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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A, NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lIay be subject to "deed restrictions" which lJay be more restrictive than City
<br />regulations. Ihe undersigned assUles responsibility for cOllpliance with ~lY applicable deeu restrictions,
<br />
<br />B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they may 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 may be
<br />' i'cited for a .isdeaeanor violation under state law, If the owner or inte'lded contractor are uncertain as to what licensing
<br />. requireJIents lay apply for the intended work, they are adrised to contact the City of Zepbyrbills Building Departllent, (813)
<br />788-6611.
<br />
<br />Furthermore, 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 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 lay be an indication that he is not properly licensed and is not entitled to permitting 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 If the applicant, bave been provided with a copy of IlPlorida's Construction Lien Law _ Homeowner's Protection
<br />Guidell p~epared by the Florida Department of Agriculture and ConsUler Affairs. If the applicant is someone other than the
<br />uowner", I certify that I have obtained a copy of the above described docUient and promise in good faith to deliver it to the
<br />"owner" prior to couencBlent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforllation in this application is accurate and that all work will be done in compliance with all
<br />applicable laws regulating construction, zoning, and land develop~ent.
<br />
<br />Application is hereby lade to obtain a permit to do work and installation as indicated. I certify that no work or
<br />installation has cOIlIenced prior to issuance of a permit and that all work will be perforlled to lIeet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction, I also
<br />certify that I understand that the regulations of other r;overnmental agencieR lay apply to tbe intendp-d work, and that it is
<br />IIY responsibility to identify what actions I lIust take to be in compliance. Such agencies include but are not lillited to:
<br />t Department of Environmental Regulation - Cypress nayheads, Wetland Areas and Envirorraentally Sensitive Lands,
<br />. Water/Wastewater Treatlent
<br />* Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* Army Corps of Engineers - Seawalls, Docks, NGvigable Waterways
<br />* De artJent of Health & Rehabilitative Services Lnvironm~ltal Health Unit - Wells, Wastewater treatment, Septic Tanks
<br />* US Environmental Protection Agency - Asbestos abatement
<br />I also certify that, if filllaterial is to be used in Flood Zone IlAIl or "A,etc,", it is understood that a drainage plan
<br />addressing a "cOlpensating volUlell will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance,
<br />
<br />A penit issued shall be construed to be a license to proceed \lith tbe flOrk and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frOM thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code, Every permit issued shall becoae invalid
<br />unless the work authorized by such permit is cOlmenced within six !lonths of issuance, or if work authorized by the permit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is c~enced, One 90 day extension of tiae, may be
<br />allowed for the permit 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 lonth period, or the project will be considered abandoned,
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU I}/fEHD TO OBrAIN FINAHCIl/G, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR JI07ICE OF
<br />COHHENCEHRllT. JOBS UNDE IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF ENCEHEHT" ,
<br />
<br />
<br />
<br />SIAIE OF FLOEID~ ~
<br />COUNTY OF ('Q.. ')
<br />The foregoi 9 inst ent
<br />before me this
<br />
<br />STATE OF FLORIDa //It /~(i
<br />COUNTY OF fA..;<J .../
<br />The fGrego.ing instrulIl)pt waE a~knOllledged
<br />befo7r/,me this l' (J~f 194- by
<br />
<br />l<-{! (1/ /7 t 1 ()~,
<br />~ls ersonally known 0 me or who has
<br />p:roduceG
<br />as identification and who did/did not
<br />
<br />take o~~?jJa~?: A(tt:/~
<br />
<br />(Si na ure)O
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC #~ AngefaLHeIma
<br />*..*My Commi&aion CC800247
<br />~..~ Expires January 3, 2003
<br />
<br />was ac~owledged
<br />, 19:a by
<br />
<br />/11CVJ/)
<br />w 0 is 0 me or who has
<br />produce .
<br />as identification and who did/did not
<br />
<br />take anr--~._Lk J ):,#l/1Ax:J
<br />(Signai~e) J~ .0
<br />
<br />
<br />
<br />(Na.m~ Typed, Print . ) "i"llil."
<br />ARY PUBLIC * *My CommlUlO!l e... \I
<br />NOT \.. ,,, Expires January 3, lllllltl
<br />.~"I"''''-
<br />
<br />:-w.
<br />
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