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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to Ddeed restrictionsD 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 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 lisdeleanor 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 Departlent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />DContractor 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 lIFlorida's Construction Lien Law - HOIeOWJler's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is SOEOne other than the
<br />Downer", I certify that I have obtained a copy of the above described docUll!llt and prOlise in good faith to deliver it to the
<br />"owner" prior to couencelent.
<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 perlit 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 perforled to .eet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in tqe jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDJental agencies laY apply to the intended work, and that it is
<br />If responsibility to identify what actions I lust take to be in cOlpHance. Such agencies include but are not liJited to:
<br />* DepartJent of EnviroDJental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />* Southwest Florida Water Manageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* Arl' Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rehabilitative Services, EnvirODJental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />t US EnvironJental Protection Agency - Asbestos abatelent
<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 UcOlpeDsating volUle" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit, issuance.
<br />
<br />. A per.it 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 frOJ thereafter
<br />requiring a corr~ction of errors in plans, construction, or violations of any code. Every perlit issued shall becOle invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six IOntha after the tile the work is co.enced. One 90 day extension of tile, laY 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 six IOnth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHMBNCEMEII1' MAY RESULT IN YOUR PAYING TWICK FOR IMPROVEMm'S TO YOUR
<br />PROPERTY. IF YOU III1'BRD TO OBTAIN FINAJlCING, CONSULT WITH YOUR LENDER OR AN AnOIlRBY BEFORE RECORDING YOUR HO'rICE OF
<br />COMMENCEMENT. JOBS URDER $2,500 IN VALUE DO NOT NEED TO RECORD AJID POST A "NOTICE OF COMMBNCEMEII1'''.
<br />
<br />
<br />,.,
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<br />
<br />SIGNAtURE:
<br />
<br />STATE OF FLO~A
<br />COUM'l'Y OF ~ ~.A)
<br />The for egoing inslt~t was acknowledged
<br />before me this f~, ~~by
<br />
<br />--- ' .
<br />
<br />~ohn ~I \ \~
<br />who is personally known t~_~~ or who has
<br />produced '
<br />as identification and who did/did not
<br />
<br />take ~~DY) Y;Y8C0~
<br />
<br />(Si4Dature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC L Ba be
<br />~ '~'" Sharon r r
<br />lJ :i:, MY COMMISSION # CC814789 EXPIRES
<br />:, \ .: : March 7, 2003
<br />:'~f'''' ,. BONDED THRU TROY FAIN INSURANCE, INC
<br />. ,l?FIt~
<br />
<br />STATE OF FLORIDA ~
<br />COUII1'Y OF ' ~ C::f:./J
<br />The foregoing iDstrum~t was acknowledged
<br />before me this f';. /'1 , "2tJ2Q.. by
<br />
<br />~}{;hn fnJ lis
<br />who is pprRnn~11y known to me or who has
<br />,~ ---"
<br />produced
<br />as identification and who did/did not
<br />take ~h. ~~ J,
<br />Q--L-L%7 c o"~A
<br />( S :i.cfna ure)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />..",'1~U;'"" Sharon L Barber
<br />f..~\'!';,&~~ MY COMMISSION # CC814789 EXPIRES
<br />',,,,:.~.:~E March 7, 2003
<br />'>" ;:? ',:.<f.."1 BONDED THRU TROY FAIN INSURANCE, INC
<br />
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