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<br />. CONDITIONS OF PERMIT AFFIDAVIT
<br />A. . NOT ICE OF DEED RESTR I CT IONS
<br />The undersigned understands that this perlitaay be subject to .deed restrictions. which lay be lore restrictive than Ci~y
<br />regulations. The undersigned assules responsibility for compliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contracto~ or contractors to undertake work, they may be required to be licensed in accordance with
<br />state and local regulations. If tlie' cont'ractor is not"licensed as required by law, both the owner and contractor laY be
<br />cited for a lisdeleanor violation under state IaN. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advis~d to contact the City of Zephyrhills Building Depart.ent, (8131
<br />78B-66 I 1.
<br />
<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sJ 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 contractor that lay 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. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES~ AS AMENDED)
<br />I certify that I, the applicant, have been provided with J copy of "Florida's Construction Lien Law - HOleowne~~s PrQtection
<br />Guide" prepared by the Florida Departlent of Agriculture 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 prolise in good faith to deliver it to the
<br />"owner" prior to cOllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation in this application is accurate and that all work will be done in co.pliance with .alI
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to- obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of. a perlit and that all work will be perfor.ed to leet 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 governlental agencies may apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />f Depart.ent of Environlental ReQulation - Cypress Bayheads, W~tland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />f Southwest Florida Water ManaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Water"ays '
<br />. Departlent of Health ~ Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />f US Environ.ental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill laterial i~ to be usea In rloou ~onp. "A" or .A,etc.', it is understood that a drainage plan
<br />addressing a .colpensating volule" K~ll ~~ ~ublitteo whlcn 15 pr~pd~eU by a professiDnal 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, 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, or violations of any code. Every perlit issued shall beco.e invalid
<br />unless the work authorized by such perlit is cOI.enced "iihln six'Donths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the work is comaenced. One 90 day extension of tile, lay be
<br />allowed for the per.it with fee charge of $15.00. The extensiDn shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: ytlUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING THICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COM "EN NT. JOBS UNDER $2,500 VALUE DO NOT NEED TO RECORD.. AMD POST A '",.'.'~.'ElH'. .
<br />
<br />
<br />~~d__ .
<br />SI6NATURE: CONTRACTOR .- .
<br />
<br />
<br />f).~{I
<br />STATE OF ~LORIDAJD y{.t. /f)
<br />COUNTY OF. './!~ LV~;
<br />The foregoing instrument was acknowledged
<br />before me this .3_ 11- , 19.n.. by
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF P U2..--C'--c
<br />The foregc. i ng' ins trurllent -I<Jas ac knc'l<ll eqged
<br />befcll-e me this 3_ / I ~ 19~ by
<br />
<br />R(!,~. J3L~2n_A~
<br />
<br />has who is personally known to me or who has
<br />p rei d u c ed .l.f)u',u..vu.....; ~-C;~A_.-d.....5'-"
<br />not dS identi 'cation and who did/did not
<br />~ take an h. ; /II I
<br />, t JV~'<-..z) L -I~~-e--;;z~
<br />"L " '(./V
<br />(Signa~'.-e )
<br />LT r a.....C, / e. CJ {j.../r /l./S
<br />(Name Typed~ Printed or Stam~ed)
<br />NOTAf::V PUELIC
<br />
<br />(Signa ure'
<br />{:;.- rD t:. " L ([J /Ll't!!. JV <;
<br />(Name Typaa, Printed or Stamped)
<br />N01i~RV Pl!Bi.. I C
<br />
<br />'.,\.
<br />
<br />t~:l~lii~~~:N;;2A{~Y 'c .'-LC; Jl;;;~I~'.;iki~Rs.
<br />
<br />ri,.: 'd,' ,bl.C; <J'i"'.~~~"2~U?tllS.
<br />nOlE1iD Tifc.'i.U N'0;~Hhi _..--
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