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<br />CONDITIONS OF. PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />lhe und~rsigned understands that this perait aay be 5ubj~ct to "deed restricti~ns' which ~ay be Dore restr.ictive than City
<br />regulations. lhe undersigned assules responsibility~for.co.pliance with any applicable deed restrictions,
<br />..' . .
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the owner has hired a contractor or contractors to undertake work, .they lay be required t~ be licensed in accordance with
<br />state and local regulatioris. If the contractor i5 not licensed as required by law, both the o>>ner and contractor ~ay b~
<br />cited for a lisdeaeanor violation under state law. If the owner or intended contracte,r are uncertain as to what licensing
<br />requireaents lay apply for the intended work, they are advised to contact the City ~f Zephyrhills ~uilding Departaent, (B13)
<br />7BB-6611.
<br />
<br />Furthermore, if the owner has hired a contractor or contract~rs, 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 c~ntractor,
<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 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 provi'ded with a copy of "Florida's Construction Lien Law - Ho~eowner's Protection
<br />Guide" prepared by the Fl~rida Departlent of Agriculture and Consuler Affairs. If the applicant is s~&e6ne other than the
<br />"owner", I certify that I have clbtained a. copy of the above described de,cument and prc,n,i~e in g(,od fisith to deliver it to the
<br />"owner' prior to co..ence.ent.
<br />
<br />~ 1 .. .':
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the infor~ation in this applicati~n is accurate and that all Hork will be done in coapliance with all
<br />applicable laws regulating c~nstructi~n, zoning, and land developcent.
<br />
<br />Application is hereby cade t~ obtain a perlit to'do work and install~tion as indicated. I certify that no work or
<br />installation has COlmenced prior to issuance of a perlit and that all work will be perf~r~ed to roeet standards of all laws
<br />regulating construction, City codes, zoning regulati~ns, and land development regulations in the jurisdicti~n. I also
<br />certify that I understand that the regulations of other governmental agencies ~ay apply' to the intended work, and that it is
<br />my responsibility to identify llhat actions I lust take to be in cOlllpliance. Such agencies include bul ,'Ie He,t lil!ited to:
<br />
<br />. J.---'>
<br />I Department of Environ~ental ReQulation - Cypress Bayheads, Hetland Areas and EnvirDnmentally Sensi live Ldnds,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Hater. ManaQecent District - Wells; Cypress Bayheads, Hetland Areas, Altering ~atercourses
<br />I ArlY Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Depart.ent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Hastewater Treat~en~. Septic lanks
<br />I US Environ~entisl Protection AQency - Asbestos abatement
<br />
<br />also certify that, if filllllaterial is to be used in Hc,od Zc.ne "A" or "A,etc,', it is understc'(ld t1'ot a drainage plan
<br />addressing a "co~pensating volule" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per~it issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to yiol~te, cancel alter, or
<br />set aside any provisi~ns of the technical codes, nor shall issuance of a permit prevent the Building Official frolll thereafter
<br />requiring a ((,rrection e,f errors in plans; constructieln, clr violations of any c(,de. Every per~it iSSUI!j ~t.all bece,le invalid
<br />unless the w~rk authorized by such permit is cC'lIIIenced within six 1lI0nths c.f issuance, or if j'i(.d: il\ltl,[II ),ed by the perait is
<br />suspended or abandoned for a period of six aonths after the ti,e the >>ork is co~menced. One 90 day e:IE~5ioll of tiae, aay be
<br />all~wed for the per~it with fee charge of $15.00. lhe extensi~n shall be requested in wriling to the Building Official. An
<br />approved inspectie,n !'.lust be logged during each six month period, c,r the project Iii 11 be [('nsidered dbdlldC<fled.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER1'Y. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD A~ST A "NOTICE OF COMMENCEMENT",
<br />
<br />
<br />SIGNATuhJ_~~Y~--- SIGNATURE ~_~_~!l-
<br />~. O~~0GENT HDL~~~~ r~C
<br />DA TE_njt:~~~-~------------------------ OATE_.K.::-L:L------------------------
<br />
<br />NOTARY AS TO ~\.,...",;..~ ~
<br />OWNER OR AGENT~- . ~ ~- .
<br />5F\'L.....~ l)~~
<br />MY COMMISSION EXPIR~~~~t~uw~i~~~s
<br />'~'.A"'.;': AuguSt 31, 1993
<br />'.:fi',,,,,if,..<' BONDED THRU TROY fAIN 1NSIlPJ.IICf..11lC.
<br />.,flu....
<br />
<br />NOTARY AS TO..-.,QI7"'to.\.. - ~
<br />CONTRACTOR_~~-1S~ - - - -
<br />.. Lo,', ~. 0;)\-oe;Q.
<br />MY COMMISSION EXPIRES__________________
<br />
<br />,"'''''' ...nr.t!1\1.I
<br />.1w..:.r~, LORI K. QIlU\lnl'
<br />f.(~ '\.~ MV COWISS10N * AA 714186 EXPIRES ,
<br />o~'~'~i October 10. 1993
<br />"I.f.P.f.x.~., 8ONQEO THIlU TROY FAIN INSURANCE. INC.
<br />
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