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<br />CONDITIONS OF PERMIT AFF~DAV~T
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit ~ay be subject to 'deed restrictions' which may be ~ore restrictive than City
<br />regulations. The undersigned, assuees responsibility for compliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS ~IND CONTRACTOR ~~ESF'P~'IS.L~U::..LLIE~
<br />If the OHner has hired a contractor or contr~~tcrs to undertake Hork, they may be required to be licensed in accordance Hith
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor oay be
<br />cited for a .isdeDeanor violation under state law. If the OHner or intended contractor are uncertain as to what licensing
<br />requirements lay apply for the intended worK, they are advised to contact the City of Zephyrhills Building Depart0ent, [8131
<br />788-66 II.
<br />
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl 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 Hishes you to sign
<br />as contractor that Day be an indication that he is not properly licensed and is not entitled to permitting privileges in the
<br />City of ZephyrhilIs.
<br />
<br />C. TF:ANSPORTATION IMF'ACT FEES. AND UTILITY CONNECT I oY,j FEE~,
<br />
<br />D. CONSTRUCTION LIEN LA~ (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 - Ho~eowner's Protection
<br />Guide' prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is so~eone other than the
<br />'owner', I certify that I have obtained a copy of the above described document and promise i~ good faith to deliver it to the
<br />'owner' prior to co~~encement.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVI~
<br />I certify that all the information in this application is accurate and that all work will be done in coepliance with .all
<br />applicable laws regulating construction, zoning, .and land development.
<br />
<br />Application is hereby made to obtain a perDit (0 do work and inst~llation as indicated. I certify that no work or
<br />installation has commenced prior to issuance of. a permit and that all work will be perfor~ed to ~eet standards of all laHs
<br />regulating construction, City codes, zoning requlations, and land develop~ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies may apply to the intended ~ork, and that it is
<br />.y responsibility to identify what actions I must take to be in co~pliance. Such agencies include but are not li~ited to:
<br />f Deoartment of Environ~ental ReQulatio~ - Cypress Bayheads, Hetland Areas and Environ~entally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />f Southwest Florida ~ater ManaQement District - Hells, Cypress Bayheads, Hetland Areas, Altering Hatercourses
<br />f ArlY Corps of EnQineers - Seawalls, Dor.ks, Navigable Waterways
<br />f Depart.ent of Health ~ Rehabilitative Services, Environmental Health Unit - ~ells; Haste~ater Treatlent, Septic Tanks
<br />f US Environmental Protection Aqency - Asbestos abatement
<br />I also certify that, if fill material is to be L~ed in Flood ?one 'A' or "A,etc.", it is understood that a drainage plan
<br />addressing a 'compensating volu~e' will be sub~itted ~hich is prepared by a professional engineer registered in the State of
<br />Florida prior to perait issuance.
<br />
<br />A ~erlit issued shall be construed to b,: a license to proceed with the Hork and nc,\ as' authority to violate, cancel alter, (of
<br />set aside any provisions of the technical codes, nor shall issuance of a per~it prevent the Building Official froQ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every per~it issued shall becole invalid
<br />unless the Hork authorized by such permit is com~enced within six ~onths of issuance, or if Hork authorized by the permit is
<br />suspended or abandoned for a period of six Donths after the time the HorK .is com~enced. One 90 day extension of ti~e, ~ay be
<br />allowed for the permit with fee charge of tI5.00. The extension shall be requested in writing to the Building Official. An
<br />appruved' {nspeclion ~usl be logged during each six month period, or the project Hill be considered abandoned.
<br />WARNING TO OHHER: 1UUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAV RESULT IN VOIIR rAVING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU lNTEND TO OBTAIN FINftNCIHG, CONSULT WITH YOlm LENDER OR AN ATTORNEY DEFORE RECORDING YOUR NOTICE OF
<br />COMKENCEMENT. JOBS UNDER 12,500 IN VALUE DO NOt NEED TO RECORD AND POST A 'NOTICE OF COMMENCEMENT'.
<br />
<br />- .....-""'--_..,--...-"""........
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />~
<br />The foregoing instrument was acknowleJged
<br />befc,re me this 19_ by
<br />
<br />STATE OF FLORIDA
<br />COUHTY OF
<br />The foregoing instrument
<br />befo\-e me thi,>
<br />
<br />v)c..5 dckno\,Jl edged
<br />19_ by
<br />
<br />who is personally known to me or who has
<br />pl-oduced
<br />as identification and who did/did not
<br />take an oatil.
<br />
<br />who is personally knO\'lll tel I1le Cq- who has
<br />pl-oduced
<br />as identification dnd who did/did n~t
<br />take an oath.
<br />
<br />(Signatun:e)
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or stamped)
<br />~jQI. A R Y --E1!f:lJ=-.I C
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOT AF:Y PUBLI C
<br />
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