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<br />CONDITIONS: OF PERMIT AFFIDAVIT
<br />A.': NOT I CE OF DEED RESTR I CT IONS j'. , .'
<br />
<br />lh. und.rlivnod underltinds that thi. p.rlit lay bl lubJ.c\ \0 "diad rlstrlctl~ns' .,hich may b~ .~r~ restrictive than City
<br />regulations. Thl undersigned assules relponlibili\~.fo~ cDlpliante Hlth any applicable need restrictlon~.
<br />. . '1 ..' .:. .:.'... ~ "'\" . " . .
<br />t,...; .
<br />B. UNL ICENSED CONTRACTORS AN~,"doNTRACTOR RESPONS I B I LIT I ES
<br />
<br />If the owner has hired a c~ntractor Dr contractorl tD undertaka work, they may be required 10 be licensed in accordance with
<br />stat, and local regulations. 11 the contra~tor is not licensud al required by law, b~th the ouner and c~ntractor ftay be
<br />cited for a lisde.eanor violation under state laM.', If the OHner or intended contractor are uncrrtain as to what licensing
<br />req~irelents lay apply,for the intended Hork, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611. "",
<br />
<br />FurthllTun, if the owner hn hired I contrachr,.Dr contractors, ha is advised to have the cc,ntractorls) sign porti~ns of the
<br />'Contractor Sections' of this application for which they Hili ba responsible. ,If you, as the ~Hner sign as the contractor,
<br />you are indicating that you, rather than the ~ontractor. are responsible for the Hork. If the c~ntractor Nishes you to sign
<br />as contractor that lay be an indication that he Is not properly licensed and is not entitled to perlitting 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 provlded with a copy of "Florida's Construction Lien Law - HOle~wner's Protection
<br />Guide' prepared by the Fiorlda Departlent of Agriculture and Consuler Affairs. If the applicant is soeeone other than the
<br />'owner', I certify that I have obtained a copy of'the above described document and pro~i~l! in good failh to deliver it to the
<br />'owner' prior to COI!enCelent.
<br />, ~". . .
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />1 certify that all the inforlation in this application is accurate and that all Hork Hill be donI! in co~pliance with all
<br />applicable laws regulating construction. zoning'. and land developDent.
<br />
<br />I . ~,"",
<br />Application is hereby lade to obtain a perlit' t~'do work and installation as indicated, I certify that no work or
<br />installation has co..enced prior to Issuance of a perlit and that all Hork Hill be perfor~rd to ~eet standards ~f all laws
<br />regulating construction, City codes, zoning regulations. and land development regulations in the jurisdiction. 1 also
<br />certify that 1 understand that the regulations of other ~~vernaental agencies ~ay apply to the intended work, and that it is
<br />.y responsibility to identify Hhat actions llust'hke to be in compliance. Such agr:rldes include bllt ~lC Ii(,t li'lited to:
<br />
<br />I Depart.ent of Envi~onmental RCQulation - Cypress Bayheads. Hetland ~reas and Eflviron~enta\\y Srnsiliv~ l~nd5,
<br />Hater/Wastewater Treat.ent
<br />I Southwest Florida Ilater ManaQelent District - "ells, Cypress Dayheads, Hetland Areas, ~llerinq Haterc~~rsl!s
<br />I ArlY Cc,rDs of EnQineers - Seawalls. DClcks. Navigable lIaterHays
<br />I Departlent of Health L Rehabilitative Services. Environmental Health Unit - H~I\s, HastEHater Treat~€n~. Septic Tanks
<br />t US Envir~n~ental Protection ~Qency - ~sbestDs abatement.
<br />
<br />I also certify that, if fill uterial i's t'orb~used in Flc.od Zone "fI" or '(\,etc,', it is undHste,c,d 1I,~t is drainage plan
<br />addressing a 'colpensating volule" will be sublitted which is prepared by a pr~fcssi~nal engincer rcgisl~rcd in the State of
<br />Florida prior to permit iss~ance.
<br />
<br />A periit issued shall be construed to be a license to proceed Hith the work and not as aulhority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a per~it prcvent the Building Officiisl fro~ thereafter
<br />requiring a correction c,f errc.rs in plans, constructic.n, or violations of any ((.dr:, [\'try per~it iSSIIl!\l :t.all bece,.e invalid
<br />unless the work authorized by such permit is couenced within six lonths of iSSllance, c.r if IIc,rk aulhc,rlZed by the pertit is
<br />suspcnded or abandDned for a period of six lonths after the time the Hor~ is co~men[cd, One 90 day ~~li~5ioll of tile, lay be
<br />allOHe~ for the per~it with fee charge of $15.QO. The extension shall be reqllesled in uriling to the Building Official. An
<br />approved inspectic.n ",ust be Ic,gged 'during each six Mnth period, c,r the prc.ject Iii II be c[o[lsidcred ..b.lidc'i1~d,
<br />
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<br />
<br />WARNING TO OWNER: YOUR FAICURE 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 />SIGNATURE__n~-::-f:t~---- SIGNATURE ____g~L-------
<br />~~~~ER OR AGENT CONTRACTOR
<br />DATE_______~~~~~_qj----------------------
<br />
<br />DATE 7 - ..23- 0/
<br />__________________lL_______________
<br />
<br />NOTARY AS TO -1/ 7' / Il_ J' .
<br />OWNER OR AGENT __~j~L:i1t-~----
<br />_~' Notary~lic. State At Large, FlOrida,
<br />MY COMMISSION EXPIRES__~~~~A~6~W95
<br />
<br />NOTARY AS TO
<br />CONTRACTOI1____~.j~--7!x~
<br />
<br />MY CO~lm SS I ON EXP I RES Notary Public, State At Large, Floi
<br />_ -M)'-Gerflf'ft1SSlOf1np1re'S 1\l1nl 2. 1
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