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<br />. CONDITIONS OF PERMIT AFFIDAVIT
<br />A. . NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peflit lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTHACTOR RESPONSIBILITIES
<br />If the owner has 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 lay be
<br />cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have 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 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 - HOJeowoer's Protection
<br />Guide" prepared by the Florida DepartJent 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 cOllenceJent.
<br />
<br />E. CQ~RACTOR'SIOWNF.R'S AFFIDAVIT
<br />I certify that all the inforJation 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 peIlit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perf oIled 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 goveIllJelltal agencies JaY 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 lilited to:
<br />t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Vater/Wastewater TreatJent
<br />t Southwest Florida Water KanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArJY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rehabilitative Services, EnvirOOlental Health Unit - VeIls, Vastewater TreatJent, Septic Tanks
<br />t US EnviroDlental Protection Agency - Asbestos abateJent
<br />I also certify that, if fill laterial is to be used in Flood Zone IA' or 'A,etc.I, it is understood that a drainage plan
<br />addressing a 'c~pensating volUJe' will be subJitted 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 ~ith 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 perJit prevent the Building Official frOt thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall becOle invalid
<br />unless the work authorized by such perlit is cOJJeDced within sil IOnths of issuance, or if work authorized by the perJit is
<br />suspended or abandoned for a period of sil IOnths after the tile the work is COIIenced. One \ 90 day extension of tile, Jay 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 sil IOnth period, or the project will be considered abandoned.
<br />WARIHNG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEHCEMEHT MAY RESULT IN YOUR PAYING TWICE FOR IKPROVEMElft'S TO YOUR
<br />PROPERTY. IF YOU IJfTEIID TO OBTAIN FINANCING, COIISULT WITH YOUR LEJlDER OR AI AnORJIEY BEFORE RECORDIIIG YOUR IIOTICE OF
<br />COKKENCEMEJIT. JOBS UJlDER $2,500 IN VALUE 00 NOT IIEED TO RECORD AND POST A INOTICE OF COHKEHCEMEJIT'.
<br />
<br />~~
<br />8rnIlATURE: OVIfER OR IGE
<br />
<br />~:~~~
<br />
<br />STATE OF FLORIDA .
<br />COUJITY OF ~ .tbClCM _~
<br />The foregoing instfMID~~ was aq~OWledged
<br />be:{ore me this~l" 2f.b'~ 19 b by
<br />
<br />~ ...f1;JY'f)y\O( -t< '..
<br />
<br />who . onally known r who has
<br />prod
<br />as i
<br />ta
<br />
<br />STATE OF FLORIDA i\.I, iL L ~I
<br />C<mY OF _~~
<br />The foregoing in.~~.t as acknowledged
<br />before me this ';:.,fl--, ~ < -, 19~ by
<br />
<br />'---'--';<0. f!()(1C! .- . {;t~ { '( ~ )
<br />
<br />who is rsonally kri wn to me or 0 has
<br />
<br />~~~::~if-"~- tion did~~n
<br />
<br />_..~-,._,-_.... - _..--~.-
<br />take an h
<br />
<br />
<br />
<br />.,>}.'if..~';~'< MARY S. KILLEEN
<br />l!.":' .~\ MY C<WMISSlON * CC278296 EXPIRES
<br />; ~. April 20. 1997
<br />~x " BONOED lHRU 1WJ'{ FAIN INSURANCE. Ir<<:.
<br />'.
<br />
<br />..,~~It~,,- MARY S KIlLEEN
<br />/J!~"':"~~ MY COtIMSSlON ; CC278296 EXPIRES
<br />-*. . :
<br />~" iff AprIl 20. 1997
<br />'>J;:'(..; -,;"W" IOHOED THRU TROY FAIN INSURANCE. INC,
<br />',Rtlt'"
<br />
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