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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRJCTIONS
<br />Tbe undersigned understands tbat this perlit lilY be subject to .deed restrictions" wbieb lay be lOre restrictive than City
<br />regulations. the undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tbe owner bas hired a contractor or contractors to undertake work, they lay 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 lilY be
<br />cited for a lisdl!leanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requiretents lilY apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if the owner has hired a contractor or contractors, be is advised to bave 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 contractor,
<br />you are indicating that you, rather than tbe 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 peIlitting 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, bave been provided with a copy of .Florida's Construction Lien Law - HDIeOWDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is sOleOne other than the
<br />Downer II , I certify that I have obtained a copy of the above described docUJent and prOllise in good faith to deliver it to the
<br />"owner" prior to COIleDCetent.
<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, loning, and land develoJlElt.
<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 cOlleDced prior to issuance of a perlit and that all work will be perfoIJed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develoJlElt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDleDtal agencies lily apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lUst take to be in cOllpliance. Such agencies include but are not lilited to:
<br />* Departlent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* DepartJent of Health & Rehabilitative Services, Environaental Health Unit - Wells, W~tewater !reatJent, Septic tanks
<br />* US Environaental Protection Agency - Asbestos abateleDt
<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 .cQlpensating volUle" will be subtitted whieb 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 perlit prevent the Building Official frOll thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOJe invalid
<br />unless the work authorized by such perlit is COllenced within six IODthS of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOntha after the tile the work is co.enced. One 90 day extension of tile, lilY 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 eaeb six IOnth period, or the project will be considered abandoned.
<br />WmIHG TO OWNER: YOUR FAILURE TO RECORD A NOfICE OF COIIHENCEHm HAY RESULT IN YOUR PAYING DICE FOR IHPROVEHm'S to YOUR
<br />PROPERrY. IF YOU llUID to OB'l'IIM FIMAMCING, CONSULt WItH YOUR LlMDIR OR AM Al"fORDY BEFORE RECORDIMG YOUR MorICI OF
<br />COIIIICIJlm. JlIIS 0 YIUlI 00 IIIlr IIIBIJ to IIIItlIIlD lID l'IlSl A .~
<br />
<br />
<br />
<br />SIGIIA_~ S1G1AIIIIIIi: ClIIJIIACIllIl
<br />
<br />STATE OF FLORIDA n I~
<br />coum OF rf}vt/)
<br />The foregoing instrument was ac~ledged
<br />before me this ~, 19~ by
<br />
<br />WxLl.iA-rn Poo
<br />who is personally known to me or who has
<br />p duced
<br />s 'dentification
<br />e oat
<br />
<br />
<br />StATE OF FLORIDA A
<br />coum OF 1JS~n
<br />The foregoing instrument was acknowledged
<br />before me this ~I OCT , 19~ by
<br />
<br />LJrLL'l4m Poe-
<br />who is personally known to me or who has
<br />produced
<br />as ~ entification and
<br />t oath. lK.
<br />
<br />( ignature)
<br />\
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />'In
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />.",~~'f~~... DANA M. G/ELLA
<br />t..~'~':f"i MY COMMISSION /I CC301855 EXPIRES
<br />~'~-:'J: July 14,1997
<br />-'://"fif.'i;.'t-'" BONDEO THRU TROY FAIN INSURANCE,INC.
<br />
<br />,."-:A~:'f""", DANA M. GIELLA
<br />g:~'ib':; MY COMMISSION II CC301855 EXPIRES
<br />~.~~i July 14. 1997
<br />">~i""fu~,"" BONDEDTHAU TROY FAIN INSURANCE,INC.
<br />"R..",
<br />
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