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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOT I CE OF DEED RESTR I CT IONS '
<br />. The undersigned understands that this perlitlay be subject to "deed restrictions" which .ay be .ore restrictive than City
<br />reguJations. The undersigned assuees responsibility for co.pJiance with any appJicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />Jf the owner has hired a contractor Dr contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and Jocal regulations. Jf the contractor is not Jicensed as required by law, both the owner and contractor lay be
<br />cited for a lisdeleanor violation under .state law. If the owner Dr intended contractor are uncertain as to what licensing
<br />requirelents lay appJy for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtherlore, 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 appJication for which they wiJl be responsible. Jf you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsibJe for the work. Jf the contractor wishes you to sign
<br />as contractor that .ay be an indication that he is not properJy licensed and is not entitled to per.itting priviJeges in the
<br />City of ZephyrhiJJs.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />J certify that I, the appJicant, have been provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection
<br />Guide" prepared by the Florida Departlent of AgricuJture and Consuler Affairs. If the appJicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />"owner" prior to cO.lencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that alJ the infor.ation in this appJication is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has cO.lenced prior to issuance of a per.it and that all work will be perfor.ed to .eet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental 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 li.ited to:
<br />f Depart.ent of Environlental Requlation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water "anaqelent District - Wells, Cypress Bayheads, WetJand Areas, AJtering Watercourses
<br />f Ar.y Corps of Enqineers - Seawalls, Docts, Navigable Waterways
<br />f Depart.ent of Health L Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />f US EnvironaentaJ Protection Aqency - Asbestos abate.ent
<br />I also certify that, if fiJJ .ateriaJ is to be used in Flood Zone "A" Dr "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 per.it issuance.
<br />
<br />A perlit issued shaJJ be construed to be a Jicense to proceed with the work and not as authority to vioJate, canceJ aJter, or
<br />set aside any provisions of the technical codes, nor shaJJ issuance of a perlit prevent the BuiJding officiaJ fro. thereafter
<br />requiring a correction of errors in plans, construction, Dr violations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such perlit is cOllenced within six .onths of issuance, or if work authorized by the per.it is
<br />suspended Dr abandoned for a period of six .onths after the tile the work is cOI.enced. One 90 day extension of tile, lay be
<br />aJJowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building officiaJ. An
<br />approved inspection lust be Jogged during each six lonth period, or the project wiJJ be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR I"PROYEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COKKENCE"ENT. JOBS UNDER $2,500 1M VAlUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CO""ENCE"ENT".
<br />
<br />
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<br />
<br />(; SIGNATURE: DR AGENT
<br />
<br />~fLV. 0~/b,L-.$-rerE Cv~--r'.
<br />SIGNATURE: CONtRACTOR
<br />
<br />STATE OF FLORI~/"lLQ
<br />COUNTY OF V"',"",
<br />The foregoing instrument
<br />bef re me th i s -:::::J..e b I)
<br />
<br />was a~k!,~ledged
<br />, 1 9..::J..X by
<br />
<br />STATE OF FLORl~
<br />COUHTY OF . ~c <.)
<br />. The foregoing instrument
<br />before me th i s .:2 - .;t ::2..
<br />
<br />was aCkn;rledged
<br />, 19 q by
<br />
<br />
<br />:t:> e \, ~ 2t/. ~::h,v'-..(...
<br />who is personallY know~ to me or who has
<br />pl-c.duced
<br />as identification and n~
<br />ta . t .
<br />
<br />'kro(\
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />SHARON l. ALICE
<br />MY COMMISSION /I CC 254524
<br />EXPIRES: JlnllllY 24, 1997
<br />Ilonded Tluu NolIry PublIc UncIetwIIlIrI
<br />
<br />~'~'''''~'' MARY H. RAY
<br />l.tiJ. l'''{~ UVCXllAll88lON.CCle&412EXPIRES
<br />~" l1,i December 14.1995
<br />..;t~:;.r-'-;. .~'IlONDED THRU TROY FAIN INSURANCE. INC.
<br />"Ili"t"
<br />
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