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<br />. .'~' '.
<br />
<br />tONDITIONS OF PERMIT AFFIDAVIT
<br />
<br />A.': NOTICe: OF DEED RESTRICTIONS;'."
<br />
<br />Th. und.rsl9ned under.tSnds that this p.r.it "y b. subJlct t~ 'deod r..trlcti~n." which ~ay bo a~ro r.s,rictive than City
<br />re9ulatlons. The undoTsi9ned alSUle. responslblll~y for ,olpllance with any applicable deed restrictions.
<br />, .:' j:."'~', ~":, .
<br />
<br />B. UNLICENSED CONTRACTORS ANOdoNTRACTOR RESPONSIBILITIES
<br />
<br />:,....,...
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<br />If the owner has hired a c~ntractoror contractors to undertake work, they may b& required to be licensed in accordance with
<br />stale and local re9ulatlons, If the contractor I. not licensed as required by law, both the ouner and contract~r nay be
<br />cited for a lisdeaeanor violation under state laK.', If the owner or intended contractor are uncertain as to whal licensing
<br />requirelents lay apply for the intended work, they are advised t~ contact the City of Zephyrhills Building Departlent, (8131
<br />7IlB-~~11. ' . ',',
<br />
<br />Furtherlore, if the owner has hired a contractor. or contractors, he is advised to have lhe contractor(s) sign portions of the
<br />"Contractor Secllons' of this application for which they will be responsible, . If you, as lhe e,wnor sign as lhe contraclor,
<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 per&itting privileges in lhe
<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 pro'vidi!dKHh a copy of "Flc,rida's Ce,nstruction Lien Lall - Hc,oeollner's prc,tection
<br />Guide" prepared by the Florida Department of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />'owner", I certify that I have obtained a copy of.the above described d~cument and pro.i~e in gDod faith to deliver it to the
<br />"owner' prior to cOlmence~ent,
<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 Mill be d~ne in co~pliance lIith all
<br />applicable laws requlating construction, 20ning, and land development,
<br />
<br />1 .'...'
<br />Application is hereby !lade tCI obtain a penif to' do Kork andinstallatic.n as indicated. I certify that no wc,r~ or
<br />installation has coaRenced prior tD Issuance of a perlit and that all work will be perfor~ed to ~eet standards of all laws
<br />regulating construction, City codes, 20ning regulations, and land development regulatiDns in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is
<br />IY responsibility to identify what actions 1 aust" take to be in compliance. Such agencies include bnt ~ll! 1i[llli.lited to:
<br />
<br />I Depart.ent of Environ~ental ReQulation - Cypress Bayheads, Wetland nreas and Environmentally Sensiliv~ l3nds,
<br />Water/WasteKater Treatment
<br />I Southwest Florida Ilater ManaQelent District - Wells, Cypress ~ayheads, Wetland Areas, Altering Hatercourses
<br />I ArlY Coros of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Depart.ent of Health L Rehabilitative Services, Environmental Health Unit - Wflls, WasteHater Treat~~n~. Septic Tanks
<br />I US Environ~l?ntal Protecti~n AQenci - Asbestos abatement.
<br />
<br />I also certify that, if fill IIiIterial is to'be used in Fle,od Ze,ne "fl" or "i'l,etc.',' it is understelc,d tl.~t a drainage plan
<br />addressing a "cOlpensating volu.e" will be 5ublitted lIhich is prepared by a professional engineer reqist~(ed in the State of
<br />Florida prior to permit iss~ance.
<br />
<br />A pereit 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 issuance of a permit prevent the Building Official froll thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every permit issued ihall becole invalid
<br />unless the work authorized by such perllit is cOIll\enced within six months of issuance, ~r if llC'l~ authc,f],ed by the perlit is
<br />suspended or abandoned f~r a period of six lonths after the time the >>~rk is co~menced. One 90 day e:IE~5ioll of tile, Jay be
<br />allowed for the per~it Hith fee charge of $15,00. The extension shall be requested in uriling t~ the Building Official. An
<br />approved inspecticln l!Iust be le.gged .during each six Mnth period, e,r the prc,j\:ct Iii II be cc,nsidered dba\idc'rli?d.
<br />
<br />WARNING TO OWNER: YOUR FAI~URE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUH 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 ECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />__~~~~_____ SIGNATURE_~~~-~--
<br />OWNER OR AGENT . CONTRACTOR
<br />
<br />SIGNATURE_
<br />
<br />
<br />DATE_____~~_~=-~~------------------------
<br />
<br />NOTARY AS TO /~ I ~ Ib
<br />OWNER OR AGENT i41f)JtfJ!Ed.0:(;.2'i;..~-:i---
<br />
<br />MY COMMISSION EXPI~TARY PUBLIC, STATE OF FLORIDA
<br />My ~mnmISSlmrE!XPtres-J:!rr.-?75';' "t ~!t!t
<br />Bonded thru Patterson. Becht Agency
<br />
<br />DATE
<br />
<br />-------------------------.----------
<br />
<br />'7-11-9/
<br />
<br />NOTARY AS TO /J ~ ' ~.p
<br />CONTRACTon_~6k~~.<:~:?'~"'tW;:/-----
<br />
<br />MY COMt'1I SS ION E1)I.QIA~~~L1C, STATE OF FLORIDA
<br />~yc6fu ~n~~rn~Thn~~S-r995
<br />Bonded thru Patterson - Becht Agency
<br />
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