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<br />. CONDITIONS OF PERMIT AFFIDAVIT
<br />~. NOTICE OF DEED RESTRICTIONS
<br />'The undersigned understands that this per.it lay be subject to 'deed restrictions. which .ay be .ore restrictive than City
<br />regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictiOnS.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired ~ contr~~}9I.~&ontractors, t~ un~ertake work, they .ay be. requir~d to be licensed,in ilc~sU'i~.nce w.it~
<br />state and local regulatIons. If tie contractor ,1* ~~t lIcensed as required by law, both the owner ilnd 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 i1Pply for the intended work, they are advised to contact the City of Zephyrhi1lsBuilding Departlent,"YB13''"
<br />7B8-6611.
<br />
<br />.,.i J}fI.,.:; ,,'.
<br />
<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s).s~gn portions of the
<br />"Contrilctor Sections" of this ilpplication for which they lIill be responsible. If you, as the owner sign as the contractor, '
<br />you are indicating that you, rather than the contrilCtor, are responsible for the work. If the contractor wishes you to sign-
<br />as contractor that .ay be an indication thilt 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 Protecti~n
<br />Guide' prepared by the Florida Depart.ent of Agriculture and Consuaer Affairs. If the appl icant is so.eone oth'er th~lr,:th'~~I""
<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 lade to obtain a perlit to do work and installation as indicated. I certify that n~ work or
<br />installation has cO.lenced prior to issuance of a per.it and that all work will be perfor.ed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. [also
<br />certify that I understand that the regulations of other governlental 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.plianc!. Such agencies include but are not lilited to:
<br />f Depart.ent of Environlental Regulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water "anaaelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlyCorps of Engineers - Seawalls, 'Docks, Navigable' WaterNays .'
<br />t Departlent of Health L Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />f US Environlental Protection Agency' - Asbestos abate.ent'" .
<br />I also certify that, if fill laterial is to be used in Flood Zone .A' Dr 'A,etc.., it is understood that a drainage plan
<br />addressing a 'colpensating volu.e" 'will be sublitted which is prepared by a professional engineer registered in' the1State of
<br />Florida prior to perlit issuance.
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<br />.
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<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 perlit issued shall beco.e inva~id
<br />unless the work authorized by such per.it is cOI.enced Nithin six .onths of issuance, Dr if Nork authorized by the per.it is
<br />suspended or abandoned for a period of six .onths after the ti.e the Nork is co..enced. One 90 day extension of ti.e, .ay be
<br />allowed.for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six .onth period, or the project Nill be considered abandoned. I
<br />W$RHIHG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"KENCEKENT "AY RESULT IN YOUR PAYING TWICE FOR IHPROVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />C1lltIIENCEIlEHT. JOBS UMDEIlI2,500rJ VALIlE IlO MDT IEED TO REr:DR~~~
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<br />GHATURE: CONTRACTOR
<br />
<br />
<br />STATE OJ:. FLORIDA~ //- ~ t'
<br />COUNTY OF" r .'#?VO~ . .. .
<br />The foregoing instrumen~ was a~~wledged
<br />before me this 11-/8 , 19..z:!! by
<br />
<br />{/.b Wu;d.
<br />
<br />
<br />n to me or who has
<br />
<br />who i ersonally
<br />produced
<br />as identification and
<br />
<br />who did@~
<br />
<br />~~~.~
<br />~~~ Co _
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~v PII JEWEL C. CAVAS
<br />~At COMMISelON 11 CC 348667
<br />g EXPIRES FEB 3,1998
<br />~'r f;;? 8ONOEDTHRU
<br />~OF t\.~ ATLANTIC 8ONOtNG W..ING
<br />
<br />STATE OF FLORIDA 1/,'//5 j /
<br />COUHTY OF ,. t!)/)/,~~~^-- "
<br />The foregc'in~' instrument 'as ack'lo)lle.~ged "'j
<br />before me thIS II-/H, 19~ by' ....,
<br />
<br />
<br />and who did/~ not~
<br />
<br />/(' ~
<br />
<br />ture~.d- ~..
<br />
<br />Name Typed, Printed
<br />NOTARY PUBLIC
<br />'i Pl/ JEWEL C. CAVAS
<br />~~f::: co. .MM.IS!ION * CC 348667
<br />~ 1'> li~fltIRES FEB 3.1998
<br />~t" BoNOEDfHFlU
<br />~OF '\I AtLA~TIC 8QHoIHG CO.. INe
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