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<br />~ONDITIONS, OF PERMIT AFFIDAVIT
<br />A.': NOT I CE OF DEED Re:STR I CT IONS ;', , ,
<br />
<br />Thl und.rsiQned understinds that thll plr.it ..y bl sub'lct to "deed restricti~ns' which ~ay be a~re restrictive than City
<br />regulations. The undersigned ISSUles responslbill\Y for cOlpllance with any applicable rleed restrictlon~.
<br />. '-' -:" f:.\"~.' ~ .,~.
<br />\ ,~~..\
<br />E. UNLICENSED CONTRACTORS AND' tONTRACTOR RESPONSIBILITIES
<br />
<br />If the OKner has hired a contractor or contractors tD undertake work, they may bi required to be licensed In accordance with
<br />I\lh and local r!QulaHons. 11 thl contra~tor 11 not liclnSl!d II re.lluired by Jaw, bc.th the OHner and contradeor ~ay be
<br />cited for a lisdeaeanor violation under stlte laK.', If the owner or intended contractor are uncertain as to what licensing
<br />requiresents lay apply for the intended work, they are advised lo contact the City of Zephyrhllls 8ulldlng Oepartaent, (B13l
<br />7 BIl-b 6 I I. ',"
<br />
<br />Furthlrlore, if the owner has hired a contractor, or contractors, he is advised to have the contractorlsl sign portions of the
<br />'Contractor Sections' of this application for which they will bl responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the Kork. If the contractor wishes you to sign
<br />a5 contractor that lay be an indication that he is not properly licensed and Is not entitled te, per<ting 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 provided 'Kith a copy of "Florida's Construction Lien LaK - Hooeowner's Protection
<br />Guide" prepared by the Fl~rida Departaent of Agriculture and Consumer Affairs. If the applicant Is SOBEe,ne other than the
<br />.0Kner", I certify that I have obtained a copy of-the above described document and pro~i=e in good faith to deliver It to the
<br />'OKner' prior to cOilencement.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the information in this application is accurate and that all worr. will be done In co~pliance Kith all
<br />applicable laws regulating construction, zoning, and land developaent.
<br />
<br />Application is hereby aade to obtain a per~it' t~'do Mork and installation as indicated. I certify that no work or
<br />installation has co&!enced prior to issuance of a perlit and that all Kork will be perfor~ed to meet standards of all laws
<br />regulating [(,nstrudie,n, City [(Ides, zoning regulations, and land develc.pment. regulatie,ns in the jurisdictie,n. 1 also
<br />[,rtily th.t I "d,r,'.nd lh.l lh, "g,I.11D" D~ ,Ih', gov,r"",.I .g",i" "j .,ply ,. 'h' i.I'.", "rk, "d 'h., it i'
<br />'y mpon,ibiI i 'y 10 id,,1i ly ,h.t "lion' I ,,,n.ke ID b, i, ",p Ii m' , Soch .go<,' i" i r.d ,d, b,,' '" ",' Ii. i ,,' ,,,
<br />
<br />I Departs!!nt of Envir'onlilental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally 5ensitiv~ Ldnds,
<br />Water/Wastewater Treatment
<br />I Southwest Florida ~Iater ManaQelent District - Wells, Cypress Bayheads, Hetland Arcas, Altering Haterc~urses
<br />I Aray CorDs of EnQineers - Seawalls, DOCKS, Navigable Haterways
<br />I Depart.ent of Health L Rehabilitative Services. Environmental Health Unit - W~lls, Wastewater Trl!at~en~. Septic Tanks
<br />I US Environoental Protection AQencl - Asbestos abatement,
<br />
<br />I also certify that, if fill lIaterial is to'be used in Flood Zone "A" or 'I\,elc.', it is underste,e,d tl.~t a drainage plan
<br />addressing a "coapensating volule" "ill be subtitted which is prepared by a professional en~ineer rl!qlst~ied In the State of
<br />Florida prior to permit issu.ance.
<br />
<br />A p,r,it !""d ,0.'1 b, 'D""'" t. b' . Ii"", ID p'D["d ,ith th' "r' .,d ,., ., .,".ri'y ,. ,i.I.", ,.",1 .It,r, .r
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official froA thereafter
<br />",,'ri'g . ,.rr"li.. ,I .r,.r' I. pl"', ,...1"""0, .. vi".ti". or ,'y ,.d., .,.ry p".il i....' ...11 b.,.., i.,.lid
<br />unless the work auth~rized by such permit is commenced within six months of issuance, or if work aulhorli~d by the peralt Is
<br />,",p"d.d or .b"d."d lor . pori.d .1 .j, ".th. .Ilor th, ti.. th, "or' I. ,,,,,,,,d, Or.." d.y ",..,.j.., .r Ii.., "y b.
<br />alloKed for the per~it with fee charge of ~15.00. The extension shall be requested in writing to the Building Official. An
<br />apprtlved inspectie.n l!Iust be le'gged'during each six Mnth period, c,r the prc,ject Iii II be c['nsidered iiboliGe,r.ed.
<br />
<br />WARNING TO OWNER: YOUR FAILURE 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 />8EFORE RECORDING YOUR NOTICE OF COMMENCEMENT. J08~UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOT I CE OF COMM&:1\lCEMENT". ,...---7
<br />/,,/ / :/:~:/-/..-
<br />f-I'~
<br />SIGNATUR~~-~-~~~~----~-------------
<br />, >r-ErnnR~\CTOR
<br />.;
<br />I
<br />DATE _____L-Z~L?:--~-r.{-------- --'- -----
<br />
<br />SIGNATURE
<br />
<br />----------------------------------
<br />
<br />OWNER OR AGENT
<br />
<br />DATE
<br />
<br />---------------------------------------
<br />
<br />NOTARY AS TO /;; / A.---;r-, ' P.
<br />CONTRACTOR_~-()J"!J:zu~:::'I-A~!i'-
<br />
<br />MY COMt-l I SS I ON NDXP/fmfIi18L1C, STATE OF FLORIDA
<br />. My commissrcjirexpire~Jmr.~~;-~-
<br />eonded thru Patterson. Becht Agen,cy
<br />
<br />NOTARY AS TO
<br />OWNER OR AGENT_____________________________
<br />
<br />MY COMMISSION EXPIRES______________________
<br />
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