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<br />tONDI~IONS, OF PERMIT AFFIDAVIT
<br />A.': NOTICE OF DEED RESTRICTIONS;'..'
<br />
<br />The undersignad understands thlt this perlit lay be subSect to 'deed rlstrictiDns' whic~ ~ay b~ m~rD r,s~rictive lhan City
<br />regulations. The undersigned ISIUles responsibility for cOlpliance with any applicable deed r~strictlons,
<br />... ",.,~ " " ~:. .~..,~. "~,, " ' ' .
<br />
<br />B. UNL I CENSED CONTRACTORS ANtFOONTRACTOR RESPONS I B I LIT I ES
<br />
<br />If the OKner has hired a contractor..or contractors to undartake work, they may hi required to be licensed in accordance Kith
<br />statt and local rI;ulat1ons, If the contrl~tor II not lIcensad II re.quirad by law, be.lh tho oltnor and cr.ntracteor uy be
<br />cited for I lisde.elnor violation under stlte 11M,", If the owner or intended cr.ntr~ctor arc uncertain as to what licansln;
<br />rrquirelents uy apply fe.r the intended work, they are advised to celn\ad thE! Ci ty elf Zephyrhi lis Bui Iding Departaent, (813)
<br />7aa-~~I!. ; ,'r<"
<br />
<br />Furtherlore, If the owner hiS hired a cDntractor,or contractDrs, he i6 advised to haVE! the contractorts) sign portions of the
<br />'Contractor Sections' of this application for which they will be responsible, If YDU, as the ownar sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work, If the CDntractor wishes yDu to sign
<br />as contractor that .ay be an indication that he is not properly licensed and is not entitled to per~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 certify that I, the applicant, have been provid!dMith a copy of 'Florida's Construction Lien Law - HODeowner's Protection
<br />Guide' prepared by the Florida Depar~lent of Agricul~ure and Consumer Affairs. If the applicant is someone other than the
<br />'owner', 1 certify that I have obtained a copy of-the above described docum~nt and pr~~i~e in g~od faith to deliver it to the
<br />'owner' prior to cOlmencement.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the inforlation in this application is accurate and that all ~ork ~ill be d~ne in co~pliance with all
<br />applicable laws regulating construction, 20ning~ and land development.
<br />
<br />Application is hereby aade tel obtain a p'eraif to' do work andinstallatieln as indicated. I certify that no we.rk or
<br />installa~ion has co&!enced prior to issuance of a perlit and that all work will be perfor~ed tD ~ect standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also
<br />certify that I understand that the regulations of other governmental agenci~s ~ay apply to the intended work, and that it is
<br />ay responsibility tel identify what actions laust'hke ~o be in compliance. Such agencies include but ~le JiCot li~ited to:
<br />
<br />I Departlent of Environmental ReQula~ion - Cypress Bayheads, Hetland nreas and Environmentally Sensjtiv~ L3nds,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water ManaQe.ent District - Yells, Cypress Dayheads, Hetland Areas, Altering Watercourses
<br />I Army CorDs of EnQineers - Seawalls, Docks, Havigable Waterways
<br />I Depart.ent of Health L Rehabilitative Services. Environmental Health Unit - Wflls, Wastewater Treal~en:, Septic Tanks
<br />. US Environcental Protection AQency - Asbestos abatement.
<br />
<br />I
<br />I also cedify that, if fill Ilaterial is to be used in Flood Ze,ne "n' Dr 'A,etc.', it is underste,eld tld! a drainage plan
<br />addressing a 'co.pensating volume' will be subtitted which is prepared by a professional engineer reqist~ied in the State of
<br />Florida prior to perllit issu,ance,
<br />
<br />A permit issued shall be construed to be a license to proceed with the work and n~t as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a p~rmit prcvent thc Building Official fr~ft thereafter
<br />requiring a correction of errors in plans, c~nstruction, or vi~lation5 of any code. Every per~it issued ~hall beCDle invalid
<br />unless the work authorized by such perllit is coamenced within six aonlhs of issua~te, Dr if Hork authorIzed by the perlit is
<br />suspended or abande.ned f(lf a period of six lonths after the titlle the 1I0rk is cDl.lmcnced. One 9(; day ;:;:tti.~io\l c,f tile, aay be
<br />allowed for the per~it with fee charge of ~lS,OO, The extension shall be requested in IIriting to the ~uilding Official. An
<br />approved inspectie.n !:lust be lC1gged 'during each six Mnth period, [If the prc,jl!ct lilll be ce,nsidered cbdllde,ned.
<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 />
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<br />OWNER OR AGENT__~~~~~-------
<br />
<br />C(,t.RY PUBLIC. STATE OF FLORID"
<br />MY COMMISSION EXPI~~~~w~~~_~~~~~oct 24, 199~
<br />Bonded thru Patterson :tJecm'1lgl!ner"
<br />
<br />SIGNATUnE------CONTRACTOR----~---
<br />,./'
<br />//
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<br />DATE_________________~----------------
<br />,/'
<br />NOTARY AS TO //
<br />CoNTRACT~------------------------
<br />
<br />MY COM~1ISSION EXPIRES__________________
<br />
<br />SIGNATURE__~~--~~~J4~~-----
<br />m.INER OR AGENT r-----
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