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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />The .undersigned understands that this per.it may be sub~ect to "deed restricti~n5" which may b~ mor~ res~r.ic~ive ~han Ci~y
<br />regulations. The undersigned usules responsibilitf~ror cOlpliance with any applicable deed res~r,idions.
<br />
<br />8. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the own~r has hired a contractor .or contractors to undertake work, .they lay be required tu be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, buth the owner and contractor ~ay be
<br />cited for a lisdemeanor violation under state law.. If the owner or intended contractor are uncertain as tu what licensing
<br />require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />71111-bbll.
<br />
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised tu have the contractor(s) sign portions uf the
<br />'Contractor Sectiuns' of this application for which they will be responsible. If you, as the e.wner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you tu sign
<br />as contractor that aay be an indication that he is not properly licensed ~nd is nut 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 provi'ded with a copy of "Florida's Construction Lien Law - Ho~euwner's Protection
<br />Guide' prepared by the Florida Department of Agriculture and Consuler Affairs. If the applicant is somec.ne other than the
<br />'owner', I cedify that I have cobtained a. cDPy of the above described dClculllent and prorrli~e in ge,od faith to deliver it tu the
<br />'owner' prior to cOI..ence..ent.
<br />
<br />~ 1 '.' ..: >
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the infurIation in this application is accurate and that all Mork will be done iR coapliance with all
<br />applicable laws regulating construction, zoning, and land development.
<br />
<br />Application is hereby ~ade to obtain a permit to. do work and install~tion as indicated. 1 certify that nu work or
<br />installation has cOI=enced prior to issuance of a perlit and that all work will be perfor~ed to roeet standards of all laws
<br />regulating construction, City codes, zoning regulatiDns, an~ land develupment regulations in the jurisdiction. 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 />my responsibili ty teo identify I1hat actions I Illust take to be in cDmpliancC'. Such agencies include blot "1 e liC,t I imi ted tu:
<br />
<br />. "r .".
<br />I Department of Envir[)n~ental ReQulatiDn - Cypress Bayheads, Wetland ~reas and EnvirDnmentally Sensi ti,ie L~nds,
<br />Hater/Wastewater Treatment
<br />I SDuthwest Florida Hater ManaQe!ent District - Wells; Cypress Bayheads, Hetland Areas, Altering HatercDurses
<br />I Ar_y Corps ~f EnQineers - Sealialls, Docks, Navigable Haterways
<br />I Departlent of Health L Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~En~, Septic Tanks
<br />I US Environaental Protection AQency - Asbestos abatement
<br />
<br />I also certify that, if fill material is to be used in HC'Dd Zc,ne "A" clr 'A,etc.', it is underste.e,d t1"t a drainage plan
<br />addressing a 'cumpensating vulule" l1ill be sublitted I1hich is prepared by a professional engineer registered in the State uf
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to yiol~te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Ufficial fro~ thereafter
<br />requiring a C[IrrediufJ c.f !trrurs in plans; construdicln, cor viDlatiDns Df any c(,de. Every per~i t iSSUed "hall bece'le inval id
<br />unless the wcork authclrized by such permit is ccouenced within six IlIDnths of issuance, c,r if He,d: a\ltI,e.. ),ed by the perlit is
<br />suspended or abandoned for a period of six lonths after th!t tiJe the wurk is commenced, One 90 day e:IE~5joll of tile, aay be
<br />allowed for the permit with fee charge of $15.00. The extension shall be requested in "riting to the Building Official. An
<br />approved inspectie.n !!lust bl? lc,gged during each six lIlunth period, ur the project \1i 11 be ct,nsider!?d dbcil,GClned.
<br />
<br />WARNING TO OWNER:
<br />RESULT
<br />INTEND
<br />.BEFORE
<br />DO NOT
<br />
<br />
<br />YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT
<br />
<br />)
<br />
<br />DA TE______Q-~~--~--~-)_l3S.1-.----.--.-------
<br />
<br />~.
<br />
<br />~~~~~Y O~S A~~D;deL~~~--
<br />, <""t" o~ i\:;rida .
<br />llo'ary fdJ,(, ~.. " ,,\QQ4
<br />MY COMMl SSION EXPIRES .' ~~,'n;"~ !ull,;,l,
<br />Myt~~tEI ......~ In;r,,;;<Olii~----
<br />6or.d.3d "'i'l.tU iroj' votO ~
<br />
<br />DATE
<br />
<br />OcJ.:12 \ qq \
<br />--------------~--------------
<br />
<br />NOTARY AS ~^
<br />CONTRACTOR_~~~-~~~-~-
<br />, .lot~rv r~'~c E~: ~",:;~:.) ci n~dd:J
<br />
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<br />UyJ:~',.,'""" ..... ;.'., .~1 ".'-'4
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<br />Do,:d:ra T:nu i ;0'7t~.1' "F;~~,;: :-t:=::-;- - --
<br />
<br />MY COMMISSION
<br />
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