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<br />CONDITIONS OF PERMIT AFFIDAVIT,
<br />A. NOTICE OF DEED RESTfICTION~
<br />The undersigned understands that this per.it .ay be subj~ct to "deed restrictions" which cay be lore restrictive than Citi
<br />regulations. The undersigned assu.es re,ponsibility fOT co.plianc~ Kith any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTQRS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or c~ntractors to undertake Hork, they may be required to be licensed in accordance Hith
<br />state and local regulations. If the'tontractor i5 not licensed as required by law, both the owner and contractor lay be
<br />cited for a lisde.eanor violation under state law. If tne owner or intended contractor are uncertain as to what licensing
<br />requirelents .ay apply for the intended :JOTK, they are advised to contact the City of ZephyrhiJls Building Depart.ent, (813)
<br />788-6611.
<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 wiJJ be respo~sible. Jf you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsibJe for the work. If the contractor wishes you to sign
<br />o as contractor that Day be an indication that he is not prJperly 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 - HOleowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If the applicant is sOleone other than the
<br />"oHner", I certify that I have obtained a copy of the above described document and promise 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 inforlation in this application is accurate and that all Hork wiJJ be done in cOlpliance with all
<br />applicabJe laws regulating construction, zoning, and land develop.ent.
<br />
<br />Application is hereby lade to obtain a perlit to do Hork and installation as indicated. I certify that no Hork or
<br />installation has co..enced prior to issu3nce of a perlit and that all work MilJ be perforled to leet standards of alJ JaHs
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulotions of other governmentaJ agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actio:is I lust take to be in co.pliance. Such agencies include but are not Ii.ited to:
<br />f Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entaIly Sensitive Lands,
<br />Water/Wastewater Treataent
<br />f Southwest Florida Water ManaQesent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Arty Corps of EnQineers - Seawalls, Docls, Navigable WaterHays
<br />f Departlent of Health ~ Rehabilitative Services. Environ.ental ~eaJth Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environ.entaJ Protection AQency - A=bestos abatelent
<br />I aJso certify that, if filJ .aterial il to be used in Flood lone "A" or "A,etc.', it is understood that a drainage pJan
<br />addressing a "colpensating voJule" will be subeitted which is prepared by a professional engineer registered in the State of
<br />Florida prior t~ perlit issuance.
<br />
<br />A per.it issued shall be construed to be a license to proceed Nith the Hork and not as authority to violate, cancel alter, Dr
<br />set aside any provisions of the technical codes, nor shall issuance of aperlit prevent the Building Official fro I thereafter
<br />requiring a correction of errors in plan~, constructionl or violations of any code. Every perlit issued shaJl becole invalid
<br />unless the work authorized by such permit is co..enced within six aonths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of SIX Aonths after the tile the work is cOllllenced.' One 90 day extension of tile, lay be
<br />allowed for the per.it with fee charge of 115.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection must be logged durinJ each six Bonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORll A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEHENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINAll;;JtlG, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUI: DO HOT NEED TO RECORD AND POST A 'NOTICE OF COMMENCEMENT".
<br />
<br />
<br />~ '
<br />, .. G.v-!" ~)~
<br />SNATURE: CONTRACTOR
<br />
<br />
<br />was acknowledged
<br />, 11)_ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />befcl\-e me th i s
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />",as ackno",ledged
<br />, 19___ by
<br />
<br />~ho is personally known to me Dr who has
<br />produced
<br />as identification and who did/did not
<br />take an O~h. " /I '/.:'l /'1/1 '0
<br />Q ~ ~~
<br />. ~
<br />(Slgnatu',- ) .d '
<br />~ r-Sara )( - vf.t 1,,'rUl..
<br />(Name Typed~ Printed Dr Stamped)
<br />NOTARY 'PuBLrC
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and whe. did/did not
<br />take an ~th: ~J
<br />~:3.. ~---:1en~
<br />(Signatj)Je) I
<br />l:5t:trGa... ro. A, At ( ;'.5 !t-..
<br />,(Name Typed, Printed 01- Stamped)
<br />
<br />NOTARY PUBL I ........., BARBARA A. ALLISON
<br />~ Nota,y Public, state 0' Florid.
<br />My Comm. Expo O~.2$.i!l
<br />comm. No. gO 398949
<br />
<br />
<br />. B'ARBARA A. ALLISON
<br />Notary Public, State of FlorId.
<br />My Comm. Expo 03.26.98
<br />Comm. No, CC 358940
<br />
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