner has hired a contractor or contractors to undertake work, they may 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 ~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 iay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (813)
<br />788-6611.
<br />
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portic,ns 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. If the contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to permitting privileges in the
<br />City of Zephyrhills,
<br />
<br />C. TRANSPORTAT I ON IMP..B~_T FE_ES__.Br~'.ld__l)T lL I TY C.QN.NECT I ON 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 - Ho~eowner's Protection
<br />Guide' prepared by the Florida Department of Agriculture and Consumer Affairs, If the ~pplicant is so~eone other than the
<br />'owner', I certify that I have obtained a copy of the above described document and promise in good faith 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 will be done in co&pliance with all
<br />applicable laws regulating construction, zoning, and land development,
<br />
<br />Application is hereby made to obtain a permit to do Mork and installation as indicated. I certify that nD wC'ik Oi
<br />installation has com~enced prior to issuance of a perait and that all work will be perfDrmed tu meet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development regulatiuns in the jurisdiction. 1 also
<br />certify that I understand that the regulations of other governmental agenciES may apply to the intended Mork, and that it is
<br />ItY responsibility to identify what actions I lIlust take to be in cClmpliance, Such agEncies include bill ~,r. 1I[,t limited to:
<br />
<br />* Department of Environmental Reoulation - Cypress Bayheads, Hetland Areas and EnvirDnmentally Sensi Ill! L~nds,
<br />Hater/Wastewater \rea~ffient
<br />* SouthMest Florida Hater Manaoe_ent District - Wells, Cypress Bayheads, Hetland Areas, Altering WatercDurses
<br />I ArDY CorDS of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Department of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Waste~atei Trp.at~e~~. Septic Tanks
<br />I US Environmental Prutection AQeney - Asbestos abatement
<br />
<br />I also certify that, if fill material is to be used in FIc.od Zc.ne "A" Dr "A,etc.', it is underdc,c,d li,~t. "d!ainage plan
<br />addressing a 'coltpensating volume" will be submitted which is prepared by a prufessional Engineer ie4isl~.i'd in the State of
<br />Florida prior to permit issuance,
<br />
<br />A perlllit issu~d shall be construed to be a license to proceed with the work and nut as authority tu ,ioj~te, cancel alter, Dr
<br />set aside any provisi(.ns of the technical c(.des, nor shall issuance [.f a permit prevent the Building lJff:.ci,,] flc,m thereafter
<br />requiring a torr~ction of errors in plans, construction, or violations of any code. Every permit issu~d ~hall beeole invalid
<br />unless the wc.rk authclrized by such perlliit is cc,mlllenced within six ff!H,ths of issuance, ur if \'ICl1 h al1thrq j,i?d h)' the permit is
<br />suspended Dr aband(,ned f c,r a per i [10 (If six lonths after the t i /lie the 110rk is e uK,li\enC ed . One 9G,d ay L'~ Il',,~ 10" 0 f time, may be
<br />allowed for the permit with fee charge of $15,00. The extension shall be reqUEsted in \'Iiiting tD thr Building Official. An
<br />appro"ved inspectic,n must be logged during Each six mc,nth peric,o, [Ir the pr(lji:ct Iii 1 1 be (['!isidered db6i,dc'ned.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERfY. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENnER OR AN A1TORNEY
<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_ f!tf1:.t' SIGNAT~_-:;.k~J - -------
<br />~~ WNER CONTRACTOR Bill Costin
<br />-::Jb _ ~ I
<br />DATE __lL-:J.3..:~il__--------------------- ---
<br />
<br />DATE
<br />
<br />-----------------------------------
<br />
<br />11 November 1991
<br />
<br />~~~~:Y O~S A~~NT _~Q~~
<br />
<br />MY COMMISSION EXPIRES_~_~-~~~~---
<br />
<br />
<br />MY COMMISS
<br />
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<br />
<br />DONNA D. ADAMS
<br />MY COMI~IS510N EXPIRES
<br />May 8. 1995
<br />DONDED TIiRU ALAN INSURANCE AGENCY
<br />
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<br />
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