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<br />_ _ _ ' CONDITIONS OF PERMIT AFFIDAVIT
<br />A. _ NOTICE OPDEED' RESTRICT 10NS-
<br />The ~nd~rs.~gne~, 9nd,.r.~lJdsthiltthis penit.aybesubject to, "deed restrictions" which uy be lore re,strictlve ,tnan Ci ty
<br />ri!~llnl\r~; '~UJl4~t!!i~.;~ -t.~~j,inY,f~r,~};~~t!',i~hal\'tlflP Ii c~Ie'4e.d re'tr itti,rls.
<br />. ,,' , ' " ... " " . ' . ' , ,.,', ~,." ,"
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILiTIES
<br />If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
<br />state' and local regulations. If the contractor is not licensed as required by law, both the owner and contractor aay be
<br />cited for a lisdeaeanor violation understate ,~; iftbe.JJ",,~,Or~~~9~edcontractor. ,ar~ uncedainasto what lil:ensing
<br />requireaents aay apply for the intended lIor!:, they are advised to contact thee Ci ty of Zepnyrllillstliilfd:l'1lf}.t$f~t, (~13)
<br />7BB-bbl1. ' '
<br />
<br />Further.ore, if the owner ha!! hired a contractor Dr contractors, he is advised to have the I:ontractor(s} sign portions of the
<br />"ContractDr Sections" of this application, for wh~ch they will be res~nsitlle. " If you, as the owner sign as the contractor,
<br />you are indicating that you, ratberthiln ,thecontrai:tor, are r~'~onsible for the lIC1rt. If the contral:tor wishes you to siqn
<br />as contractor that aay be an indication that he is not properly litensedarid is notentitled.to perlitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided lIith a copy of "Florida's Construl:tion Lien Law - Ho.eowner's Protection
<br />Guide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is soteone other than the
<br />"ollner", I certify that I have obtained a copy of the above described docutent and promise in good faith to deliver it to the
<br />"ollner" prior to cOltence.ent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all 1I0rk will be done in coapliance with all
<br />applicable laws regulating construction, zoning, and land developtent.
<br />
<br />Application is hereby aade to obtain a pertit to do lIork and installation as indicated, I certify that no lIor!: or
<br />installation has cotlenced prior to issuance of a perait and that all lIork lIill be perforled to teet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlentaI agencies lay apply to the intended work, and that it is
<br />ty responsibility to identify what actions I tust ta!:e to be in I:olpliance. SUl:h agencies include but are not lilited to:
<br />J Departtent of Environlental ReQuIation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />J Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />J ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />J Departlent of Health ~ Rehabilitative ServiCES, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />J US Environlental Protection AQency - Asbestos abatetent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.', it is understood that a drainage plan
<br />addressing a "colpensating volute" will be subtitted IIhich is prepared by a professional engineer registered in the state of
<br />Florida prior to pertit issuance.
<br />
<br />A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, Dr violations of any code, Every pertit issued shall becole invalid
<br />unless the work authorized by such pertit is cottenced within six lonths of issuance, or if lIork authorized by the perlit is
<br />suspended or abandoned for a period of six tonths after the tile the work is COI.enced. One 90 day extension of tile, lay be
<br />allowed for the perlit with fee charge of ~15.00. The extension shall be requested in IIriting to the Building Offil:ial, An
<br />approved inspection lust be logged during each six tonth period, or the project will be I:onsidered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKHENCEHENT MAY RESULT IN YOUR PAYING TWICE FOR IHPROVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COHMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />SIGNATURE: OWNER OR AGENT
<br />
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />STATE OF FLORIDA p1
<br />COUNTY OF / /..N'E/t~ --
<br />The foregoing lnstrument was acknowledged
<br />befL,\-e me th i tlCl7?- , 19 q ').. bY
<br />
<br />R" w kt- J;> b. frt-c.. M aA..
<br />who is pers~,nall k~ .wn to me or
<br />,..-' .
<br />produced '
<br />as identification and who did/ 'd
<br /><e (lath.
<br />~-
<br />d ,Lr.-e)
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />befc.re me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />
<br />
<br />(SignatUl-e)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />DIANE F. MAKIN
<br />l~. NoIaly PubliC. Slate 01 FIoricla
<br />z, . ('\ My Comm. Expires Aug. 27, 1995
<br />.t,.- No. CC139595
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