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<br />CONDITIONS. OF PERMIT AFFIDAVIT
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<br />A.',' NOT 1 CE OF D~EO RESTR I CT IONS ;.. ,
<br />
<br />The underslgn~d understinds that this perllt lay b~ subject t~ "d~ed restrlcti~ns' ~hich ~ay b~ ft~re res'rictive thin Ci.y
<br />regulations. The undersigned a55Ules responslblll'~,fo~ co.pliance with any applicabl~ d~~d r~strlctions.
<br />0:' ,:.\' ." ,I '.
<br />
<br />E. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />; ,\, ~,:.,
<br />
<br />If the ~Nntr has hired a c~ntractor or contractor. to undertake Hor~, they may b& r~quir~d t.~ be licensed in accordance with
<br />.~ate and local r'gulati~ns. If the contractor II not licensed al required by law, both the ouner and contractor ftay be
<br />cIted for a lisdeaeanor violation under state law.', If the ~wner ~r intended c~ntract~r are uncertain as to what licensing
<br />requirelents lay apply f~r the intended work, they are advised to c~ntact tho City ~f Z~phyrhills ~uildin9 Departeent, [913)
<br />7B9-6611. ......
<br />
<br />Furthermore, If the owner has hired a contractor Dr contractors, he is advised to hav~ the c~ntractor(s) sign porti~ns of the
<br />"Contractor Sections" of this application for which thoy will be resp~nslble. If y~u, as the ~Hn~r sign as the contractor,
<br />y~u are indicating that you, rather than the contractor, are resp~nslble for tho H~r~. If t.he c~ntractor wishes y~u to sign
<br />as c~ntractor that aay be an indication that he is not properly licensed and is not entitl~d t~ p~r&itting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D.
<br />
<br />CONSTRUCTION LIEN LAW
<br />
<br />(CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />
<br />I cedify that I, the applicant, have been provided with a cop.y of "FI~rida's CClnstruction Lien Law - Hc,aeowner's Prcdection
<br />Guide" prepared by the Florida Depart.ent of Agriculture and Consumer Affairs. If the applicant is s~leone other than the
<br />"owner., I certify that I have obtained a copy of'the above described d~cument and pr~mi~e in g~od faith to deliver it to the
<br />"owner" prior to cOI~ence~ent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />1 certify that all the information in this application is accurate and that all MDrk "ill be done in cD~pliance with all
<br />applicable laws regulating construction, zoning, and land develop~ent.
<br />
<br />Application is hereby lade to obtain a penit to do llork and installatit.n as indicated. I certify that nc. "'clr~ or
<br />installati~n has c~&~enced prior to issuance of a perlit and that all w~rk will be perf~rmed t~ roeet standards of all l~."s
<br />regulating cClnstrudicln, City cc.des, zoning re.gulations, and land devele,pment regulatic.ns in the jurisdicticln. I also
<br />certify that I understand that the regulations of other governmental agencies ~ay apply to the intended Hork, and that it is
<br />flY responsibility to identify what actions I lDust.take to be in ccllllpliance. Such agencies include bllt ~le Ii,.l li,lited to:
<br />
<br />I Deparhent of Envir'oneent"al ReQulation - Cypress Bayheads, Hetland Areas and Envirc,nmentally Sensi live L~ifds,
<br />Water/Wastewater Treatment
<br />I Southwest Florida ~Iater ManaQellent District - Wells, Cypress Bayheads, Hetland Areas, Altering Hatercocrses
<br />I Army CorDs of Enoineers - Seallalls, Docks, Havigable Waterways
<br />I Departlent ~f H~alth L Rehabilitative Services. Environ~ental Health Unit - W~lls, Wastewater Treat~!n~. Septic Tanks
<br />I US Environ~ental Protection Aqency - Asbestos abatement
<br />
<br />I also cedify that, if fill material is to'be used in Flood ZClne "fl" or "A,etc,', it is understc,c,d 1I,~t a drainage plan
<br />addressing a 'colpensating volume" will be sub.itted which is prepared by a professional ~ngine~r regisleied in the State of
<br />Florida prior to permit iss~ance.
<br />
<br />A permit issued shall be construed to be a license to proceed with the work and not as authDrity to vio]~te, cancel alter, ~r
<br />set aside any provisi~ns of the technical codes, nor shall issuance of a permit prev~nt the Building Official froft thereafter
<br />requiring a correction c,f ernrs in plans, construdicln, ~r violations ~f any cClue. Every p~rllit issued .hall becc.1t innlid
<br />unless the work authorized by such permit is commenced llithin six months of issuance, or if lIol.k authofJzed by the perlit is
<br />suspended or abandonod f~r a period of six lonths after the tillle tho "or~ is co~menced. One 90 day e=te~5ioll of tile, say be
<br />all~wed for the per~it with fee charge of $15.00. The extension shall be requ~sted in wriling to the Building Official, An
<br />approved inspectic.n /!lust be IClggedduring each six 1II0nth period, Cor the prc,j~ct ui 11 be cc.r,siGNed dt>aiiGclrlfd.
<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 />o/YIGNATUR~;::~~~i:~~JQ'!~----- SIGNATURE~-
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<br />DATE_____~~_~_~~~~lJ----------------------
<br />
<br />/ ;;: <- 0.":/
<br />DATE____~2.~:.:__~~_:_.2.__________________
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<br />NOTARY AS TO 1/ . / .. --tv' _ . (/ NOTARY AS TO )i. /:/ L-J..I}})/ /;: l)
<br />OWNER OR AGENT Ai!~{:!:0:;..___jel!~~----~ CONTRACTOR_4':l(~!_~~t-g:-- _:f! .f_::'_--
<br />NOTARY PUBud. STATE OF FLORIDA.. .
<br />MY COM,.... ISSION EXPIREdllYCOMMlSSIONEXPIRES: MAYZ5, 199!. MY COM~lISSUlN r:''iPTRFS
<br />;., . ~1;l&g.:r~uall-IWItUc..WlnIE&l.WlUrER.J I't()1'ARY-PUBl.lc;SnrrE"OF~[6'RiDA:.---'----
<br />MY COMMISSION EXPIRES; MAY 25 1993
<br />BONDED THRU NOTARY PUSLIC UNOER';RI'J'ER;.
<br />
<br />......,
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