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<br />. CONDITIONS OF PERMIT AFFIDAVIT
<br />A~ NOTICE O~ DEED RESTRICTIONS
<br />The undersigned understands that this per.it.ay be subject to "deed restrictions" which .ay be .ore restrictive than City
<br />regulations. The undersigned assu.es responsibility for co.plianr.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 with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor .ay be
<br />cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, 1813)
<br />788-6611.
<br />
<br />Further.ore, if the owner has hired a contractor Dr contractors, he is advised to have the contractorls) 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 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 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 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 work Dr
<br />installation has co.tenced 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 .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 li.ited to:
<br />I Departlent of EnvironlentaI ReQulation - Cypress Bayheads, Wetland Areas and Environ.entaIly Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />I Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health & Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />I US Environ.ental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in FloDd Zone "A" Dr "A,etc.", it is understood that a drainage plan
<br />addressing a "co.pensating volu.e" 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 per.it 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 per.it prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall becoae invalid
<br />unless the work authorized by such perlit is eOI.eneed within six .onths of issuance, Dr if work authorized by the per.it is
<br />suspended Dr abandoned for a period of six .onths after the tile the work is co..enced. One 90 day extension of tiae, .ay 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 .ust 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 COKKENCEKENT 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 RECORDING YOUR NOTICE OF
<br />COK"ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMKENCE
<br />
<br />~~l;).Qt~
<br />
<br />S E: OWNER OR AGENT
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF (J ASci)
<br />The foregoing instrument was acknowledged
<br />before me this f\lJ'{lj'l\W il,o , 19.!1.2: by
<br />
<br />STATE OF FLORIDA P
<br />COUNTY OF A-~ C. 0
<br />The foregoing instrument was acknowledged
<br />before me this ~~embef l~, 19~ by
<br />
<br />who is ersonally
<br />produced
<br />as identific
<br />take an c.
<br />
<br />known to me c
<br />
<br />whet has
<br />
<br />who s personally known to m Dr who has
<br />produ
<br />as identi~i~n and who did/did not
<br />take an 0 ~~~"'f'--.
<br />
<br />(Signature)~ I '
<br />N O::t aJ \ <... ,~LDO.V1
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUB I
<br />
<br />thon and who did/did not
<br />
<br />CdalLc-SwO-~
<br />
<br />
<br />
<br />(Signature)
<br />N oJ- a..1,.e.. ~G.r\
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />NATALIE SWAN
<br />Notary Public, State of florida
<br />M)' Comm. Exp. 'Oct. 12, 1999
<br />Comm. No. CC 501333
<br />
<br />NATALIE SWAN
<br />.Notary Public, State of Florida
<br />My Comm, Exp, Oct. 12, 1999
<br />Comm, No, CC 501333
<br />
<br />-......-,.j
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