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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A." NOTICE OF DEED RESTRICTIONS
<br />fhe undersigned understands that this perlit lay be subject to "deed restrictionsD whieb laY be lOre restrictive than City
<br />regulations. fhe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTORRESPONSIBILI~IES
<br />If the owner bas hired a tontractor or contractors to undertake work, they lay be required to be ~icensed 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 />reguiretents laY apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611. '
<br />
<br />FurtheIlOre, if the owner has hired a contractor or contractors, be is advised' to 'have the contractor(s) sign portions of the
<br />"Contractor Sections I of this application for whieb they will be responsible. . If tou, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the ccintractor wisbes 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 "Plorida's Construction Lien Law - HDIeOIDer's Protection
<br />GuideD prepared by the Florida Departlent of Agriculture and Conslller Affairs. If the applicant is sOleOlle other than the
<br />"ownerl', I certify that I bave obtained a copy of the above described docUlent and prOtise in good faith to deliver it to the
<br />"owner I prior to cOllellcl!lent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforlatiQnintbis, application is accurate and that allvork will be done in cOlpliance with all
<br />appliCable laws regulatinq construction, loning, and land develo~ent.
<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 bas cOllenced 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 developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govel1lllel1tal agenCies lilY apply to the intended work, and that it is
<br />IY responsib,ility to identify wbat actions I lust take to be in cOlpliance. Sueb agencies include but are not luited to:
<br />· Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater freatJent
<br />· Southwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />· ArlJ Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health i ~ebabilitative Services; EnvirODleDtal Health Unit - Wells, Wastewater freatlent, Septic fanks
<br />t US EnvirOJllental Protection Agency - Asbestos abatl!lellt .
<br />I also certify that, if fill laterial is to be used in Flood Zone IAI or IA,etc.l, it is understood that a drainage plan
<br />addressing a "cOlpensating VOlUleI will be subJtiUed whieb is prepared by a professional engineer registered in the State of
<br />Florida ~rior 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 perlit prevent the Building Official frot thereafter
<br />requirinq a correction of errors in plans, construction, or violations of any code. Every pertit issued shall bea. invalid
<br />unless the work authorized by sucb perlit is cOlleDced within Sil IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IODtbs after the till! the work is COIIenced. One 90 day I!Itension of tile, lay be
<br />allowed for the perl~.t with fee charge of $15.00. fbe extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during eaeb sillOnth period, or the project will be considered abandoned.
<br />IIAIUlING fO omR: YOUR FAILURE fO RECORD A NOfICH OF COMMDCEllEIff MAY RESULf IN YOUR PAYING filCH FOR IHPROVIMBIfS fO YOUR
<br />PROPERfY. IF YOU IIlfEIfD fO OmAIN FINANCING, CONSULf WIfH YOUR LDDER OR All AffORREY BEFORE RECORDING YOUR JlOfICE OF
<br />COMMENCEHBIff. JOBS OMDIR $2,500 IIf VALUE DO NOf NEED TO RECORD AND POSf A "NOflCE OF COHHENCEMBIffI'.
<br />
<br />
<br />~~~~
<br />" , SIGIIA~~jd Nf SIGNAfURE: COlffRACfOR
<br />
<br />Sf A'll OF FWRID{Q
<br />COIJNfY OF ,0 tZ-t' )
<br />The foregoing instrument was acknowledged
<br />before me this /? I/a-cfl..u, 19%- by
<br />
<br />Sf ATE OF FLORIDA
<br />COlJIIfY OF
<br />The foregoing instrument was aCknowledged
<br />before me this , 19_____ by
<br />
<br />
<br />known to me or who has
<br />
<br />and who did/did not
<br />
<br />(~ ure) :5'~ .
<br />tTJ5BIE . 0E'/ ..u:?~
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />..\,~'1~tfJ."", Bobble S .............
<br />~~!!\..~ . .,,,,,"',,"u
<br />f,,({tJ;..~ :"~ MY COMMISSION' CC534927 EXPIRES
<br />~.~.~~ February 22. 2000
<br />"'~iif. :~1f...., BONDeD THRU TROY FAIN INSURANCE, tNC,
<br />
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