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<br />cmiDITIONS OF PEf;:MIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTPICTIONS I
<br />The undersigned understands that this pe'-Dit ~a) be subject to ~de~d re5tricti~ns' which lay be lore restrictive than City
<br />regulations. The undersigned assuaes responsihility for coapli~ncE ~ith any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contract~r ~r c0ntractnrs to undertake ::~rk, they lay be required t~ be licensed in accordance with
<br />state and local regulations. If the'ronfr1ctor is DBt licensed as required by law, both the owner and contractor eay be
<br />cited for a aisdeaeanor violation under etate lau. .f the owner or intended contractor 3re uncertain as to what licensing
<br />requireaents aay apply for the intended :.~rk, they are advised tc ront.act the City ~f Zephyrhills Building Departlent, (8131
<br />7BB-6611.
<br />
<br />Furtherlore, if the owner has hired a c~,;tractor or contrac~ors, he is advised to have the contractor(sl sign portions of the
<br />'Contractor Sections' of this applicatioll for which they ~ill be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are re~ponsible for the worK. If the contractor wishes you to sign
<br />as contractor that aay be an indication that he is not properly !icensed and is not entitled t~ peraitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPArT FEES AND UT{LITY CONNECTION FEE~
<br />
<br />D. CONSTRUCT I ON L I EN Lr.Ji t CHAP fER 'J 1 ~, FUJR 1 VH S \ H \'UI-E3 , HS Ai'1ENDED J
<br />I certify that I, the applicant, have been provided with a copy of 'Florida's Constructibn Lien Law - Hoaeowner's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and Consuaer Affairs. If the applicant is sOleone other than the
<br />'owner', I certify that I have obtained ct copy of the above described docuaent and prolise in good faith to deliver it to the
<br />'owner' prior to COllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'~ AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all w~rK will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and in~:~llation as indicated. I certify that no work or
<br />installation has cOllenced prior to issu;nce of a perlit and th?t ~ll work will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and lann developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regul~tions of other governl;~>>tal ~gencies aay apply to the intended work, and that it is
<br />ay responsibility to identify what acti~ns I lust take to be in loupliance. Such agencies include but are not lilited to:
<br />f Departtent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands,
<br />Water!Wastewater Treataent
<br />t Southwest Florida Water HanaQelent District - wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of EnQineers - Seawalls, DOCKS, Navigable Waterways
<br />t Departaent of Health ~ Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US Environlental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill aaterial is to be used in Flood Zone 'A" or 'A,etc,', it is underst~od that a drainage plan
<br />addressing a 'colpensating volute' will be subtitted which is prepared by a professional engineer registered in the state of
<br />Florida prior to perlit 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, ~r
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such pertit is cO.lenced within six lonths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six lonths after the tile the worK is coatenced. One 90 day extension of tite, tay be
<br />allowed for the perlit with fee charge of $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 Mill be c~nsidered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECOR) A NOTICE OF COKHENCEHENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINAt;;IN6, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COKHENCEKENT. JOBS UNDER $2,500 IN VALU~ DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT',
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<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing J.\ISb'ulJlent
<br />before me this
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />
<br />befcq-e me th is
<br />
<br />"-..,,. .=t=kno','Jledged
<br />19_ by
<br />
<br />_ _.. .... . ~ .J _. _ ..J
<br />Wd~ cH...r\.IJVV1o.:i..C.....yy;;.y
<br />, 1'-7_ by
<br />
<br />:-:..,&: ';\:1;-2gC. i ;ig i j-.=- t~-U,T;t:.:~~ t
<br />
<br />who is pel-sona 11 y known to mt,' or who hCls
<br />produced
<br />as identificatic,n and who did/did not
<br />take an oath.
<br />
<br />who ,~ personally known to me or who has
<br />prL)duced
<br />~s identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />\Signature)
<br />
<br />(Name Typed, Pr i nted or Starn! ied)
<br />NOTARY PUBLIC
<br />
<br />(Ncme Typed, Printed or Stamped)
<br />I\lOT ARY PUBL I C
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