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<br />CONDITIONS OF PERM~T ~FFIDAVIT
<br />A.': NOT I CE OF DEED RESTR I CT IONS ;', , .
<br />
<br />The undersigned understinds that this perlit aay be subject to "deed restricti~ns' which ~ay b~ mor~ restrictive
<br />regulations. The undersigned assules responslbll1'~,f~~ cOMpllance Hith any applicabl~ deed restriction~.
<br />
<br />;" ~'''_ ::. !: .\' ',,, ".. t . f,
<br />
<br />UNLICENSEDC~NTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />, . ." "~ ' . c " " .. - of; ,
<br />
<br />than City
<br />
<br />8.
<br />
<br />If the ONner has hired a contractor or contractor. to undertake Hork, they may b& requir~d to be'licensed In accordance with
<br />ltate and local rrguJatlons. If the contrador is not licensed as rlHlulrl!d"b~law, bi.H, .the ounor alld contractc,r uy bl!
<br />cihd for a lisdeaeanor violation under state hll.', If the ['Hner .o.r i'ntende,d contraclclr are uncertain as to what liconsing
<br />requirelents lay apply for the intended 1I0rk, theY are advr~ed ldfon\~ct th~trtV of.2e~hyrhills ~uitdin9 Departeent, (813)
<br />78a-bbll. ',',' .
<br />
<br />Furtherlore, If the OHner has hired a contractor or contractors, he is advised to have the ce.ntractor!s) sign portions of the
<br />"Contractor Sections' of this application for IIhlch they Hill be rosponslblo. 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 provided 'lIith a copy of "Florida's Construction Lien Law - HoeeoHner's Protection
<br />Guide' prepared by thl! Florida D~part.ent of Agriculture and Consuler Affairs. If th~ applic1nt is SO!EOne other than the
<br />'oHner', I certify that I have obtained a copy of'the above described document and pro.i~e in good f~ith to deliver it to the
<br />'owner' prior to cOi~enCeftent.
<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 "ill be done in cD~pliance ~ith all
<br />applicable la~s regulating construction, zoning, and land develop~ent.
<br />
<br />Application is hereby .ade tCI obtain a perl it to'do llork and installatie,n as indi.cate.d. l' e~rtify that no HClrk or
<br />installation has co&!enced prior to issuance of a permit and that all work Hill be performed to ~eet st~ndards of all laws
<br />regulating ct,nstrudieln, City c(,des, zoning regulations, and land development requlaticlns in the jurisdidie.n. 1 alsCl
<br />certify that I understand that the regulations of other gClvernmental agencies may apply to the intended Hork, and that it is
<br />IY responsibility to identify IIhat adions I lIlust'take to be in cr.mpliance. Such aqeflcies ii,c1ude but ~le nt.t li~ited to:
<br />
<br />I Department of Envi~on~ental ReQulation - Cypress Bayheads, Hetland nreas and EnvirDnmentally Sensjtiv~ L~nds,
<br />Water/Wastellater Treatment
<br />I Southwest Florida Hater Hananelent District - Hells, Cypress Dayheads, Hetland Areas, Altering WatercDurses
<br />I Ar!y CorDS of EnDineers - Seallalls, Docks, Navigable Waterways
<br />I Departlent of Health L Rehabilitative Services. Environmental Health Unit - W~lls, WasteHater Treat~en~. Septic Tanks
<br />I US Environ~ental Protection Anency - Asbestos abatement.
<br />
<br />I also certify that, if fill lIaterial is to'be used in Fleood Ze,ne "A" Dr 'A,etc,', it is underste,eld t,,~t a drainage plan
<br />addressing a 'colpensating volume" Ilill be submitted Ilhich is prepared by a professional enqineer reqisteied in the State of
<br />Florida prior to permit iss~ance.
<br />
<br />A perllit issued shall be construed to be a license to proceed with the we,,'k. and DC.t as authclrity te, vic.]~te, caneel alter, c.r
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevcnt the Building Official fro~ thereafter
<br />requiring a eorrection c.f errcors in plans, c(,nstrudie,n, or violations e.f any ((,de. Every pcr~it iSSlled .hdJI bece,ae in'lalid
<br />unless the work auth~ri2ed by such permit is cOJftenced lIithin six months of issuance, Dr if wo!'k authoflied by the per.it is
<br />suspended Dr atarode,nl?d fe,r a perie.d of six lonths after the tilDe the llork is ce'Menced. One 9(; day c,~t~i,sic'lI clf tile, say be
<br />alloHed for the per~it Ilith fee charge of ~15.00. The extension shall be reqllested in writing to the Building Official. An
<br />approved inspectie,n f.lust be le,gged 'during each six lIIonth period, tor the prclject lli11 be CClnsidered ;;baliGc.n"d.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A ~lOTICE 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".
<br />
<br />
<br />SIGNATURE",~_~~~~-----
<br />'. '. >, 'UWNEH OR AGENT
<br />
<br />SIGNATURE__~___-;{MA---
<br />. CONTRACTOR
<br />
<br />DATE____~_______~~~~~----------~-----
<br />
<br />~~~~~yO~SA~~NT_~~--~----
<br />
<br />MY COMMISSION EXPIRES___ ---------
<br />>,,,,~., ..~ OlIVIA A.LOVETT
<br />~ 11 Nofaty Public. Stata 01 Florida
<br />My Clmm. &pires Sept. 3); 191M
<br />No. ~1Q2S
<br />
<br />DATE______~__~J~~~8~----------------
<br />
<br />NOTARY AS TO #1/ dO ._~Jt-JA~~
<br />CONTRACTOR_~~~--------
<br />
<br />~Y C6MMISSION EXPIRES__________________
<br />:..~~:t ..~ OLIVIA A, LOVm
<br />~ '1\ Notary Public. StaIB of f10rida
<br />My Comm. &pireI Sept. 30. '994
<br />No. C<D192S
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<br />".
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