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<br />
<br />CONDITIONS~OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />The ,undersigned understands that this perlit lay bl subject to "deed restricti~ns' which ~ay be D~re res~r,ictive ~han City
<br />regulations. The undersigned nsules responsibilitf:for,colpliance with any applicable deed restrictions.
<br />',1.1'- " ' .
<br />", I,
<br />B. UNLICENSED CONTRACTORS AND CONT~ACTOR RESPONSIBILITIES
<br />
<br />If the owner has hired a contractor or contractors to undertake wor~, 'they.ay be required to be licensed in accordance with
<br />state and local regulations. lf the contractor is not licensed as required by law, both the ~wner and contractor ~ay be
<br />cited for a eisde.eanor violation under state laK.: If the owner ~r intended contractor are uncertain as to what licensing
<br />requirelents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />7BB-6611.
<br />
<br />Furthermore, if the owner 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 will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor 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 provi'ded Kith a copy of "Florida's Construction lien Law - HOleowner's Protection
<br />Guide" prepared by the FI~rida Departlent of Agriculture and Consumer Affairs. If the applicant is soeec.ne other than the
<br />"owner", I certify that I have c,btained a, copy of the above described dC'CUllent and prc,~,i5t> in ge,od fai th to del iver it to the
<br />'owner' prior to cOllencelent. ;
<br />
<br />: \, -: _~.:~. I., \ ; .'
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the information in this application is accurate and that all work will be done in compliance Kith all
<br />applicable laws regulating construction, zoning, and land development.
<br />
<br />Application is hereby lade to obtain a perlit to'dD work and install~tion as indicated. I certify that no work or
<br />installation has cOlmenced prior to issuance of a perlit and that all work will be performed to ~e~t standards of all laws
<br />regulating construction, City cod~s, zoning regulations, and land development regulations in the jurisdiction. I also
<br />",'i'y "., 1 .,d"".,d ,h., ", ",.1.,;", ., .'h,' ,."".",.1 "",i" "Y .,ply ,. ;h' ;,I"d,d ,.,k, .,d 'h., ;, ;,
<br />.y ,osp"" i bi I it Y " ; don Ii' Y ,h.' "Ii on, I ",' hk, " b' i, mp Ii "',. S"" .""".. i ,," 0" b,,' '" ,,,' Ii. it,' ,,,
<br />
<br />. ".r
<br />I Departlent of Environmental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive lands,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Hater. ManaQement District - Hells; Cypress Bayheads, Hetland ~reas, Altering Watercourses
<br />I ArlY Corps ,of EnQineHs - Seal1alls, Docks, Navigable Haterways
<br />. D,p,,"'" " H,.I'h , ",.bili,.'i" S",;"" E,vi""",.1 ".I'h U,i' - "",, ,."".", ",;1"", S'pli' ,.,k'
<br />I US EnvironDental ProtEction AQenct - Asbestos abatement
<br />
<br />I also certify that, if fill laterial is to be used in Hc.od Zc,ne "A" or "~,etC.", it is underst(,(.d lIdt a drainage plan
<br />.dd""i" . ','.p",.I;" ,,10'" ,ill b, ,ob.i",d ,hi,h i, p"p."d by . ",'"'i,,.1 ,.,i.", ",;".", " 'h' S,.I, "
<br />Florida prior to permit issuance.
<br />
<br />. p"';' i"o,d ,h.11 b, ,."I,o,d " b. . Ii,.". ,. p,.,..d ,i'h 'h. ,.,k ." .,1 ., '0,.,,;1, ,. ,;,1.'" ,.".1 .11", "
<br />set aside any provisions of the technical codes, nor shall issuance of a p~rmit pr~vent the Building Official frol thereafter
<br />",oi d', . "",01' on " """ " P""; "",,,,tlon, " ,i,l. Ii... " "Y "". E"', p",it i "',,' ,l..l1 b"''' i '" Ii d
<br />unless the work\authorized by such permit is cOllenced within six months of issuance, or if \'Ie,rk aulhe" l,ed bi the per.it is
<br />,"p,,',d ., .b."."d ,., . p"i.d " ,1. ..,'h, ."" Ih, ,i., ,., ",k i, "".",d. 0...' d., ,.l.";'" " ';", ..y b,
<br />allowed for the per~it l1ith fee charge of $15.00. The extension shall be requestt>d in writing to the Building Official. An
<br />approved inspectie.n i!lust be le.gged during each six month period, or the prc,j!:'cl \'Ii 11 be c(,nsidered ilb61Ide,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 OBTAI~ 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 COMM~CEMENTlI'
<br />
<br />
<br />SIGNATURE)!. f) ___~~7!C;;~------ SIGNATUR~_ ------- ~~-.fi!.-----
<br />~WNER OR AGENT CON RACTOR
<br />
<br />DATE ____7J.~-:..-~-D.-.:J-.!.f:l.~'------,---~---
<br />
<br />DATE :[)-Lc., 30 /99/
<br />-----------------~----------------
<br />
<br />~~~~:Y B~S A~~NT __~--:t..---d~
<br />
<br />MY COMMISSION EXPIRES______________________
<br />
<br />NOTARY AS TO ;;;;f --d
<br />CONTRACTOR_~ ----:...----~-~-
<br />, "' -----y-
<br />MY COMMISSION EXPIRES__________________
<br />
<br />ornc:IaI seal
<br />"" L'"
<br />Notary PullIc, StIlI afFlarlda
<br />My ccmm.llqIIfII 0llL I.'.
<br />comm. No. CC1"
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