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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pelllit JaY be subject to .deed restrictions" wbich lily be lOre restrictive than City'
<br />regulations. fbe undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CO~TRACTORS AND CONTRACTOR RESPONSIQILITIES
<br />If the owner bas bired' a contractor or contractors to undertate 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 lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requireJents lay apply for the intended wort, they are advised to contact the City of Zephyrhills Building DepactJent, (813)
<br />788-6611.
<br />
<br />Furthel1lOre, if the owner has bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections. of this application for wbich 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 wort. If the contractor wisbes you to sign
<br />as contractor that JaY be an indication that be is not properly licensed and is not entitled to pelllitt~g privileges in the
<br />City of Zepbyrhills.
<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 - HOJeOImer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is sOJeOne other than the
<br />"owner", I certify that I bave obtained a copy of the above described docUJent and prOJise in good faith to deliver it to the
<br />"owner" prior to cOJJenceJent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all wort will be done in cOJpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />
<br />Application is hereby Jade to obtain a perlit to do wort and installation as indicated. I certify that no wort or
<br />installation has cOlleDced prior to issuance of a pelllit and that all wort will be perf oIled to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developtent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governtental agencies lilY apply to the intended wort, and that it is
<br />IV responsibility to identify wbat actions I lUst tate to be in cOlpliance. Such agencies include but are not lilited to:
<br />* DepartJent of EnviroDJeDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDJeDtally Sensitive Lands,
<br />Water/Wastewater IreatJent
<br />* Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docts, Xavigable Waterways
<br />* DepartJent of Health & Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater IreatJent, Septic lanks
<br />* US EnvirODJental Protection Agency - Asbestos abateJent
<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 VOlUleD will be subJitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A pertit issued sball be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official fr~ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall becoae invalid
<br />unless the wort authorized by such pelllit is cOllellced within six IOnths of issuance, or if wort authorized by the pelllit is
<br />suspended or abandoned for a period of six IOlltbs after the tile the work is coaenced. One 90 day extension of tile, lily be
<br />allowed for the pelllit with fee charge of '15.00. Ibe extension sball be requested in writing to the Building Official. An
<br />approved inspection lust be logged during eacb sixlOnth period, or the project will be considered abandoned.
<br />WARIlIXG TO OWNER: YOUR FAILURE 10 RECORD A NOIlCE OF COMHDCEJlElft' MAY RESULT IX YOUR PAYING TWICE FOR IHPROVIMBIIS fO YOUR
<br />PROPERlY. IF YOU Ilft'EIfD ro OBfAIX FIWCIXG, COIfSULI WITH YOUR LBlfDER OR U AnomY BEFORE RECORDING YOUR JIOflCE OF
<br />COIIIEICIlIIm. JOBS OlD ,500 IN VILUlIlO IIOr _10 IIICIlID lID POS'I ~,EHDf".
<br />
<br />
<br />/v~I/~/(~ ~ ~;!~/?~
<br />Smd'fURE: COlft'llACfOR
<br />
<br />
<br />STATE OF FLORIDAR'/\ C: A
<br />coum OF ~c.:.O
<br />The foregoing instrumeqt was L1~owledged
<br />before me this r. 2.1'4 , 19 by
<br />
<br />Bill lbe
<br />who is personally known to me or who has
<br />produced
<br />as i tification
<br />tak a ath.
<br />
<br />SlATE OF FLORIDA ;'1)
<br />coum OF 'Y'Ci SC [)
<br />The foregoing instrum~t was a~~Wledged
<br />before me this 2. 2 (\0 , 19 by
<br />...
<br />
<br />'~i \ \70<2-
<br />who is personally known to me or who has
<br />produced .---
<br />a "dentification
<br />t e oat
<br />
<br />
<br />Si:!5ture)
<br />Aff.L
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />","~;:;'~r~ DANA M. GIELLA
<br />f*{'~'~d MY COMMISSION II CC301855 EXPIRES
<br />~,~~~.. July 14. 1997
<br />~'-r.P.f:~~'" BONCEO THRU TROY FAIN INSURANCE, INC.
<br />
<br />.....,... DANA M GlELLA
<br />...~~..~'i.!'5t.~:~'" .
<br />['",{,:' tf,; "[.1 MY COMMISSION II CC301855 EXPIRES
<br />':-}:'~~-Ri July 14, 1997
<br />";4"9f.,\~<t-.. BONDED THRU TROY FAIN INSURANCE. INC.
<br />
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