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<br />CONDITIONS OF.PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />The.undersigned understands that this perlit lay be subject io "deed restricti~ns' whi~h 5ay b~ oor~ rostr.ictivo than City
<br />r,gulatlons. The undersigned aSSUle5 responsibility";for..cotpliance with any applicable deed restrictions,
<br />..t . ~
<br />
<br />"
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the owner has hired a c~ntractor .or contractors to undertake work, .they lay be r~quired to be licensod in accordance with
<br />state and local regulatl~ns. . If the contractor is not licensed as required by law, both the OHner and contractor ftay be
<br />cited for a .isdeaeanor violation under state law., If the owner or intended contractor are un~~rtain as to what li~ensing
<br />requirelents aay apply for the intended work, they are advised to contact the City of Zephyrhills Puilding Departlont, (813)
<br />788-6611.
<br />
<br />Furthermore, if the owner has hired a contractor or contractors, he is adviscd to have the ~ontractorlsl sign portions of the
<br />'Contractor Sections' of this application f~r which thcy will be resp~nsible, If you, as the owner sign as the contractor,
<br />you are indicating that you, rathcr than the contractor, are responsible for the work, If the ~ontractor wishes you to sign
<br />as contractor that may 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 with a copy of "Florida's Construction lien law - H~leowner's Protection
<br />Guide' prepared by the Florida Departtent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />'owner', I certify that I have [.btained a, co"py of the above described deocullent and prel~,ise in good faith to deliver it to the
<br />'owner' prior to cOI.enceDent.
<br />
<br />~ " '; ~ ~~, " . ; :' .
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the inforlation in this application is accurate and that all H~rk will be d~ne in c~apliance with all
<br />applicable laws regulating c~nstructi~n, zoning, and land developD~nt.
<br />
<br />Application is hereby lade to obtain a perlit t~'do work and install~tion as indicated, I certify that no work or
<br />installati~n has coemenced prior to issuance of a pertlt and that all w~rk will be performed to ~eet standards of all laws
<br />regulating construction, City c~des, zoning regulati~ns, and land development regulati~ns in the jurisdiction. I also
<br />certify that 1 understand that the regulations of other governmental agencies ~ay apply'to the intended work, and that it is
<br />IY responsibility to identify what actions I must take to be in compliance. Such agencies include bIll ~le n~t liaited to:
<br />
<br />or
<br />
<br />I Depart.e~t of Envir~n.enial ReQul;tion - Cypr~ss Bayheads, Hetland Areas and Environmentally Sensitive l~nd5,
<br />Hater/Wastewater Treat.ent
<br />i Southwest Florida Water'ManaQe!ent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Arl' Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways
<br />t Departleot of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, HasteHater Treat~En~. Septic Tanks
<br />t US Environlental Protection AQency - Asbestos abatement
<br />
<br />I also certify that, if fill laterial is to be used in Hcood Zeone "A" or '(l,etc,', it is underste,(,d th~t a drainage plan
<br />addressing a 'colpensating volule' will be subtitted which is prepared by a professional engineer rEqist~ied in the State of
<br />Florida prior to permit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the work and not as auth~rity t~ vi~l~te, cancel alter, or
<br />set aside any provisi~ns of the technical codes, nor shall issuance of a permit prevent the Building Official fro. thereafter
<br />requiring a c(,rrection (of errors in plans; construction, cor violations of any c~,de, Every perilit iSSIIl!d :hall bec(.le invalid
<br />unless the w(,rk auth(.rized by such peflit is coaDenced within six 50nths of iSSllancl:, e,r if 1'1('1 \; alltt,co'l;:ed by the perlit is
<br />suspended or abandoned f~r a period of six tonths after the tiJe the Hork is co~mencl:d, One 90 day E:I~~sioll of tilO, aay be
<br />allowed for the per~it with fee charge of $15.00. The extensi~n shall be reqUEsted in Hriling to the Suilding Official. An
<br />approvcd inspection ~ust be l~gged during each six lonth period, ~r the pr~ject Hill be considered ~balldonEd.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FdRIMPROVEMENTS 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 />" ~ . . ,;/. . ff) .. .A~ I fjt;d~'-'e
<br />__SIGNATUR _=~d~.M~~. S!GNATIIRE_~V:.l:!-----I-----~t
<br />r f" OWNER OR AGENT ,I:'P'--' CONTRACTOR .
<br />::::~~~__~J'~------~--.------- ~-------------- --------------
<br />
<br />
<br />OWNER OR AG~~~'--.,~- ---NOTARY P C STATE OF FLORIDA
<br />" . MY COMMISSION EXP. JULY 1l.199f
<br />MY COMMI}~~XPIR~FFlCTAt.~------------ MY COMM XPIRESJlOIUIm..2HBU.GmIBilVoi IllS. ~.-"
<br />
<br />! ~\ BARBARA A. HUPPERT Prim. T""...;;;.;;;;;;;;....JH.e.,N-,~. ~- - :,
<br />~ } My Commission Expires. ,......,~ ~
<br />.....">- . AI Nov. 27. 1996 T~.,,,,-,-- ~~~u ~ r
<br />"':~OFF\.~" Comm. No. CC 240384 ~ L.-J
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