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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pertit lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. ,be undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR 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 lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requiretents laY apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (8t3)
<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 whicb 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 peraitting 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 - HOIeOWDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sateone 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 couencl!Ient.
<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 developaent.
<br />
<br />Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a pertit and that all work will be perforJed to aeet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developleDt regulations in ~e jurisdiction. I also
<br />certify that I understand that the regulations of other goverDJeDtal agenCies laY 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 />* DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDJeDtally Sensitive Lands,
<br />Water/Wastewater freatlent
<br />* Southwest Florida Water Managl!lent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater freatJent, Septic 'anks
<br />* US EnvirODlental Protection Agency - Asbestos abatl!lent
<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 .cOlpensating volUle" will be subtitted whicb is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it, 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 the technical codes, nor shall is~uance of a per.it prevent the Building Official frOl 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 sucb perlit is cOllenced within six IOnths of issuance, or if work authorized by the pertit is
<br />suspended or abandoned for a period of sillOntbs after the tiae the work is c_enced. One 90 day l!Itension of tile, lilY be
<br />allowed for the pertit with fee cbarge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during eacb six IODth period, or the project will be considered abandoned.
<br />WARMING TO OWNER: YOUR FAILURE TO RECORD A NO'I'ICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING nICE FOR IMPROVEMmS TO YOUR
<br />PROPERTY. IF YOU INfEND TO OBfAIN FINANCING, COlfSULT WITH YOUR LENDER OR All AnORNEY BEFORE RECORDING YOUR NO'I'ICE OF
<br />COMMEN JOBS UNDER $2,500 IN VALUE DO NO'I' NEED '1'0 RECORD AND POST A "NO'I'ICE OF COMMENCEMENT..
<br />
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<br />
<br />s
<br />
<br />STATE OF FLOijIQA
<br />COUNTY OF t'Q't>C.D
<br />The foregoing inst~ent was ~~owledged
<br />before me this ~ ~ , 19J.::L by
<br />
<br />.::fohr\ ~~ \'\.s
<br />who is personally known t~e or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />ta~~dv
<br />
<br />(~. ture)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />""""" Sharon L Barber
<br />l~'~l:"l'Ii~ MY COMMISSION # CC814789 EXPIRES
<br />~*: : ~ March 7, 2003
<br />'''li'.. ill BONDED lHRU TROY FAIN INSURANCE, INC
<br />"#~,R.~:fr\'\\\
<br />
<br />STAfE OF FLORIDA L'J
<br />coum OF ~6cD
<br />The foregoing instrument was ac~owledged
<br />before me this 1')./ J It' , 19-=tl by
<br />
<br />::roh" enl {Ls
<br />",ho iR pl"TRonillly known tQJDe or who has
<br />produced
<br />as identification and who did/did not
<br />take an ~~7YJ~~
<br />
<br />(SignatUre)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />a'...~~ SooronL~~
<br />4. .-"f~ MY COMMISSION # CC814789 EXPIRES
<br />l~i, .~j March 7, 2003
<br />-r,i'OF"'~~" ,ONDED THRU TROY FAIN INSURANCE, INC.
<br />.....,,1\
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