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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />lb. under.lgned und.r.tand. that thl. ....It oar be .ubj.ct Ln 'd.ed restriction." obleb ... be .... restrlcti.. tb8q City
<br />regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ....r bas bired a cootractor or contractor. to uoderta" oorl, tb.y oa, be regulred to b. liceooed 10 accooIIoce oilb
<br />.tat. and local r.gulati..., If tbe contractor i. not licensed as reguir.d by lao, Iolb the ..... aod cootroctor ..y be
<br />cited for a .Ied......r violation und.r stat. lao, If the ....r or Intended oontractor ar. uocertaio as to lbat II....tng
<br />r.gulr....t. .a, apply lor tb. Int.nded oorl, the, ar. advised to contact th. City of Z.pbyrblll. Buildlog Departoeot, (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 Section.' of thi. application for s1tieb tb.y oill be respon.lbl., If roo, as lb. 0lIlU!r 81!lD as the cootractor,
<br />roo are iodicatlog that roo. rather tb8q the contractor. ar. r"ponslbl. for the ..rl. If tb. cootractor oiabes roo to 81!lD
<br />as contractor that lay 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 U'l'ILI'rY CONNECTION FEES l~
<br />
<br />D. CONSTRUC'l'ION LIEN OOW (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 _ HOIeONDer's Protection
<br />Guide" prepared by the Florida Departaent of Agriculture and Consuaer Affairs. If the applicant is sOIeone other than the
<br />"owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />"owner" prior to COl8enceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this',application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />I,
<br />
<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no worl or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perfofled to teet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the iurisdiction. I also
<br />certify that I understand that the regulations of other governaental agencies lay apply to the intended wort, and tbat it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not Iilited to:
<br />· Departlent of Environaental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater Treallent
<br />· Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· Arl' Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· De rtlent of Health i Rehabilitative Services Bnvironaental Health Unit - Wells, Wastewater rreatlent, Septic rants
<br />t US Environaental Protection Aqenct - 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 perlit. issuance.
<br />
<br />. A per.it issued sball 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 the technical codes, nor shall is~u~nce of a perlit prevent tbe Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery per.it issued shall beCOle invalid
<br />unless tbe worl autborized by sucb per.it is cOllenced within six IOnths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six IOnths after the tile the work is c.enced. One 90 day l!Itension of tile, lilY 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 IOnth period, or tbe project will be considered abandoned.
<br />WARNING TO OIIHER: YOUR FAILURE TO RECORD A HOTICE OF COHHEHCEHBHT HAY RESULT IH YOUR PAYING NICE FOR IHPROVBIIDrS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORIEY BEFORE RECORDING YOUR HOTICE OF
<br />COHHENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT HEED TO RECORD AND POST A "NOTICE OF COIfHENCEHlIft'".
<br />
<br />
<br />~~'{.~
<br />SIGNATUR: COHTRACTOH
<br />
<br />w~~~
<br />:/ I ATUR. OWNER OR AGENT
<br />
<br />. I
<br />
<br />STATE OF FLORID~)
<br />COUNTY OF
<br />The foregOing instrument
<br />before me this Q...-~
<br />'\.
<br />
<br />was acknOWledged
<br />, 1~ by
<br />
<br />STATE OF FLORI~
<br />COUHTY OF~);:,.~
<br />The foregoing instrument
<br />before me this '4 _?
<br />
<br />was aCknowledged
<br />, 19~ by
<br />
<br />who is
<br />
<br />~~wn to me or who has
<br />, V, e ~c.es
<br />and who did/did not
<br />
<br />
<br />who is
<br />produced
<br />as iden
<br />take
<br />
<br />
<br />MY
<br />- or Efta...... 2000
<br />. .,Rt'~ . . .' ilanded ThIu NotaiY PllblIc ~
<br />
<br />(Name Typed,
<br />NOTARY PUBLI
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