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<br />CONDITIONS uF PERMIT AFFIDAVIT
<br />'A. ~OTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it '.ay ~~ ~ubject to "de~d restrictions" which .ay be .cre restrictive than City
<br />regulations. The undersigned assu.es responsinility for co.pliancf. with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTOR~ AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contract~r or,contractors to undertake work, they .ay be required to be licensed in accordance with
<br />state and local regulations. If the contractur ~s n~t licensp.d as required by law, both the owner and contractor .ay be
<br />cited for a .isde.eanor violation under state la.'. if t.he owner or intended contractor are uncertain as to what licensing
<br />require.ents .ay apply for the intended work, the] are advised to contact the City of 2ephyrhills Building Depart.ent, (813)
<br />788-6611.
<br />
<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor{s) sign portions of the
<br />"Contractor Sections" of this application for whic~ they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contriCtor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that .ay 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 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 LaN - Ho.eowner's Protection
<br />Guide" prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs. If the applicant is so.eone other than the
<br />"owner", I certify that I have obtained a copy of the above described document and prolise 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 laMS regulating construction, zoning, 'and land develop.ent.
<br />
<br />Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no Nork or
<br />installation has co..enced prior to issuance of a p~r.it and that all Nork will be perfor.ed to .eet standards of all laNS
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies .ay apply to the intended work, and that it is
<br />.y responsibility to identify Nhat actions I .ust take to be in co.pliance. Such agencies include but are not li.ited to:
<br />f Depart.ent of Environ.ental ReQulation - Cypress B~yheads, Wetland Areas and Environ.entally Sensitive Lands,
<br />~~ter/Wastewater Treataent
<br />f Southwest Florida Water ManaQe.ent t:~'rift - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Aray Corps of EnQineers - Seawalls, Docks, Navigable Waterways .
<br />. Depart.ent of Health ~ Rehabilitative Services, Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environaental Protection AQency - Asbestos abate.ent
<br />I also certify that, if fill .aterial is to be used in Flood 20ne "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "colpensating volu.e" Nill be sub.itted which 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 the Nork and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beco.e invalid
<br />unless the Nork authorized by such per.it is cO'lenc~d within six .onths of issuance, or if Nork authorized by the per.it is
<br />suspended Dr abandoned for a period of six .onths after the ti.e the work is cosienced. One 90 day extension of tile, .ay be
<br />allowed,for the per.it with fee charge of $IS.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six month period, or the project will be considered abandoned.
<br />WQRNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO HECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />
<br />SIGNATURE: OWNER OR RSENT . ~~NT~~T~
<br />
<br />was acknowledged
<br />19_ by
<br />
<br />STATE OF FLORIDA I
<br />COUNTY OF ~ \ 1~\:;YJYl)\M. h
<br />The foregoing instrJment was acknowledged
<br />befcl\-e me th i s ~. DeC. , -+9-1QQJ.. by
<br />
<br />':::>err"f ~YYD vV
<br />who is personally known to me Dr who has
<br />produced
<br />as identification and who did/did not
<br />
<br />take.S\tilAtJjtb/\
<br />
<br />(Signature)
<br />
<br />STATE O~ FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />befc.re me this
<br />
<br />who is personally known to me Dr who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />",,,'",,,, Tracie Keeter
<br />,,';.o.y P(j",,'. DO 055811"
<br />!~Jt~~co~n# ~
<br />:Z{ r:-: Expires Sep. 10,2005
<br />~~'" '7&$ Bonded 11uu
<br />.-,;;r iirf\; ,,~ Atld1ltic Bonding Co., Inc.
<br />",n"\
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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