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<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />
<br />The undersigned understinds that this perlit lay be subject to "deed restrictions" which may be tore restrictive than City
<br />regulations. The undersigned assules responsibility for cotpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<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 ~f Zephyrhills Building Departlent, (813)
<br />788-661 L
<br />
<br />Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractorlsJ 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 than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that .ay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zephyrhills.
<br />
<br />D.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />CONSTRUCTION LIEN LAW
<br />
<br />(CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />
<br />I certify that I, the applicant, have been provided with a copy of "Florida's ConstructIon lien law _ Ho.eowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the applicant is soteone other than the
<br />"owner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the
<br />'owner' prior to cOlmencetent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the information in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land development.
<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 performed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern.ental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in compliance. Such agencies include but ale llOt litited to:
<br />
<br />I Departlent of Envir~nlen.t1 ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive lands,
<br />Water/Wastewater Treattent
<br />I Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Army Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatment. Septic Tanks
<br />I US Environlental Protection AQency - Asbestos abatelent
<br />
<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 volume" will be sublitted which is prepared by a professional engineer registervd in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, Dr
<br />set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every per.it issu~d ~hall becole invalid
<br />unless the work authorized by such perlit is cO'lenced within six lonths of issuance, or if work authorIzed by the per.it is
<br />suspended or abandoned for a period of six lonths after the tile the work is commenced. One 90 day e~t€nSiOii of tile, lay be
<br />allowed for the permit 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 month period, or the project will be considered abaiidoned.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />SIGNATUR~~~___
<br />--COFCTOR
<br />DATE____~:~~~5t(____________________
<br />~g~~=~lS TO //;~ /nJ:' ~
<br />;~~lroiOOi II re,-State iT-Aoriili
<br />MY COMMISSION EXPIRIMr Commission E1:pims Oct. 9', 1,994
<br />Bon"2'ed "ThTu '"'1'i:oy ram ~ns ura-;;-,=e 1;;-
<br />
<br />SIGNATURE~~~___~___Y~~!-_~...___
<br />OWNER OR AGENT
<br />DATE______~lf[~J-----------------_________
<br />
<br />NOTARY AS TO ~/ L.~. _) ~~.~. .
<br />OWNER OR AGEN ~ ~__ ___
<br />!ltary PIC, tate 0 It
<br />
<br />MY COMMISSION EXPIRE~Y Commission Expires Oct. 9, 1994
<br />-- 8o-;;-Jedfh;U1r~'"1ain~rnsura"":"~ lilC.---
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