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<br />bONDI~IONS OF PERMIT AFFIDAVIT
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<br />A.': NOTTCE OF DEED RESTRICTIONS ;', ..
<br />
<br />Thl undlrsiQnod underst(nds that this plr.it .ay bl subJlct to "deod restrlcti~ns' which ~ay be more res~rictive than City
<br />regulations. The undersigned USUle!l responS\bill\y for co.pHance lIith any applic..ble deed restrictions.
<br />. "".:.,.:'\"~" ~.,~, . . ~~. " ',~
<br />
<br />\ ~~~..1,
<br />UNL I C~NSED CONTRACTORS A~JD,"CONTRACTOR RESPONS I B I LIT I ES
<br />
<br />E.
<br />
<br />If the OlfnH has hired a c~ntractoror contractors to undertake lIor\:, they may hI', leq~ired to be I icensed in accordance Hi th
<br />s\l\e and local nqulatlons. If. thf contra~tor \J not,lIcensed as re,Cluired by I.w, be,th the ~\lner ancr'con.trade,r ~ay be
<br />cited for a lisdeaeanor violation under state !alt.'. If'the ['lineI' [Ir int~nded' cC'J.tradc'~ are unc,ertain as \~ IIhal licensing
<br />reqpire,ents lay apply for the intended 1I0rk, they are advised to contact the Citj 01 Zephyrhills Buildfng Departsent, (913)
<br />788-W I. ',',.
<br />
<br />Furtherlore, If the ollner has hired a contractor. or contractors, hI! ii advised to. have. the contr.ctor!s) sign portions of the
<br />"Contractor Sections" of this application for IIhich they lIill be responsible. If you, as the Olln~r sign as the c~ntractor,
<br />you are indic..ting that you, rather than the contractor, are responsible for the Hor\:. If the contractor Hishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not enlitled 10 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 providedltith a copy of "Florida's Construction Lien LaM - HoaeDMn~r's Protection
<br />Guide" prepared .by the FI~rlda Department of Agriculture and Consumer. Affairs. If the applicant is SO~Eone other than the
<br />"owner", I certify that I have obtained a copy of'the above described document and pro~'5e in gDo~ faith to deliver it 10 the
<br />"o"n~r" prior to cOI~enceftent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the inforftation in this application is accurate and that all wDrk Mill be dDne in cD~pliance lIith all
<br />applicable laMS regulating construction, 20ning~ and land developDent.
<br />
<br />Application is hereby .ade tel obtain a perai( t'o'do Mork and installatie.n as indicated. I cHtify that no Ittork Dr
<br />installation has CO&lenced prior tD issuance of a perait and that all worl: will be performed tD roeet standards of all lalls
<br />regulating cDnstruction, City codes, 20ning regulations, and land development regulatiDns in the jurisdiction. 1 also
<br />certify that 1 understand that the regulations of other governmental agencies ~ay apply to the intended work, and that it is
<br />ay responsibility to identify lthat actions 1 lust-take to be in compliance. Such agencies include bllt ~le liCit li.lited tD:
<br />
<br />I Depart.ent of Envi,onaental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive ldnds,
<br />Water/Wasteltater Treatment
<br />I Southwest Florida Water "anaQelent District - Wells, Cypress Dayheads, Wetland Areas, Altering Hatercocrses
<br />I ArDY CorDS of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I ~epartlent of Health L Rehabilitative Services. Environ~ental Health Unit - W~lls, WastEwater TrEat~En~. Septic Tanks
<br />I US Environoental Protection AQenct - Asbestos abatement.
<br />
<br />,.
<br />I alsO.EertHY that, if fill uterial is to'be used in F1(lOd Zone "1\" Dr "A,etc.', it is understc.c,d t!.~t · drainage plan
<br />addressing a "co.p~nsating volu~e" will be sublitted which is prepared by a professional enqineer reqi5t~ied in the State of
<br />Florida prior to permit issu.ance.
<br />
<br />A perlit issued shall be construed to be a license to proceed Hith the Hor\: and not as aulhorily to yiol~leJ cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent lhe Building Offici.l froft thereafter
<br />"",,'.g , ,..",t,.. .f ..r... ,. P"". ,...tr.,'t.., .r ".""... .f "I ,.." E..', p.,.11 ,..... ...11 ..,... ,~,1"
<br />unless the work authorized by such permit is cOJftenced within six months of issuance, or if Hork auth~rlied by the perait is
<br />suspended Dr abande,ned f(oT a peric1d of six aDnths after the tillle the Itor\: is cC'Menced. One 90 day e~t~;,;ioll (,r tile, !lay be
<br />allolled for the per~it with fee charge of $15.00. The extension shall be requested in Mriting to the Building Official. An
<br />approved insppction ~ust be logged .during each six ftonth period, Dr the projecl will be cDnsidered ~balid~ned,
<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 $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />SIGNATURE_~WNE~~---~~-----
<br />
<br />DATE___~~~~~~-_L'-~Z'~~. ---
<br />
<br />NOTARY AS TO~ . .
<br />OWNER OR AGENT__~~ -~-----
<br />
<br />MY COMMISSION EXPIRE~~~JldLal&HWL--
<br />My Commissioa Expires April 21. 1992
<br />.... Iondecl T.... Troy f.l. . ""u...o I...
<br />
<br />SIGNATURE._~___~~-------
<br />CONTRACTOR
<br />
<br />DATE__u&I._-J:,)_~_L'fXJ~-----
<br />
<br />NOTARY AS~
<br />CONTRACTOR~~ ~~ ~--
<br />
<br />MY COMt'l I 55 I ON
<br />
<br />~ Pu"})fc~"$iite- of -R~rii. - - ---
<br />It! Commissiol Expires April 21, 1992
<br />.. 1l2JI~ti! Ib&y ]Joy fa"': I.,...... ,..
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