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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A.' NOT~CE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit .ay be subject to "deed restrictions" which laY be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for cOlpliance witb 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 laY 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 lilY be
<br />cited for a .isdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents .ay apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections' of this application for whicb 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 tbe contractor wisbes you to sign
<br />as contractor that .ay be an indication that he is not properly licensed and is not entitled to perJitting 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, bave been provided with a copy of 'Florida's Construction Lien Law - HOIeOWDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and Conslller Affairs. If tbe applicant is sOleone other than the
<br />"owner", I certify that I bave obtained a copy of the above described dOCUJent and prOlise in good faith to deliver it to the
<br />"owner" prior to cOllenCeJent.
<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 cOlpliance witb all
<br />applicable laws regulating construction, zoning, and land developtent.
<br />
<br />Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a per.it and that all work will be perf OIled to .eet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governtental agencies lilY apply to the intended wort, and that it is
<br />,y responsibility to identify wbat actions I .ust take to be in co.pliance. Such agencies include but are not li.ited to:
<br />* DepartJent of Environtental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />* Southwest Florida Water Hanagelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* AllY Corps of Kngineers - Seawalls, Docks, Navigable Waterways
<br />* DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treattent, Septic Tanks
<br />* US EnviroDlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A' or "A, etc. ", it is understood that a drainage plan
<br />addressing a 'cOlpensating volute" will be sublitted wbicb 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 tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of tbe technical codes, nor shall issuance of a per.it prevent the Building Official frot thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall beCOle invalid
<br />unless the work authorized by such peIlit is cOllenced within six IOntbs of issuance, or if work authorized by the peIlit is
<br />suspended or abandoned for a period of six IOntbs after the tile the work is c~ced. One 90 day extension of tile, laY be
<br />allowed for tbe per.it 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 eacb six JOnth period, or the project will be considered abandoned.
<br />WAMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMBK1'S TO YOUR
<br />PROPER'l'Y. IF YOU INTEND TO OBTAIN FIIIAJlCING, CONSULT WITH YOUR LENDER OR All AnOmY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE 00 NOT NEED fO RECORD AND POST A "NOTICE OF COIIMEHCEHENT".
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<br />ATURE: OIOOlR ~NT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA~
<br />COmy OF ..~
<br />The foregoing instrument was acknowledged
<br />before me this j c.:; ,- 5?' , 19 E.k. by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was aCknowledged
<br />before me this , 19_____ by
<br />
<br />.--
<br />
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />who i personally to me or who has
<br />produ
<br />as identification and who did/did not
<br />take an oa~~ 0 JJ.t, . (/
<br />
<br />(Signature) 11 (j L1 fl' ~j
<br />,i'L.@. tL c Iv- a . _II Zi V
<br />(Name Typed, printfild or Stamped) /
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)"NOTARY PUBLIC
<br />
<br />....~~~:~", Nancy A. MQ(id~.'
<br />lfAJ' -.~~ MY COMMISSION # CCS:h:K.:' .
<br />=*: : : .. "'''.'(';
<br />;"". :J~ February 21, :.".'
<br />;;r,i:'"!i.~''' BONDED THRU TROY FAIN :1':.- -
<br />"Cfr.",
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