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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RtBTRICTIONS
<br />Tha u~d~raignad "ndarst.nds that this perndt may be subject to ndeed r..tr~ction.n which
<br />may be more re.trictive than City r~lation.. The un~rsigned ass~. responsibility for
<br />compliance with any applicable d..d restrictions.
<br />B. UNLICENSED CONTRACTORS AND COHT~R RESPONSIBILITIES
<br />If the owner h.s hired a contractor or contraotors to u~~rt.ke work, they may b. required
<br />to ~ liceneed in accordanoe with state and lo~l regulations. If the oontractor is not
<br />l~oen.ed .s required by law, both the owner and contracto~ may b. cited ~Dr a misdemeenor
<br />v~olation under state law, If the owner or intended oontractor are uncertein .. to what
<br />lieene~nq requirements ~y apply tor the intended work, they are advised to contaot the
<br />City of Zephyrllills Building Depart"nt, 813-788-6611.
<br />Furthermore, if the owner has hired a contractor or contractors, he is advi.ed to have the
<br />contractox(s) sign portions of the ~Contractor SectionsW of thie application for whi~ they
<br />will be r.e.ponsible. It you, a. the own.r signa as the oontracto.t, you are indicating that
<br />you, rather than the contractor, are responsible for the work. If the oontractor wi.hes
<br />you to sign as contra~r that may be an indication that h. is ~ot properly licensed and is
<br />not entitled to pe~tting privileges in the City of tephyrhills.
<br />C. 'l'RAASPORTA'l'IOH IMPACl: I!'EJ!:S AND U'l'ILITY CONNECTION rus
<br />D. CONSTRUCTlJION LIl!:N ~w (CHAI/TER 713, FLORIDA STATlFTBS, AS AM&NDI!:D)
<br />I certify that I, the, applicant, have been prov1d.d with a copy of -Florida's construction
<br />lien Law - Homeowner'. Protection GuideN prepared by the Florida o.partment of AgriCUlture
<br />and ConsUlMr Affair... If the appllclUlt is S-.one other tlw.t the nownerN, r cerify thlle I
<br />have obtained a copy of the above describ"d aocument and promis.. in good faith to d.liver
<br />it to the ~own.rN prior to commencement.
<br />E. CONTIlACTOR' S/OWNBR' S AI!TIDAVIT
<br />I certify that all the information in this application is accurate and that all work will
<br />be done in camplian~ with all applicable laws regulating construction, zoning, and land
<br />developlMOnt.
<br />Application is hereby Made to obtain a parDdt to do work and installation as indicated. r
<br />ceLtify that no work or installation haa commanced prior to i.suance of . permit and .that
<br />all work will be performed to meet atandara. of all laws regUlating construction, City
<br />oodea, 20n1ng regulations, and land development regulations in the jurisdiction. I also
<br />certify that'r und.r.ta~d that the regulationa of other governmental aqeneies m.y apply to
<br />the intenda4 work, and that it is ~ responsibility to Identity what action. I Must take to
<br />be in Compliance. Such agencies include but are not l1m1ted tOI .Departl!lent of
<br />Environmantal Regulation-Cypress Bayn.ads, Wetland ~'as and &nviro~ntally Sensitive
<br />Land., WaterIWaatewater,Treatment
<br />*South".at !'loLida W.tet Manaq_t Dl.tr~ct-Wall., Cypress Bayh.ad", Wetland Areas,
<br />Altering Watercourses
<br />*Azmy Corps of Bngineer.-S..walls, Dock41, Navigable ..terwsys
<br />*o.partment of H..lth 'Rehabilitative Service" Environmental Health Unit-Wella,
<br />Wastewater TreatMent, Septic Tanka
<br />*u.S. Envi:OnMllntal ProUectlon Aqency-AMbestoa abat~nt
<br />I al.o certify that, if fill material is to be used in rlood Zone nAN or ~A,etc.N. it 1.
<br />understood that a drainage plan addrening a ncompen...tin\l volUJIWN will be submitted which'
<br />is prepared by a prof.s.ion..l engineer registered in tne State of Florida prior to permit
<br />.l.s.u..nce.
<br />A permit i.sued shall be construed to be a license to proceed with the ~ork end not .s
<br />autho~ity to violate, canoel, alter, or .et a.ide any provisions of ehe technical codes,
<br />nor Ihall issuance of a permit prevent the Bul1ding Officiel from theraatter requiring a
<br />~orrection of errors in jplanl, construction, or vlo1ations of any eode. Every permit
<br />issued ahell become in~lid unless the work authorized by SUch permit 11 commenoed within
<br />eix months of is,"anoe, or if work authorized by the permit is SUspended or ebandoned for a
<br />period of six month. af~er the time the work is commenced, One 90 day extellsion of time
<br />may be allowed for the p~t wlth fee charge of '15.00. The extension ahall be requested
<br />in writing to the .uil~ng Official. An approved inspection mult be logged during eaoh six
<br />month period, or the prQject will be considered abandoned.
<br />lIMNING TO OWlfERI YOUI\E'AlWRB TO RECORD A NOTICE OF COMMBNCEKBN'r ~ RESULT IN YOUR
<br />PA"iIHG TWICE !'oR IMPRO~J.:IlT5 TO YOUR PROPERTY. IF YOU IHT!ND TO OBTAIN FINANCING, CONSULT
<br />WITH YOl/'R LENDER OR AN A'rTO~ BEFORE RECORDING YOUR KOTICE or COtIM8:KCDlENT. JOBS UNDER
<br />IN 2D ORn AND POST A "NOTICE OF COlolMENCt:MENTN.
<br />
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STA'rl: OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this -----Pay of
<br />by
<br />
<br />acknowledged
<br />, i9
<br />
<br />oath.
<br />
<br />(name of person acknowledged)
<br />c,ho 111 personally known to me, or
<br />
<br />o who bas produced
<br />(type of ielenUnc.tion,
<br />and who Ddid DUd not tak", an oath
<br />
<br />~
<br />
<br />_nt
<br />
<br />Signature of person taking acknowled~~nt
<br />
<br />Name typed, printed or llta~ecl
<br />
<br />SllIH~AHd3Z jO A1IJ
<br />
<br />~ldIO:1 100191 qaj
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