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<br />CONDITIONS OF PERMIT AFFIDAVIT,
<br />A. NOTICE OF DEED RESTRICTION~ '
<br />The undersigned understands that this per.it lay be subject to .deed restrictions. which lay be lore restrictive than City: '
<br />regulations. The undersigned assules responsibility for cOlplianc€ Hith any applicable deed restricti~ns. '
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR 8ESPONS;SILITIES
<br />If the owner has hired a contractor or c~ntractors to undertake Nork, they may be required to be licensed in accordance with
<br />state and local regulations. If thetontractor is not licensed as required by law, both the owner and contractor lay be
<br />cited for a .isde.eanor violation under state law. If the OHner or intended contractor are uncertain as to what licensing
<br />require_ents .ay apply for the intended ilork, they are advised to contact the City of 2ephyrhills Building Depart.ent, IBI3)
<br />7BB-6611.
<br />
<br />Further_ore, if the OHner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />.Contractor Sections. of this application for which they will be responsible. If you, as the OHner 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 pr)perly licensed and is not entitled to perlitting 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 a copy of .Florida's Construction Lien Law - Ho_eowner's Protection
<br />Guide. prepared by the Florida Depart_ent 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 docuaent and pro.ise in good faith to deliver it to the
<br />"owner" prior to cOlaence_ent.
<br />
<br />E. CONTRACTOR'S/OWNER'~ AFFIDAVIT
<br />I certify that all the infor_ation in this application is accurate and that all Hork Hill be done in co_pliance with all
<br />applicable laws regulating construction, zoning, and land develop_ent.
<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 cOI.enced prior to issuance of a per.it 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 lay apply to the intended Hork, and that it is
<br />.y responsibility to identify what actio:lS I lust take to be in co.pliance. Such agencies include but are not lilited to:
<br />, Departlent of Environlental ReQulatioo - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />, Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />, ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />, Depart.ent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />, US Environ.ental Protection AQency - A=bestos abatelent
<br />I also certify that, if fill taterial is to be used in Flood Zone "A. or "A,ete,", it is understood that a drainage plan
<br />addressing a "colpensating volute" will be subaitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to pertit 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, Dr
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official fro I thereafter
<br />requiring a correction of errors in plan;, construction, or violations of any code, Every perlit issued shall becole invalid
<br />unless the work authorized by such permit is cOI.enced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the Hork is cOI.enced. One 90 day extension of tile, lay be
<br />allowed for the pertit with fee charge of 115.00. The extension shall be requested in Hriting to the Building Official. An
<br />approved inspection aust be logged durinJ each six lonth period, Dr the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORll A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANi:lNG, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUe: DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT",
<br />
<br />~~.J ~""~~
<br />SIGN RE: OWNER OR AGENT
<br />
<br />~~~~/ G-fiIJ
<br />SI'G URE: CONTRACTOR '
<br />
<br />. ,
<br />
<br />who IS er .nall
<br />produced
<br />as identification and
<br />
<br />take a~(~
<br />
<br />(Signatur~
<br />~,...b ct.r<:L
<br />. (Name Typed, Printed or
<br />NOTARY PUBL
<br />
<br />r who has
<br />
<br />,
<br />STATE OF FLORIDA ~:)
<br />COUNTY OF ~ ~
<br />The foregoing instrument
<br />before me this 1)~ { ~
<br />
<br />J c.. nd-
<br />who e sc.na
<br />produced
<br />as identification and who
<br />take a~l th~, .
<br />~~-1rtLr~
<br />/ J
<br />(SigJ"la ure)/)
<br />J::iQ r-"~ Yet
<br />(Name Typed, Printed or
<br />NOT ARY 'PUBL Ie ,,;..,~ .,
<br />
<br />STATE OF FLORIDA ?
<br />COUNTY OF ~
<br />The foregoing instr/ument
<br />before me this~, ~
<br />.
<br />
<br />was acknowledged
<br />, 1')~ by
<br />
<br />!.'Ias acknowledged
<br />, 19~ by
<br />
<br />
<br />
<br />or who has
<br />
<br />whc. did/did not
<br />
<br />did/did not
<br />
<br />~C~ff\.
<br />
<br />
<br />Not.ery Public, State of Florida
<br />BARBARA A. ALLISON
<br />My comm. Exp. Mar. 26. 111114
<br />colflm. N~. AA 711111U7
<br />
<br />9
<br />
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<br />
<br />A. (( t'.s~)
<br />Stamped)
<br />
<br />
<br />'''Olal)1 Public. State of FlorIda
<br />"",,<lAllA A, ALLISON
<br />My COll1m, Exp, M"r, 26. 19114
<br />Comm, No, AA 759537
<br />
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