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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />lhe undersigned understands that this penitmay be subjeci; to .ci,,'~d restrictions' whi'c:h, lay be lore restrictive than' Ci'ty
<br />regulations. The undersigned assuaes responsibility for cOlpI 'fiC2 with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTR~~TOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to unaertak~ .r,k, they lay be required to be licensed in accordanc:e with
<br />state and local regulations. If the contractDr ,'.S not license'! '5 required by law, both the owner and contractor lay be
<br />cited for a lisdeaeanor violation under state lall. If the Oltk,., or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, th~y are advised to contac:t the City of 2ephyrhills Building Departlent, (8131
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorls) 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 contrac:tor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in"the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE2.
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - HOleowner's Protection
<br />Guide" prepared by the Florida Departaent of Agricu1ture and Consuler Affairs. If the' applicant is sOleone other than the
<br />'owner', I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the
<br />'ollner' prior to cOllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'SAFFIDAVIT
<br />I certify that all the inforlation in thi; application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, coning, and land developlent.
<br />
<br />Application is hereby lade to obtain a pErlit t~ do work and i~stallation 'as indicated. I certify that no work or
<br />installation has cOlaenced prior to issuclce of a perlit and }hat all work will be perforled to meet standards of all laws
<br />regulating construction, City codes, zoni,;g regulations, and ~nd developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulctions of Dther governlental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what acticIJ; I I;JS~ take to be ill '_~Ipliance. Such agencies include but are not lilited to:
<br />f Departlent of Environlental ReQulation - Cy~r~5$ Bayheads, M~tland Areas and Environientally Sensitive Lands,
<br />Water/Wastewater Treataent
<br />f Southwest Florida Water "anaQelent District - Wells, Cypress B~y~eads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Dorks, Navigable Waterways
<br />f Departaent of Health & Reh~bJLl!tative Eervice~. Environl,~ntal Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection ~4i'nc:y - f~; bc::.t", ;;l;o;);ElIIent
<br />I also certify that, if fill laterial is to bE used in Flo~d lJne 'A' or 'A,etc.., it is understood that a drainage plan
<br />addressing a 'colpen~ating volule' will Ie subuitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it issuance.
<br />
<br />A perlit 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 permit prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plan', construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such per.i' is cDa.enced within six lonths of issuance, Dr if work authorized by the perlit is
<br />suspended or abandoned for a period of s: ~ lonths after the tile the work is co..enced. One 90 day extension of tile, lay be
<br />allowed for the perlit lIith fee charge 0' $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged durin each six lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECOR: A NOTICE OF COI1I1ENCE"ENT HAY RESULT IN YOUR PAVING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINAKmG, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COI1I1ENCE"ENT. JOBS UNDER $2,500 IN.YALU DO NOT NEED TO RECORe AND POST A 'NOTICE OF COI'lI1ENCEIIENT".
<br />
<br />SIGNATURE:
<br />
<br />
<br />
<br />~QJ
<br />
<br />STATE OF FLORIDA /J
<br />COUNTY OF r /LA-<JD
<br />The foregoing instrument
<br />before me this 9-8'"-
<br />.
<br />
<br />was acknowledged
<br />, 1 (/ C;.2- by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />IGC ~/LA-'~
<br />who is personally known te, ffi' or who has
<br />produced
<br />as idenj,tfication
<br />ta,ke a7/~th. .
<br />___ ~-1--t?-L'~~
<br />'.Si,Qn6, ~re~ , , .
<br />..,- J,... CLe~
<br />(Name TYi)ed ~ Pr i nted 01- Stam. led )
<br />NOTARY PUBLIC
<br />--NOTAlff'"l'UBLIC. STATE OF FLORIDA.
<br />MY COMMISSION EXPIRES: Nov. 4. 1994.
<br />JOJIIIIIP THIW l'iOTAaY I'liJILIC 111'lDB&WJUuu,
<br />
<br />known to me or who has
<br />
<br />.&~~
<br />
<br />((] t~~s
<br />
<br />not
<br />
<br />
<br />t
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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