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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlitlay be subject to 'deed restrictions' which may be lore restrictive than City
<br />regulations, The undersigned assules responsibility for co.pliante with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSI~~ITIE~
<br />If the owner has hired a contractor or cqntractors to undertake work, they may be required to be licensed in accordance with
<br />state and local regulations, If the contractor is ~ot licensed as required by law, both the o~n2r and contractor lay be
<br />cited for a lisdeaeanor violation under state lall. If the OI4PH or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended worK, they are advised to contact the City of Zephyrhills Building Department, (B131
<br />78B-bb II.
<br />
<br />Furtherlore, if the owner 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 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 FEE~
<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 Departlent of Agriculture and Consu.er Affairs. If the applicant is so.eone other than the
<br />"owner", I certify that I have obtained a copy of the above d~scribed doculent and prolise in good faith to deliver it te, the
<br />'owner' prior to cOI.encelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIl
<br />I certify that all the infor.ation in this application is accurate and that all worK will be done in cOlpliance with all
<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 cOI.enced prior to issuance of. a perlit and that all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies .ay 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 limited to:
<br />f Depart.ent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater T.ealllent
<br />t Southwest Florida Water ManaQelent District -- Wells, Cypre~; Bayheads, Wetland Areas, Altering Watercourses
<br />f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways '
<br />f Departlent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environ.ental Protection AQency - Asbestos abatement
<br />I also certify that, if fill laterial is to be used in Flood Zone "A' or "A,etc,", it is understood that a drainage plan
<br />addressing a 'colpensating volule' will 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 worK and not as authority to violate, cancel alt~r, or
<br />set aside any provisions of the technical COdES, nor $hall issuance of a perlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, corstruction, or ~iolations of any code, Every perlie issued shall becole invalid
<br />unless the worK authorized by such per.it is co..enced within sii lonths of issuance, or if work authorized by the permit is
<br />suspended or abandoned for a period of six lonths after the ':;me the work is cOllenced. One 90 day extension of time, lay be
<br />allowed .for the perlit with fee charge of $15.00, The extension shall be requested in writing to the Building Official. An
<br />approved inspection must be logged during each six month period, or the project will be considered abandoned,
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A ~OTICE OF COMMENCEMENT HAY RESULT IN YOUR PAYING THICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, COMSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT, JOBS UNDER $2,500 IN VALUE DO NO" NEED TO RECORD AND POST A 'NOTICE OF COMMENCEMENT".
<br />
<br />bE'forp 1fI'"
<br />
<br />
<br />
<br />id not
<br />
<br />
<br />STATE OF FLORIDA 1/, /J, / /
<br />C'JUNTY OF !:i:1(/SJ}tJrov~~
<br />~n~ f~r:g,,~~g inst~ume t ,rs. ~C~'edged
<br />
<br />o.J~.; ..... ~ il 1 1:.7,: \...Iii:::::> e , J.! uy
<br />
<br />
<br />R n!11J jj ~, IAJOOr/cock.
<br />
<br />who is 'p~r:~,n'" 1 ] ',I IT,{;i"Il. ~o me or who has
<br />pre. Llced
<br />a i ntificatiorl
<br />ke
<br />
<br />who has
<br />
<br />\'Iho did/did not
<br />
<br />( ~3tLln:?) .... ..'
<br />
<br />(N~~ee~~ll:"':f/~r~,':'stamPEd)- --
<br />
<br />NOTARY PUBLIC. ~~
<br />
<br />\<'1 Pu oFFIC-IA," NOTARY S~A," i
<br />> o"f>- .~~("-" ~NNY FI,"MON \
<br />~ ~ >~:,1?,\{{ ~ COMMISSION NUMBER,
<br />i z;, lj~,n~~"f.$ <{ CC362442
<br />I ':V..... ~~p'H c? MY COMMISSion r r'
<br />~OF 1'\.0 MAR~1)ct<t
<br />
<br />W
<br />L ~~ CAVJ4:5
<br />
<br />Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~y PlJ JEWEL C. CAVAS
<br />~l:~ COMMISSION <<CC 348657
<br />~ c> EXPIRES FEB 3,1998
<br />~ ~ BONDED THRU
<br />~()l: r,~ .,TI.ANTIC BONOING CO., INC.
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