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<br />CONDITIONS OF PERMIT AFFID~VIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />Th',und,rslqned und,rstands that this per~lt ,ay bl subject to 'deed restrictions" which may be D~re restr1ctive than City
<br />regulations. The undersigned assumes responslb~llt~for"co.pllance with any applic"blo deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the owner has hired a contractor ,~r contractors to undertake Hork, 'they nay be required tD be licensed in accordance with
<br />state and local regulations. ' If th~ contractor is not licensed as required by laM both the ouner and contractor nay be
<br />cited for a misdemeanor violation under state law., If the owner or Intended contr~ctor arc uncertain as to Mhat licensing
<br />requirelents ~ay apply for the intended Hork, they are advised to contact the City of Zephyrhills Building Departaent, (813)
<br />7BB-bbll.
<br />
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl sign portions of the
<br />'Contractor Sections' of this application for which they will be responsible. If you, as the OMner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes y~u to sign
<br />as contractor that aay be an indication that he is not properly licensed ~nd is nDt entilled 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~ FLORID~ STATUTES, AS AMENDED)
<br />
<br />I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien LaM - Ho~eowner's Protection
<br />Guide' prepared by the Florida Depart.vnt of Agriculture and Consumer Affairs. If the ~pplicant is sotlone other than the
<br />'owner', I certify that I have {lbtained a, co'py of the above described de,culltent ilnd pre,rr,i:e in ge,od faith to deliver it to the
<br />'owner' prior to cOI~ence~ent.
<br />~1,.~'~~~.\ ,;:
<br />
<br />E. CONTRACTOR'SIOWNER'S AFFIDAVIT
<br />
<br />I certify that all the inforiation in this application is accurate and that all wor~ Hill be done in coapliance Mith all
<br />applicable laws regulating construction, zonirig, and land developDent.
<br />
<br />. '
<br />Application is hereby ~ade to obtain a permit to.~o ~~rk and install~tion as indicated. I certify that no Mort or
<br />installation has co~~enced prior to issuance of a per.it and that all work Hill be perfor~ed to roeet standards of all laws
<br />regulating construction, City codes, zoning regulations, ancl land development regulati~ns in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies ~ay apply'to Ihe intended Hork, and that it is
<br />ay responsibilily tel identify what actions I IIIUSt take to be in compliance. Suct, age:,eies include bill ,,1 e ne,t li~ited to:
<br />
<br />. ~. .". .
<br />I Department of Environmental Reoulation - Cypress Bayheads, Hetland Areas and Environmentally S~n5jtjV! L3ndsr
<br />Hater/Haste~ater Treatment
<br />. Southwest Florida Hater' ManaQe~ent District - Hells; Cypress Bayheads, Hetland ~reas, ~lterinq Haterc0ur:es
<br />I Army Corps of EnQineers - Sea~alls, Docks, Havigable Waterways
<br />t Departlent of Health L Rehabilitative Services, Environ~ental Health Unit - Wells, Wastewater Treat~En~. Septic Tanks
<br />I US Environcental Protection AQency - Asbestos abatement
<br />
<br />I also certify that, if fillllatc-rial is to be used in HClod ZClne '1'\" Clr "A,de.', it is unde'rste,e,d tl"t a drainage plan
<br />addressing a 'co~pensating voluie' will be sub.itted which is prepared by a professi~nal engineer registered in the Slate Df
<br />Florida prior to permit issuance.
<br />
<br />A permit issued shall be construed to be a lice~se to proceed with the work and nol as authority to violate, cancel alter, or
<br />set aside any provisiDns of the technical codes, nor shall issuance of a permit prevent Ihe Building Official fr~~ thereafter
<br />requiring a CCtrredion e.f errors in plans; cClnstructicln, {lr violations of any ee,de. [,'ery pl'r~it issul'd ~hall becc,le invalid
<br />unless the we.rk authe,rized by such permit is cClJUlenced within six lIIonths e.f issuance, e,r if liC,r\; 3\!tl,CQ ),ed bi Ihe perait is
<br />suspended or abandoned f{lr a period of six lonths after the ti)e the "ork is [D~.eneed. One 90 day e:I~~5joll of tile, aay be
<br />allowed for the permit with fee charge of $15.00. The extension shall be requested in "riling to the Building Official. An
<br />approved inspectie,n /'.lust be le.gged during each six month period, CoT the prc,jl'd "i 11 be ee,nsiderd dbollde.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 PROPER"fY. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN Al"TORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOT I CE OF C0i'1MENCEt'1Ef\lT".
<br />
<br />
<br />5JGNATU"E___~~--~!~~--
<br />CONTRACTOR
<br />
<br />(ji 7 /2." ~
<br />. Y/~ '
<br />5 I GNATURE_-c__~~1ld~~--_:~~~<<--
<br />OWNER OR AGENT
<br />
<br />DATE _ _ _ _ __ - _! j jCJ4-!-!jJ- -- - - - -, -7)- - - - - - - - --
<br />NOTARY AS TO lfJ ' \ /) .
<br />CONTRACTOn__[~~~~~~~!_---
<br />"' Notary Public, State of Florida I
<br />MY COMl'lI 5S ION OP I REfi~omlJli~Sj9!!~~~e~~~v.:..~O.:.~~l
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