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<br />'Iti.<'~~~
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<br />CONDITIONS;OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />The ,undersigned understands that this perait aay be sub3ect io "deed restrictions"-~hich ~ay be Dore restr1ctive tban City
<br />regulations. The ,undersigned nsullles responsibi~it~~.~or;"co.plhnce with any applicable deed restrictions.
<br />
<br />8. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the owner has hired a contractor or contractors to underta~e work, 'they aay be required to be li~ensed:in accordance lIith
<br />state and local regulations. If the contractor is not licensed as required by lall, both the Ollner and contractor ~ay be
<br />cited for a .isdeaeanor violation under state lall.. If the OHner or intended contractor are uncErtain as to IIhat licensing
<br />requirelents lay apply fe'~ the intended Hork, they are advised to contact' the City of Zephyrhills Building Departlent, (BI3)
<br />78B-6611. " , ,',"
<br />
<br />Furtheraore, if the ollner has hired a contractor or contractors, he, is advised to have the contractor{s) sign portions of the
<br />"Contractor Sections" of this application for which they Hill be responsible. If you, as the ollner sign-as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor IItshes you to sign
<br />as contractor that aay be an indication that he is not properly 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 I, the applicant, have been provided with a copy of "Florida's Construction Lien LaH - HOleollner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is SOleone other than the
<br />"oHner., I certify that I have obtained l c~py of the above described document and proffii~e in good faith to deliver it to the
<br />ROHner. prior to cOI~encement.
<br />
<br />: \, '~~~:~., ~. I : :
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the information in this application is accurate and that all worr. Hill be done in compliance Hith all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby ~ade to obtain a perlit to'do work and install~tion as indicated. I certify that no 1I0rk or
<br />installation has COllenced prior to issuance of a perlit and that all work lIill be performed to ~eet standards of all lalls
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies may apply'to the intended Hork, and that it is
<br />IY responsibility te, identify lihat actions I Illust take to be in compliance. Such age:lcies include bill ,'1 e liCit li~ited to:
<br />
<br />. '
<br />I Department of Environmental ReQulation - Cypress Bayheads, U~tland ~reas and Environmentally Sensi live L30dsr
<br />Water/WasteHater Treatment
<br />I Southwest Florida Hater' ManaQe~ent District - Wells; Cypress Bayheads, Hetland ~reas, Altering Watercourses
<br />I Arty Corps ~f EnQineers - Seawalls, Docks, Navigable Uaterways
<br />I Departaent of Health L Rehabilitative Services. Environmental Health Unit - Yells, Yastewater Trcat~en~. Septic Tanks
<br />I US Environaental Protection AQenci - Asbestos abatement
<br />
<br />1 also certify that, if fill .aterial is to be used in Flc.od fe,ne "A" or "A,dc.', it is understoc,d \11~t a drainage plan
<br />addressing a 'colpensating volullle. will 'be sublitted which is'P\epare~ by a professional engineer regist~led 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 work and not as authority to violate, cancel alter, or
<br />set aside any prcovisic,ns of the technical c:c,des, nor shall issuance of a permit prevent the [{uilding Official fre," thereafter
<br />requiring a cc,rrection e.f errors in plans; c:onstruction, or violations c.f any code. Every pcr~it iSSUed "hall bccc.le invalid
<br />unless the work authe,rized by such penH is ce'lllllenced within six 1lI0nths of issuance, or if lIC.if; autj,[q ),ed by the perlit is
<br />suspended Dr abandoned for a period of six lonths after the t;~e the Hork is co~menced. One 90 day e:le~sioli of tile, lay be
<br />allOHed for the per~it with fee charge of $15.00. The extension shall be requested in llriting to th~ Building Official. An
<br />approved inspeclic,n /!lust be le,gged during each six lIIonth period, or the project wi II be (C.nsidered abcil,deoiled.
<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 COMMENCEMENT. JOBS UNDER $2,500 N VALUE
<br />DO NOT NEED TO RECORD AND pOST A "NOTICE OF COMMENCEMENT".
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<br />SI~~~:N~~'~~ SIGNATURE~TRACTOR--- ----------
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<br />DATE ___tl...3.E..L'l.L------------------------ DATE___~~~LCf.L----- ---------------
<br />
<br />NOTARY AS To9: ' NOTARY AS~ /71,...,/,..",l
<br />DWNER OR AGE J ~~--I3/ltSl?UCONTRACTO - .-~.-~~
<br />
<br />MY COMMISSION PIRES______________________ MY COMMIS N EXPIRES~__________________
<br />'NOTARY PUBtlC. STA.TE 'O'P. ~ '
<br />"IY CO,"IM:SSiON EXPIRES: MAY 17.1992..
<br />~Oi\IOEO THRU NOTARY PuSL.IC UNDERWRITERS.
<br />
<br />
<br />NOTARY puanc, STATE M' FJ:ORIDAl
<br />MY GVlvlWISSION EXPIRES: MAY 17. 19lfZa
<br />aONDl-:O l'tiNU NotARY FUSUC UNDERWRITERS;;!
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