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<br />CONDITIONS~O~.PERMIT AFFIDAVIT
<br />
<br />;",
<br />
<br />A.
<br />
<br />NOTICE OF DEED RESTRICTIONS
<br />
<br />The ,undersiQned undlrstands that thil perlit lay bl lub3ect io "deed re5tricti~n5' which ~ay be m~re restr,ictive than City
<br />regulations. The undersigned USUIBS responsibpUy;for.,colpHance with any applicable deed restrictions.
<br />, . .,~,~, ,. ." '
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<br />E. UNLICENSED CONTRACTORS AND CONT~ACTOR RESPONSIBILITIES
<br />
<br />If the owner has hired a c~ntractor or contractors to undertake work, 'they lay be required t~ be licensed in accordance with
<br />stat, and local regulations, If the contractor is not licensed as required by law, b~th the ~wner and c~ntractor ftay be
<br />cited for a aisde.eanor violation under state laK.; .If the owner ~r intended contract~r are uncertain as to what licensing
<br />require.ents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the OKner has hired a contractor or contractors, he is advised t~ have the contract~r(s) sign portions ~f the
<br />'Contractor Sections' of this application for which they will be responsible. If y~u, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the wor~. If the c~ntractor 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 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 with a copy of "Florida's Construction Lien Law - HOleowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuaer Affairs. If the applicant is soae{.ne other than the
<br />"owner", 1 certify that 1 have obtained a, CDPY of the above described document and promise in good faith to deliver it to the
<br />"owner" prior to co.aence.ent.
<br />
<br />: t, "t (i, I" ~ : ~ .
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the inforlati~n in this application is accurate and that all ~ork will be done in coapliance with all
<br />applicable laws regulating construction, z~ning, and land development.
<br />
<br />Application is hereby ~ade to obtain a perlit to'do Mork and install~ti~n as indicated. 1 certify that no w~rk or
<br />installation has cDltenced prior to issuance of a perlit and that all work will be performed to ~eet standards of all laws
<br />regulating construction, City codes, zoning regulatipns, and land development regulations in the jurisdicti~n. 1 also
<br />certify that I understand that the regulations of other governmental agencies ~ay apply'to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in compliance. Such agencies include bul '" e ncot Iiaited to:
<br />
<br />...
<br />
<br />I Departle~t of Envir~nlental ReQulatiDn - Cypress Bayheads, Wetland Areas and EnvirDnmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />. Southwest Florida Water'ManaQeaent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />. Ar.y Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways
<br />. Depart.ent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, \Jaste~ater Treat~en~. Septic Tanks
<br />f US Environaental ProtectiDn AQencl - Asbestos abatement
<br />
<br />1 also certify that, if fill laterial is tD be used in Hc.od Zone 'A" or 'I\,etc.', it is underste,e,d \h~t a drainage plan
<br />addressing a 'coapensating volume" will be sublitted which is prepared by a professie1nal engineer reqist~(ed in the State of
<br />Florida prior to permit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the wor~ 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 fro~ thereafter
<br />""i,i., ' "r","o, ,/ ,'ror, i. pl..,; eo.,tr,etl", " ,i,l.li,., ,/ "f "do, [,o'f p".it ",,,r' ,h,11 b"o" ,."Iid
<br />unless the work authorized by such permit is cOllllenced Kithin six ~onths of issuance, or if "ol'k authol lied by the perlit is
<br />suspended or abandoned for a period of six .onths after the t;,e the work is commenced. One 90 day e~tE~siol\ of ti&e, aay be
<br />allowed for the per~it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection ~ust be logged during each six to nth period, or the project ~ill be considered db."doofd.
<br />
<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 COM~ENCEMENT. JOBS UNDER $2J500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />SIGNATURE_~~;,(_/~~-------
<br />CONT~CTOR
<br />
<br />No'~'" p~! ,~
<br />MY COMMISSION EXPIRES__Mj0~~c(JCc!Jn!Y,Flor~a,-___
<br />c. ,rr,~i'i.)'Jlrn.1992
<br />
<br />
<br />DATE___7_~j_~_~__ij---
<br />
<br />~~~~~~C~~R~O_-- ~--
<br />
<br />
<br />DATE __!t:.-j!?..-.5..L-----------~--~----'--
<br />
<br />NOTARY AS TO
<br />m.JNER OR AGENT
<br />
<br />MY COMMISSION EXPIRES Ndf~.Pi,' ,:,~~
<br />'1TyrAJrrfniG;;';--'"" ~CT:~;~~
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