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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'l'be undersigned understands that this perait 6Y be subject to .deed restrictions" wbieb 6y be lOre restrictive than City
<br />regulations. 'he undersigned assOles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake wort, they 6Y 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 6Y be
<br />cited for a lisdl!lH!anor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirl!lents 6Y apply for the intended work, they are advised to contact the City of Zephyrhills Building Departtent, (813)
<br />788-6611.
<br />
<br />FurtbeIlOre, if the owner has hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />'Contractor Sections" of this application for..hieb 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 wisbes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to peraitting privileges in the
<br />City of Zephyrbills.
<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 - HoIeoIner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsuteI Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described dOCUleDt and prOlise in good faith to deliver it to the
<br />"owner" prior to cOllellceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infortation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlellt.
<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 perait and that all work will be perf oIled to teet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDlental agencies laY apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in colpliance. Sucb agencies include but are not lilited to:
<br />t Departtent of Bnvironaental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlentally Sensitive Lands,
<br />Water/Wastewater 'l'reatlent
<br />t Southwest Florida Water Managetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t Aray Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater 'l'reatlent, Septic 'l'ants
<br />t US EnviIODlental Protection Agency - Asbestos abateaent
<br />I also certify that, if fill laterial is to be used in Flood ZOne HA. or "A, etc. ., it is understood that a drainage plan
<br />addressing a UcQlPeDsating volOle' will be sublitted whieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perait issuance.
<br />
<br />A perlit issued sball 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 tbe technical codes, nor shall issuance of a perait prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery petlit issued shall beCOle invalid
<br />unless the Ifork authorized by sucb perait is cOllenced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the wort is cOlleDced. One 90 day extension of tile, laY be
<br />allowed for the perait with fee ebarge of $15.00. 'l'be extension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during eacb six IOnth period, or the project will be considered abandoned.
<br />WWIHG '1'0 OWNER: YOUR FAILIJRB '1'0 RECORD A NOtICE OF COIlMDCBMm' MAY RESUL' IH YOUR PAYING 'l'WlCE FOR IMPROVEMHIIl'S '1'0 YOUR
<br />PROPERTY. IF YOU IJi'I'END '1'0 OB'I'Alli FlliAICING, CONSUL'I' WITH YOUR LBNDER OR AI 1I'J"1'ORJ1EY BEFORE RECORDIIIG YOUR "OtlCE OF
<br />
<br />ClBIICmIIr. JO UIDIIl $2,500 IN VIUIIl 00 lOr IiIIiIl ~ 110 PI1I1/~d'~'i/,<-... K.4.-
<br />
<br />
<br />S .JI8IfAfDRE: CO RACfOR
<br />
<br />
<br />S'I'A'I'B OF FLORIDA ~
<br />COUN'I'Y OF M
<br />The foregoing inst~ent was ~~~Owledged
<br />before me this Nm, 19 by
<br />
<br />W/II,4n1 .~~
<br />who is personal y known to me or who has
<br />produced
<br />as entification
<br />ta an oath.
<br />
<br />STATE OF FLORIDA _ /)
<br />COUJi'I'Y OF rtlSC1J
<br />The foregoing instrument was ac~edged
<br />before me this ~j /'lot!, 19 by
<br />
<br />U)ll!/Am fJtJ6'
<br />who is personally known to me or who has
<br />produced
<br />as identi
<br />take an
<br />
<br />
<br />
<br />-S..igb ture)
<br />~~ IYi r)\ . ro i ello.-
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />. "~:~~'~;:;;" DANA M. GIELLA
<br />f:."'b>~:\ MY COMMISSION * CC301855 EXPIRES
<br />~.ic~~Q'j July. 14, 1997 NO
<br />"<~'o,",;'~~ BOMDEJH-"TROV fAIN INSURANCE,I .
<br />'!f!.~H
<br />
<br />".'?-.':A~'f;J,"'" DANA M. G1ELLA
<br />t*'f"Q,~;'" MY COMMISSION * CC301855 EXPIRES
<br />~~.~{{j July 14, 1997
<br />~"~,~I.:r..W-' SONllEO THRU TROY FAIN INSURANCE, INC.
<br />
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