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<br />CONDITIONS OF PERMIT AFFIDAVIT,
<br />A. NOTICE OF DEED RESTRICTIONS '
<br />Th~ und!rsi'gned understands that this p~rli tu.ay bE! -;ubject to 'deed restrictions' which uy bl' lore restrictive than Ci ty
<br />regulations, The undersigned assule~ responsibility for cOlpliance with any applicable deed restrictions,
<br />
<br />B. UNLICENSED CONTRACTC~S AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or c~ntractors to undertake worK, they may be required to be licl'nsed in accordance with
<br />state and local regulations, If 'the .'t'ontractor i~ \lot licensed as required by law, both the owner and contractor aay b!
<br />cited for a .isdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended :IorK, they are advised to contact the Ci~y of Zephyrhills Building Departlent, 18131
<br />7BB-bb 1 1.
<br />
<br />Furtherlore, 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 wh:ch they Hill be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, aie responsible for the Hork. If the contractor Hishes you to sign
<br />, as contractor that Day 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 F~ES
<br />
<br />D. CONSTRUCTION LIEN L~~ (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 - HOleoHner's Protection
<br />Guide' prepared by the Florida Departaent 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 document and promise in good faith to deliver it to the
<br />tONner' prior to cOlmencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'e AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all worK Hill be done in coapliance with all
<br />applicable laws regulating construction, zoning, an~ land developlent.
<br />
<br />Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no Hork or
<br />installation has cO.lenced prior to issuance of a perlit and that all Hork Mill be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulationsl and land developl~nt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governaental agencies lay apply to the intended Nork, and that it is
<br />IY responsibility to identify what actioils I lust taKe to be in cOlpliance. Such agencies include but a'e not lilited to:
<br />f Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetla:.J Areas ~nd Environlentally SenSitive Lands,
<br />Water/Wastewater Treataent
<br />I Southwest Florida Water ManaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Depart.ent of Health ~ Rehabilitative Services~, Environlental Health Unit - Wells, Wastewater Treatlent, Septic TanKS
<br />f US Environ.ental Protection AQency - H:bestos abateaent
<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 'coDpensating volute' will be subailted which is prepared by a professional engineer registered in the State of
<br />Florida prior ~o 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 pertit prevent the Building Official frol 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 NorK authorized by such permit is co.eenced within six months of issuance, or if worK authorized by the perait is
<br />suspended or abandoned for a period of six lonths after the 'tiee the HorK is commenced. ' One 90 day extension of tile, .ay be
<br />allowed for the perlit with fee charge of 115.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged durin~ each six month period: or the project wili be considered ~bandoned.
<br />WARNING TO OWNER:, YOUR FAILURE TO RECORil A NOTICE OF COMnENCEMENT ~AY RESULT IN YOUR PAYING TWICE 'FOR IhPROVEnENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FIHAH\:11l6, CONSULT HITH YOUR LENDER OR AN ATTORNEY ~EFORE RECORDINS YOUR HOTICE OF
<br />COKKEHCEIIEHT. JOBS UHDER $2,500 IN VALUI: DO rIOT NEED TO RECORD AHD POST A 'NOTICE OF COMtlEIlCEIIENT'.
<br />
<br />~,~ /P~
<br />
<br />~~~
<br />
<br />SIGHATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: COHTRACTOR
<br />
<br />me or who has
<br />
<br />STATE OF FLOR~ '
<br />COUNTY OF ~l:l)
<br />The foregoing instrument was acknowledged
<br />befc,,-e m~ th i s ~uj I,~L-:-:_. 19 ..:t1_~_ by
<br />
<br />K.e V i (\ ~oberT5
<br />IIlho is persc,na 11 y ~ to me orwhc, has
<br />produced
<br />as 'fication
<br />:1 0 th
<br />
<br />
<br />Printed YANT
<br />c PAMELA.
<br />NOTARV PUBUC, STATE OF FLORIDA
<br />MYCOMM. EXPIRES SEPT. 12, 1997
<br />NO. CC314S9a
<br />--
<br />
<br />
<br />ed)
<br />OFFICIAL SEAL
<br />PAMELA M. BRYANT
<br />NOTARY PUBLIC, STATE OF FLORIDA
<br />MY COMM. EXPIRES SEPt 12, 1997
<br />, NO. CC314S9a
<br />
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