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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A.. NQT I.!;~ OF _DEED R~9]R 1 CT IONS
<br />The undersigned understands that this per.it .ay be subject to "deed restrictions" which .ay be .ore restrictive than City
<br />regulations. The undersigned assu.es responsibility for [o~pliance Mith any applicable deed restrictions.
<br />
<br />B. WNL I CENSED CONTRACTORS AN!LJ29~TRAC__LOR ._~E.9.E:.QNS 1B I L iT I E!2.
<br />If the owner has hired a contractor or contractors to undertake Mork, they .ay be required to be licensed in accordance Mith
<br />state and local regulations. If the contractor is not licensed as required by la", both the owner and contractor .ay be
<br />cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to "hat licensing
<br />require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, 19131
<br />798-6611.
<br />
<br />Further.ore, 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 Mill 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 .ay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of lephyrhills.
<br />
<br />C. TRANSPORTATION H1PACT FEE~I-)NP' UT!..!:_ITY j:ONNECTION FEES
<br />
<br />D. ~ONSTRUCTION LIEN J..-AH (CHAPTER 713~ FLORID{) STATUTES, r\s ()MENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction lien law -- Ho.eo"ner's Protection
<br />Guide" prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs. If the applicant is so.eone other than the
<br />"owner", I certify that I have obtainpd a copy of the above described docu.ent and pro.ise in good faith to deliver it to thp
<br />.owner" prior to co.,ence.ent.
<br />
<br />E. !,:ONTRACTOR' S/Q"J!iER~~.1)F~!.P.1l~!.I.
<br />I certify that all the infor.ation in this application is accurate and that all work "ill be done in co.pliance with all
<br />applicable laws regulating construction, loning, and land develop.ent.
<br />
<br />Application is hereby ,ade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has co..enced prior to issuance of a per.it and that all work "ill be perfor.ed to .eet standards of all laws
<br />regulating construction, City codes, loning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern.ental agencies lay apply to the intended work, and that it is
<br />,y responsibility to identify what actions I ,ust take to be in co.pliance. Such agencies include but are not li.ited to:
<br />· Departlent of Environlental ReQulation - Cypress Bayheads, Hetland Areas and Environ.entally Sensitive lands,
<br />Yater/Wastewater Treatlent
<br />· Southwest Florida Water nanaQelent District - Hells, Cypress Bayheads, Hetland Areas, Altering Hatercourses
<br />f ArlY Corps of EnQineers - Sea"alls, Docks, Navigable Waterways
<br />· Departlent of Health & Rehabilitative Services, Environ.enlal Health Unil - Wells, Wastewater Treat.ent, Septic Tanks
<br />· US Environ.ental Protection AQency - Asbestos abate.ent
<br />I also certify that, if fill .aterial is to be used in Flo~d Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "co.pensating yolute" Mill be sub.itted 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 Mort and not as authority to Yiolate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, or yiolations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such pertit is cOI.enced within six .onths 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 cOI.enced. One 90 day extension of ti.e, lay be
<br />alloNed for the perlit Kith fee charge of SI5.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection .ust be logged during each six .onth period, or the project will be considered abandoned.
<br />WARNING TO OHNER: YOUR FAILURE TO RECORD A NOTICE OF COnnEN~EnENT nAY RESULT IN YOUR PAYING TWICE FOR InPROVEnENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CO"nENCEnENT. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CO~NCEnENT".
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<br />~A;f~
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<br />~A-/~/
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />
<br />~-~
<br />
<br />
<br />x
<br />
<br />CONTRACTOR
<br />
<br />
<br />STATE OF FlORI~A~
<br />COUNTY OF /~ C)vO -AA:J
<br />The foregoing ins~tpjlt was acknowledged
<br />
<br />b.fo~m~~Z ~ 1923 by
<br />~~.~
<br />
<br />who is person Iy known to me 0 has
<br />p,-oduced
<br />as identification aid
<br />take an oath.
<br />
<br />STATE OF Fl~
<br />COUNTY OF ~J
<br />The foregoing instr~nt ..Ias acknowledged
<br />befc're me th is / J /C7.LP..y 19.L..i- by
<br />/" '
<br />
<br />Wh~n~~
<br />
<br />produced
<br />as identification
<br />take al oath.
<br />
<br />(Name Typed Printed
<br />~IOTARV PUBLIC
<br />
<br />L_
<br />
<br />Stamped)
<br />
<br />
<br />Notary Public. Slote of Florida
<br />..!lx_Comm. Exp. Mar. 17, 1995
<br />
<br />Notary Pub!1~ ~'-te of Fl .'d
<br />M "0. ~"'. or' II
<br />- Y. .Comm, Exp. !VIar. 17, 199,1
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