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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A-. NOT I CE OF DEED RESTR I CT IONS
<br />The undersigned understands that this per.it '.ay be subject to "deed restrictions" Mhich .ay be lore restrictive than City
<br />regulations. The undersigned assu.es responsibility for cOlplianr.e with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they .ay be required to be licensed in accordance Mith
<br />state and local regulations. If the contractor is not licensed as required by laM, both the OMner and contractor lay be
<br />cited for a .isde.eanor violation under state law. If the owner Dr intended contractor are uncertain as to "hat licensing
<br />require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (813)
<br />788-6611.
<br />
<br />Further.ore, if the owner,has hired a contractor or contractors, he is advised to have the contractor Is) 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 .ay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the
<br />City of ZephyrhilIs.
<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 LaM - Ho.eowner's Protection
<br />Guide" prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the
<br />"owner" prior to co..ence.ent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation in this application is accurate and that all work will be done in co.pliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
<br />
<br />Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no Mork or
<br />installation has co..enced prior to issuance of a per.it and that all work will be perfor.ed to .eet standards of all laMS
<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 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 lilited to:
<br />f Depart.ent of Environlental Requlation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />f Southwest Florida Water "anaqe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Ar.y Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />f Depart.ent of Health & Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />f US Environlental Protection Aqency - Asbestos 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 "colpensating volule" will be sublitted 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 Mork and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official fro. thereafter
<br />requ~ring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beco.e invalid
<br />unless the work authorized by such per.it is cOllenced within six .onths of issuance, Dr if worK authorized by the perlit is
<br />suspended Dr abandoned for a period of six lonths after the tile the work is cOlleneed. One 90 day extension of tile, 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 lust be logged during each six .onth period, Dr the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"MENCEMENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECO INB YOUR NOTICE OF
<br />CO KENCE"ENT. JOBS UNDER $2,500 IN V LUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKK CE
<br />
<br />
<br />
<br />STATE OF FLORIDA n
<br />COUNTY OF \' A sc 'D
<br />The foregoing instrument was acknowledged
<br />before me th i s (\uI e(Y\~f' (lp, 19 06 by
<br />
<br />STATE OF FLORIDA n
<br />COUNTY OF t. f\s C 0
<br />The foregoing instrument was acknowledged
<br />befc,re me th i s (\(JJQ()I,b-<;r- 1\0 , 19 ~ by
<br />
<br />who i personally
<br />produce
<br />as identificatio
<br />take an oath.
<br />
<br />
<br />
<br />
<br />has
<br />
<br />whc, did/did not
<br />
<br />- CSuw---
<br />
<br />who i personally
<br />produce
<br />as identificatio
<br />take an oath.
<br />
<br />and who ~id/did not
<br />
<br />alii- d'lA/;h'''---.
<br />
<br />(Signature)
<br />
<br />(Signature)
<br />
<br />flofal ( e.. ,~"t.t7ut
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI C
<br />
<br />
<br />NATALIE SWAN
<br />Notary Public, Stete of Florid.
<br />My Comm, Exp. Oct, 12. 1999
<br />Comm, No, CC 501333
<br />
<br />(Name Ty,
<br />NOTARY
<br />
<br />
<br />^ JhJ-n II e. Sv0C<,n
<br />Printed or Stamped)
<br />
<br />NATALIE SWAN
<br />Notlry Public, Stltl of Floridll
<br />My Comm, Exp. Oct. 12. 1999
<br />Comm. No. CO 1101333
<br />
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