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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A.- NOTICE OF DEED RESTRICTIONS .
<br />The undersigned understands that this peraitaay be subject to 'deed restrictions' which lay be aore restrictive than City
<br />regulations. The undersigned assuaes responsibility for coapliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they aay 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 lay be
<br />cited for a lisdeaeanor violation under .state law. If the owner or intended contractor are uncertain as to .hat licensing
<br />requireaents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent, 18131
<br />788-6611.
<br />
<br />Furtheraore, if the owner has hired a contractor or contractors, he is advised to have the contractorls) 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. 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 perlitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<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 - HOleowner's ProtectiDn
<br />6uide' prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant 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 cOllenceaent.
<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, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOlaenced prior to issuance of a perlit and that all work will be perforled to leet 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 aay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cotpliance. Such agencies include but are not lilited to:
<br />t Departtent of Environaental Requlation - Cypress Bayheads, Wetland Areas and Environtentally Sensitive lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water "anagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Arlv Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />I Departtent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US Environlental Protection Agency - Asbestos abateaent
<br />I also certify that, if fill laterial is to be used in Flood Zone 'A' or "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 perlit issuance.
<br />
<br />A perlit 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, Dr violations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such perlit is cOltenced within six tonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the work is cottenced. One 90 day extension of tile, lay be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
<br />WARNIN6 TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COft~NCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR IftPROYEftENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN fINANCIN6, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CO~NCE"ENT. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COKKENCE"ENT'.
<br />
<br />~M'sL 1f},N..u-M/
<br />SI ATURE: 'DIDIER DR AGENT
<br />
<br />SI6NATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA ~ ~ ^.....
<br />COUNTY OF r{)..:s \:-V
<br />The foregoing instru~ert
<br />before me this c:28%
<br />
<br />was ~~nowledged
<br />, 19~ by
<br />
<br />STATE OF FLORIDA
<br />COUHTY OF
<br />. The foregoing instrument
<br />befc,re me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />
<br />me or who has
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />did/did not
<br />
<br />~ignature)
<br />~O-m.
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />,"'!l"'" DANA M "IELLA
<br />",~tri.t~;, . .,' . \;II " '
<br />, '!.~ .. '\.~ MY'COMMtSS1ON., C03Ql855 EXPIRES
<br />~'" . - Juiy 14. 1997
<br />"~ BONllfO THRIl TROY FAIN INSURANCE,INC.
<br />
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