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<br />CONDITIONS;O~"PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />The ,undersigned understands that this perlit lay b9 subject to '~eed restricti~ns" which ~ay be Dore restrictive
<br />regulations. The undersigned iSSUIII!S. responslbl~,it(':,~,or:,coIIPllal,ce with any appl icable deed restrictions.'
<br />
<br />8. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the owner has hired ~ contractor or contractorl to undertakl! Hork, 'they .ay be required to be licensed in accordance with
<br />s~lte and loc~l regulatl0?s. ~f the contractor il not licensed as required by law, both the o"ner and contractor nay be
<br />clte~ for a 11sdeleanor rVlo1atl~n under state IaN.; ;If the owner or intended contractor are uncertain as to what licensing
<br />requlre.ents lay apply I~r t~~ !ntended "ork, they are advised \0 contact the City of Zephyrhills Building Departaent (BI3)
<br />788-6611.' ',"; , ' ,
<br />
<br />than City
<br />
<br />Furtheraore, if the owner has hired a contractor or contract~rs, he is advised to have the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for which they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are rrspDnsible for the work. If the contractDr wishes you to sign
<br />as contractDr that aay be an indication that he is not prDperlu licensed ~nd 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 r, the applicant, have been provided Hith a cOIY of 'Florida's Construction lien law - HOleowner's Protection
<br />Guide' pnpared by the Fl[lrida Departlent of Agriculture and'onsuller Affairs. If thE' applicant is se'llee;ne other than the
<br />'owner', I certify that I have ~btained ~ c~py of,theabove d.scribed document and promisE' in good faith to deliver it to the
<br />.owner' prior to COI~encement,
<br />
<br />". ~ 1,": ";': ~.. ~. ~ ; :
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the informati[ln in this application is accurate and that all work Mill be done in c~Dpliance with all
<br />applicable laws regulating constructi~n, zoning, and land deyelopaent.
<br />
<br />Application is hereby lade to obtain a perait to'do "ork and install~tion as indicated. r certify that no work or
<br />installation has C[llmenced prior to issuance of a per.it and that all work Hill be performed to ~eet standards of all laws
<br />regulating construction, City codes, zoning regulations, ane land development regulations in the jurisdicti~n. I also
<br />certify that r understand that the regulations of other gove-nmental agencies ~ay apply'to the intended Mork, and that it is
<br />IY responsibility tCI identify what actions I lust take to be in compliance. Such agencies include bill ;;1 e Iie,t lillited tc.:
<br />
<br />...
<br />
<br />I Departle~t of Envir~nlental ReQulation - Cypress Bayheadsj Hetland Areas and Environmentally Sensi tjv~ Lands,
<br />Water/Wastewater :reatllent
<br />I Southwest Florida Water'ManaQellent District - Hells; Cypress Bayheads, tetland Areas, Altering WatercDurses
<br />I ArlY C~rps ~f EnQineers - Seawalls, Docks, Navigable Watprways
<br />I Department (If Health !.' Rehab\1itative Services. Envirom'E'iltal Health Unit - Wells, IJaste\'later TrE'ahen~. Septic Tanks
<br />I US Envir~nQental Protection AQency - Asbestos abatement '
<br />
<br />I also certify that, if fill aatE:rial is to be used in FIe,!] ZClne "A" e.r "A,dc.', it is underste,e,d t1,"t a drainage plan
<br />addressing a 'colpensating volulle" Mill be sublitted Mhich is prepared by a professi[lnal engineer fegist2fed in the state c.f
<br />Florida prior to permit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the Mork and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevE'nt the Building Uffici.! fre'll thereafter
<br />requiring a C(lrrection (If errors in plans; constructicln, c.r violations of any ce,de. Every pE'rillit iss\ll!d :hall bece'le invalid
<br />unless the work autheori2ed by such permit is ([llIlIenced Mit,in six Alonths Df issuance, or if )ie,j}; "'.,the" );I:d by the per.it is
<br />suspended or abandonE'd feor a period of six lonths after tht ti3e the "Cork is (D~mE'nced. OnE' 90 day e=li~5ieoll eof ti&e, lIay be
<br />alloMed for the per~it with fee charge of $15.00. The extensi[ln shall be rE'quE'sled in "riting tD the Building Official. An
<br />approved inspection oust be logged during each six month prriod, eor the project "ill be considered abil,doned.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IM,~ROVEMENTS TO YOUR PROPERTY. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COf1MENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "1\jOT I CE OF COMMENCEMENT".
<br />
<br />SIGNATUR~_ __ _~-~-----_._-
<br />OWNER OR AGENT
<br />J
<br />9/5/91
<br />
<br />SIGNATURE
<br />
<br />------------------------------
<br />
<br />CONTRACTOR
<br />
<br />DATE
<br />
<br />DATE
<br />
<br />------ -----~--------_. ----------------
<br />
<br />NOTARY AS TO ~ ' J V/' .
<br />OWNER OR AGENT~~~~~~~-~-
<br />
<br />MY COMMISSION EXPIRES
<br />
<br />NOTARY AS TO
<br />CONTRACTOR_____________________________
<br />
<br />"
<br />
<br />MY COMMISSION EXPIRES
<br />
<br />------------------
<br />
<br />
<br />MARY E. VINCENT
<br />State of Flor;-da
<br />My Comm. Exp. Aug, 31, 1994
<br />
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