<br />, CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pertit 'lay be subje~l to "ne~d restrictions' which lay be .ore restrictive than Ci.y
<br />regulations. The undersiqn~d assules responsibility for cOlpliarce Nith any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a ~ontracto~ or contractors to undertake work, they lay be required to be licensed in accordance Nith
<br />state and local regulations. If tlircO\ifractor is not"iicensed i:'i required by laN, both the ('Nner and contractDr .ay be
<br />cited for a lisdej~anor violation under state law. If the owr.er or intended cDntractDr are uncertain as to what licensing
<br />requireaents lay apply for the intenderl work, they are advised tc, contact the City of Zephyrhills Building Depart.ent, (8131
<br />7BB-bb 11 .
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<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractDr(s~ ,sign pDrtions of the
<br />'Contractor Sections" of this application for which they Nill ~"~ responsible. If YDU, as the DNner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the Nork. If the contractor Nishes you to sign
<br />as contractor that .ay be an indication that he is not properly licensed and is not entitled tD perlitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTI~ITY CONNECTION FEES.
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<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HDleowner's Protection
<br />Guide" prepared by the Florida Departtent of Agriculture and Consuler Affairs. If the applicant is so.eDne other than the
<br />"oNner', I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it tD the
<br />"owner" prior to cOllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, ioning, and land developlent.
<br />
<br />Application is hereby tade to obtain a pertit to do work and installation as indicated. I certify that no work or
<br />installation has cottenced prior to issuance of, a per.it and that all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning reg'ulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies lay apply to the intended "-Drk, and that it is
<br />IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not Iitited to:
<br />. Departlent of Environ.ental ReQuIation - Cypress Bayheads, Wetland Areas and Environllentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />. Southwest Florida Water ManaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways '
<br />. Depart.ent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental PrDtection AQency - Asbestos abateaent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,etc.', it is understood that a drainage plan
<br />addressing a "colpensating volute" Mill be sublitted which is prepared by a professiDnal engineer registered in the State of
<br />Florida prior to per.it issuance.
<br />
<br />A pertit 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 pertit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such perlit is co..enced within six Bonths of issuance, Dr if work authorized by the per.it is
<br />suspended or abandoned for a period of six tonths after the till! the work is CD&6enced. One 90 day extension of tile, lay be
<br />allowed f~r the pertit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved 'inspection lust be log~ed during each six .onth period, or the project will be considered abandDned.
<br />WARNING TO OWNER: YtlUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN TTORNEY EFO' RECORDING YOUP. OTICE OF
<br />COI1:ZN":;~E~O RECORO AN' POST TICE 0 E'ENT'.
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<br />
<br />
<br />SIGNATURE: OWNER OR AGENT . v SIGNATURE: CONTRACTOR
<br />
<br />
<br />
<br />was ac~nowledged
<br />, 1 90, ~ by.
<br />..--
<br />
<br />STATEOFF\~~IIlA.)
<br />COUNTY OF ~SC l'"J
<br />The foregoing instrument
<br />.9i;'.:<"'-.re me th i s '":< - 11
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<br />
<br />
<br />-
<br />"Ias acJ.;;.nc,,,1l edged
<br />, 1931 by
<br />
<br />STATE OF ~
<br />COUNTY OF ()
<br />The foregoing instrument
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<br />
<br />(11- who has
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<br />\~ho has
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<br />did PIC, t
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<br />or Stamped)
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<br />Stamped)
<br />
<br />ate of Aorida
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<br />,'" ,," ,. --~,cs ad. 9, li994
<br />jJoY :,.C '1"" 'oy Fain, Insuranee In...
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<br />ate of f\orida
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