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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this penit lay be subject to Hdeed restrictions" which lay be lOre restrictive than City
<br />regulations. fhe undersigned assOles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the 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 laY be
<br />cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
<br />788-661I.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, be 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 tban 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 penitting 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 _ HOIl!OImer' s Protection
<br />Guide" prepared by the Florida Departtent of Agriculture .and Conslller Affairs. If the applicant is soaeone other tban the
<br />"owner", I certify that I have obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the
<br />"ownerH prior to couenceJent.
<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 penit to do work and installation as indicated. I certify that no work or
<br />installation has cOlleDced prior to issuance of a penit and that all work will be perfolled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governaental agencies laY apply to the intended work, and that it is
<br />IY responsihility to identify what actions I lUst take to be in cOlpliance. Such agencies include but are not liJited to:
<br />* Departtent of Environaental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater !reatJent
<br />* Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* Any Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* DepartJent of Health & Rehabilitative Services, Environaental Health Unit - Wells, Wastewater !reatJent, Septic ranks
<br />* US Environaental 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 "coapensating volOle" will be suhlitted 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 tbe technical codes, nor shall issuance of a penit prevent the Building Official froa thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall becOle invalid
<br />unless the work authorized by such perlit is cOlleDced within six IOnths of issuance, or if work authorized by the penit is
<br />suspended or abandoned for a period of six IOnths after the tile the IfOrk is cOllenced. One 90 day extension of tile, laY be
<br />allowed for the penit with fee charge of $15.00. !he extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each six IOnth period, or the project will be considered abandoned.
<br />WARlHNG TO MER: YOUR FAILURE TO RECORD A NOflCE OF COMHBNCEMEH! MAY RESULT IN YOUR PAYING DICE FOR IMPROVEHEn'S TO YOUR
<br />PROPERfY. IF YOU IHTEND TO OBTAIN FlHAHCIffG, CONSUL! WUB YOUR LENDER OR Alf AnORDY BlFORE RECORDING YOUR NorlCE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 Iff VALUE 00 NOf NEED TO RECORD AND POST A "HOfICE OF COMHENCEMEHT".
<br />
<br />STATE OF FLORIDA
<br />COUH'J'Y OF
<br />The foregOing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />'~~/? '
<br />SIGNA~, COHTRACTO,-
<br />
<br />L/-
<br />STATE OF FLORIDA ~
<br />COUHfY OF l:::T' ~
<br />The foregoing instrument was acknowledged
<br />before me this /87ZfJVNEi 19~ by
<br />
<br />-~ \
<br />
<br />SIGNAfURE: OWlfER OR AGEH!
<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 />/) "-0
<br />who is p
<br />produced
<br />as identification and who did/did not
<br />
<br />take~. '*' ~,94Q4Z
<br />(Si~~~;Jr- ~'~ S,WFTL/1Ab
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />....~'\~~!iJ;:", 1IaJ.J.J_
<br />i,/'~';'~'" MY -- S. Swetland
<br />?J:'.1!!!:b..~~ COMMISSION # CC534m EXPIRE'
<br />-.?, ;;.. .<t.~" February 22 2000 '
<br />'..r"r.;. BONDED THRu ",,", 0 .
<br />'nUT rAIN INSllRANCE, INC
<br />
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